Cancer Australia

Cancer Australia Policy Position statements

Position statements

The following position statements are based on the most currently available evidence to address cancer-related issues.



Cancer clusters

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Released: February 2012

National Health and Medical Research Council (NHMRC) has released a position statement to provide information about the assessment and management of cancer clusters. The statement is intended to support guidelines issued by State and Territory Health Departments and Cancer Councils.

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Over-diagnosis from mammography screening

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Created: January 2008
Revised and updated: September 2010

This position statement has been endorsed by Cancer Council Australia, Cancer Institute NSW, Clinical Oncological Society of Australia and the Screening Subcommittee of the Department of Health and Ageing.

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Hormone Replacement Therapy (HRT) and risk of breast cancer

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Updated: April 2010

This position statement applies only to Hormone Replacement Therapy (HRT) and breast cancer risk in women – it does not address other risks or benefits to women from HRT usage.

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Complementary and alternative therapies

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Created: April 2004
Revised and updated: April 2010


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Statement on use of thermography to detect breast cancer

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Reviewed: February 2010

National Breast and Ovarian Cancer Centre* does not recommend the use of thermography for the early detection of breast cancer.

Breast thermography, also known as thermal breast imaging, is a technique that produces “heat pictures” of the breast. The rationale for thermography in breast imaging is that the skin overlying a malignant breast lesion can be warmer than that of surrounding areas.

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Early detection of breast cancer

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Updated: December 2009

This position statement applies to screening methods for the early detection of breast cancer in asymptomatic women (women without breast changes). The statement does not apply to diagnostic tests used to assess individual women presenting with breast changes.

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Surveillance of women at high or potentially high risk of ovarian cancer

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Created: December 2009

  1. Ovarian cancer surveillance is not recommended for women at high or potentially high risk.
  2. Evidence shows that ultrasound or CA125, singly or in combination, is not effective at detecting early ovarian cancer.
  3. The most effective risk reducing strategy for ovarian cancer is bilateral salpingo-oophorectomy.
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Population screening and early detection of ovarian cancer in asymptomatic women

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Created: August 2009

This position statement and supporting background information has been endorsed by the following colleges and agencies: the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, the Royal Australian College of General Practitioners, the Australian Society Gynaecologic Oncologists, Cancer Council Australia, the Screening Subcommittee of the Department of Health and Ageing, and The Royal College of Pathologists of Australasia.

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Risk of invasive breast cancer in women exposed to diethylstilbestrol in utero: A review of the evidence

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Created: February 2008
Based on evidence as at December 2006

This document provides a summary of findings from a search of the English language literature to examine the putative association between diethylstilbestrol (DES) exposure in utero and invasive breast cancer.

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Sentinel node biopsy in breast cancer

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by the Breast Section of the Royal Australasian College of Surgeons

October 2005

In 2002 the Executive Committee of the Breast Section of the RACS developed a position statement on sentinel node biopsy (SNB). At that time SNB was still being evaluated in clinical trials around the world, including our own SNAC trial. The 2002 position statement indicated that SNB should only be promoted in the context of a randomised clinical trial. If it was to be done outside of this scenario then the woman should be informed of the limitations of the technique, the lack of long term data, as well as the surgeon’s own results with the technique. We now feel that the position statement needs to be updated, as new data has become available, and the SNAC trial has completed accrual. This updated statement should be reflective of the current safe use of the technique and should be noted by breast surgeons who offer the technique to women with early breast cancer, depending on their own circumstances and experience.

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