Breast cancer specialist centres NSW

Criteria for a specialist breast cancer centre

  1. Annual average resection volume (based on a two-year average):
    • ≥ 36 for metropolitan hospitals
    • ≥ 24 for regional hospitals
  2. Access to specialist multidisciplinary cancer care team as listed on canrefer
  3. Sentinel lymph node biopsy ≥ 65% (rounded up to nearest whole number). Note this is based on a 2-year average.
  4. Hypofractionation rate is ≥ 50%. Note this is based on a four-year average.
  5. Mastectomy rate is ≤ 50% (rounded up to nearest whole number). Note this is based on a 2-year average.

Availability of a multidisciplinary cancer care team

People diagnosed with breast cancer may have one or more types of treatments, including laser therapy, surgery, chemotherapy and radiotherapy.

The involvement of a multidisciplinary cancer care team is required[1]. This team brings together health care professionals from different specialties to discuss a patient’s cancer diagnosis and staging, and their treatment options. It also enhances communication and care co-ordination between the specialists involved in a patient’s care.

International studies show that patients overseen by a multidisciplinary cancer care team experience better outcome after cancer treatment[2].

Actions for Health Professionals

Actions for Health Professionals

Patient referral

Patients with a suspected or confirmed breast cancer should be referred to a specialist who is a member of a multidisciplinary cancer care team, and practices at one of the specialist centres listed below.

Involvement of an appropriate a multidisciplinary team (MDT) early in the cancer journey is recommended to ensure optimal assessment, care, and outcomes.

The Canrefer website allows you to find cancer specialists who are MDT members, and has information about cancer services, optimal care pathways, and patient resources.

Smoking cessation support

Evidence suggests that tobacco cessation following cancer diagnosis improves survival. It also reduces treatment-related complications[3-4]. Health professionals should discuss tobacco use with all patients and provide appropriate cessation support.

List of public specialist centres for breast cancer surgery

Local health district

Hospital

Multidisciplinary care team

Central Coast

Gosford

Gosford Hospital Breast Cancer MDT

Hunter New England

Calvary Mater Newcastle

Hunter New England Breast Cancer MDT

Illawarra Shoalhaven
Wollongong
Illawarra Shoalhaven Local Health District Breast Cancer MDT
Murrumbidgee
Wagga Wagga Base
Riverina Cancer Care Centre Breast Cancer MDT
Mid North CoastCoffs Harbour Base
Coffs Coast Breast Cancer MDT
Port Macquarie Base
Port Macquarie Breast Gastrointestinal and Other Cancer MDT
Nepean Blue Mountains  
Nepean
Nepean Cancer Care Centre Breast Cancer MDT
Northern NSW  
Lismore Base
Lismore Breast Cancer MDT
The Tweed
Tweed Cancer Care Breast Cancer MDT
Northern Sydney  
Royal North Shore
Royal North Shore Hospital Breast Cancer MDT
South Eastern Sydney  
Prince of Wales
Prince of Wales Breast Cancer MDT
Royal Hospital for Women
Prince of Wales Breast Cancer MDT
St George
St George Cancer Care Centre Breast Cancer MDT
Sydney  
Concord
The Strathfield/Concord Breast Cancer MDT
Southern NSW  
South East Regional
Canberra Region Cancer Centre Breast Cancer MDT
South Western Sydney
Bankstown / Lidcombe
Bankstown Cancer Centre Breast Cancer MDT
Campbelltown
Macarthur Cancer Therapy Centre Breast Cancer MDT
Fairfield
Liverpool Cancer Therapy Centre Breast Cancer MDT
Liverpool
Liverpool Cancer Therapy Centre Breast Cancer MDT
Western NSW  
Bathurst Base
Central West Cancer Care Centre Breast Cancer and General Cancer MDT
Orange Health Service
Central West Cancer Care Centre Breast Cancer and General Cancer MDT
Western Sydney  
Auburn
Westmead Breast Cancer Institute Breast Cancer Blacktown MDT
(Monday, Wednesday, Friday)
Mount Druitt
Westmead Breast Cancer Institute Breast Cancer Blacktown MDT
Westmead
Westmead Breast Cancer Institute Breast Cancer Blacktown MDT

List of private specialist centres for breast cancer surgery

Local health district

Hospital

Multidisciplinary care team


Hunter New England

Lake Macquarie   Private Hospital Hospital

Hunter New England Breast Cancer MDT

Newcastle Private HospitalHunter New England Breast Cancer MDT
Murrumbidgee  Albury Wodonga Private HospitalBorder/East Hume Cancer Network Breast Cancer MDT
Calvary Private Hospital Hospital, Wagga WaggaRiverina Cancer Care Centre Breast Cancer MDT
Mid North CoastBaringa Private HospitalCoffs Coast Breast Cancer MDT
Nepean Blue Mountains  
Nepean Private HospitalNepean Cancer Care Centre Breast Cancer MDT
Northern NSW  St Vincent's Private Hospital Hospital, LismoreLismore Breast Cancer MDT
Northern Sydney  Macquarie UniversityMacquarie University Hospital Cancer Program Breast Cancer MDT
Mater North SydneyMater Hospital North Sydney Breast Cancer MDT
North Shore Private HospitalNorth Shore Private Hospital Breast Cancer MDT
Sydney Adventist Private HospitalSydney Adventist Hospital Breast Cancer MDT
South Eastern Sydney  Prince of Wales Private HospitalPrince of Wales Breast Cancer MDT
St George Private HospitalSt George Cancer Care Centre Breast Cancer MDT
SydneyChris O'Brien LifehouseRoyal Prince Alfred and Lifehouse Breast Cancer MDT
Strathfield Private HospitalThe Strathfield/Concord Breast Cancer MDT
St Vincent Health NetworkSt Vincent's Private HospitalThe Kinghorn Cancer Centre Breast Cancer MDT
South Western SydneyHospital for Specialist SurgeryLakeview Private Hospital Breast Cancer MDT
Westmead Private HospitalWestmead Breast Cancer Institute Breast Cancer Blacktown MDT

References

1.  Senkus E, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P, Rutgers E, et al. Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of oncology. 2015;26:v8-v30.

2. Houssami N, Sainsbury R. Breast cancer: multidisciplinary care and clinical outcomes. European journal of cancer. 2006;42(15):2480-91.

3.  Warren GW, Sobus S, Gritz ER. The biological and clinical effects of smoking by patients with cancer and strategies to implement evidence-based tobacco cessation support. The Lancet Oncology. 2014;15(12):e568-e80.

4.  Hounsome L, Verne J, Persad R, Bahl A, Gillatt D, Oxley J, et al. An audit of urological MDT decision making in the South West of England. Journal of Clinical Urology. 2018;11(4):254-7.