The implementation of the National Breast Screening Programme in the UK, an
d subsequent increase in early detection of small cancers, has facilitated
breast conserving treatment for more women with a breast cancer diagnosis t
han ever before. While a substantial body of literature has evolved regardi
ng psychosocial morbidity and support needs of women at diagnosis and durin
g treatment, there are specific gaps in the current knowledge base. The pur
pose of this study was to describe the experiences of women who had breast
conserving treatment for early breast cancer, focusing on issues related to
diagnosis, surgery, and radiotherapy. The study was designed within the co
ntext of clinical audit, with a view to informing service development. Seve
nty-six women who had undergone breast conserving surgery within the last 3
-12 months, completed a self-report questionnaire. Findings indicated that
although the majority of women expressed satisfaction with their treatment
overall, a number of specific areas require attention from healthcare profe
ssionals. Further research is required to validate these findings and to ex
plore: potential implications of different referral routes; information and
support needs preceding definitive diagnosis; particular needs of those wo
men with ductal carcinoma in situ (DCIS) vs, invasive disease; 'end of trea
tment' and ongoing information and support needs.