Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Kiernan T'



Mersey and West Lancashire Teaching Hospitals NHS Trust – St Helens & Knowsley Staff

Influence of MRI use on surgical outcomes in lobular breast cancer

Introduction Lobular carcinomas account for around 10% of invasive breast cancers. Accuracy of pre-operative evaluation can be troublesome. NICE guidelines recommend MRI "to assess the tumour size if breast-conserving surgery is being considered for invasive lobular cancer". However, each additional investigation introduces cost and potentially prolongs the treatment pathway, which is..

Published: 02/05/2022
Authors: Wadsworth P, Rimmer L, Sepesiova L, Fong J, Kiernan T, Harris O

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Feasibility of breast lesion localisation using Sirius Pintuition

Introduction Impalpable breast cancers can be localised using different techniques. Recently, magnetic seed localisation systems have been developed and shown to offer benefits over traditional wire guided techniques. This study aims to assess the feasibility of a new seed localisation device, Sirius Pintuition, at St Helen's and Knowsley NHS Trust.  ..

Published: 02/05/2022
Authors: Foster R, Bathla S, Harris O, Jois RHS, Kiernan T, Ray A, Chagla LS

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Implant-Based Reconstruction following Mastectomy in Patients Who Have Had a Previous Breast Augmentation

Background Breast augmentation is the most commonly performed cosmetic procedure, and increasingly women in this group present with breast cancer or request risk-reducing surgery, but their optimal management is unclear. The authors explored the clinical and patient-reported outcomes of patients undergoing immediate implant-based breast reconstruction following previous augmentation and compared..

Published: 09/02/2022
Authors: Kiernan T, Clifford R, Chagla LS, Iqbal A

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Implant-Based Reconstruction following Mastectomy in Patients Who Have Had a Previous Breast Augmentation

Background Breast augmentation is the most commonly performed cosmetic procedure, and increasingly women in this group present with breast cancer or request risk-reducing surgery, but their optimal management is unclear. The authors explored the clinical and patient-reported outcomes of patients undergoing immediate implant-based breast reconstruction following previous augmentation and compared..

Published: 01/02/2022
Authors: Kiernan T, Clifford R, Chagla LS, Iqbal A

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Case report-malignant adenomyoepithelioma: A rare tumour of the breast

Background: We present a case report of a 45 year old female who presented with bilateral breast masses and one of these was shown to be a rare primary breast tumour. Malignant adenomyoepithelioma (AME-M) exhibits a classic biphasic proliferation of epithelial and myoepithelial cells, either or both of which have undergone..

Published: 08/09/2021
Authors: Stevenson J, Kiernan T, McKeown D, Innes H, Shaw M

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P179. Comparing roll and magseed in management of impalpable breast lesions a single unit experience

Background Screening and the use of Neoadjuvant therapy has increased the number of breast lesions requiring localisation. The search for the ideal technique is still on. ROLL (Radioisotope guided Occult Lesion Localisation) is a reliable technique though not widely available, Magnetic Seed, is a new alternative. These two techniques have..

Published: 01/05/2021
Authors: Jois RHS, Pushdary KH, Patnam V, Gupta N, Kiernan T, Bathla S, Ray A, Harris O, Chagla LS

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Primary Melanoma of the Breast Parenchyma: An Oncoplastic Approach

Summary Primary melanoma of the breast parenchyma (PMPB) is a rare and aggressive disease, with only a few cases reported in the literature. We present the case of a 50-year old woman who underwent mastectomy and immediate breast reconstruction using a free DIEP flap following recurrence after breast conserving surgery...

Published: 18/12/2020
Authors: Snashall E, Kiernan T, Harper-Machin A, Taghizadeh R

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The impact of the 21-gene recurrence score (Oncotype DX)

Purpose The 21-gene recurrence score (Oncotype DX) (RS) informs systemic therapy decision making in ER-positive HER2-negative early breast cancer (BC). To date no study has described the more nuanced discussions that take place regarding systemic therapy or the impact of the RS on concordance in such decision making. Here..

Published: 20/02/2019
Authors: Kiernan T

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Can internal surgical adhesive facilitate drain-free mastectomy?

​Introduction Mastectomy closure without drains has many potential advantages. This study compares a lysine-based high strength adhesive with standard wound drain application.  Methods An ethically approved post-market non-inferiority multicentre randomized trial compared standard closure with drains (SWC) vs drain-free closure with adhesive (DFTG) in mastectomy +/-SLNB. Primary outcome was the..

Published: 15/08/2018
Authors: Kiernan T

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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