Society guideline links: Breast surgery

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

●(See "Society guideline links: Breast cancer".)

●(See "Society guideline links: Evaluation of breast problems".)

●(See "Society guideline links: Hereditary breast and ovarian cancer".)

●(See "Society guideline links: Ductal carcinoma in situ".)

International

●Breast conservation and axillary management after primary systemic therapy in patients with early-stage breast cancer: The Lucerne toolbox (2021)

●International multidisciplinary expert panel consensus on breast reconstruction and radiotherapy (2019)

●Enhanced Recovery After Surgery (ERAS) Society: Recommendations from consensus review of optimal perioperative care in breast reconstruction (2017)

●First international consensus conference on standardization of oncoplastic breast conserving surgery (2017)

●Locoregional treatment of primary breast cancer – Consensus recommendations from an international expert panel (2010)

Canada

●Choosing Wisely Canada: Contralateral prophylactic mastectomy (CPM) is not recommended for average risk women with early stage unilateral breast cancer (updated 2020)

●Cancer Care Ontario (CCO): Breast cancer reconstruction surgery (immediate and delayed) across Ontario – Patient indications and appropriate surgical options (2016)

United States

●American Society of Breast Surgeons (ASBrS): Official statements

●American College of Radiology (ACR): ACR Appropriateness Criteria on imaging after breast surgery (2022)

●ACR: ACR Appropriateness Criteria on imaging of deep inferior epigastric arteries for surgical planning (breast reconstruction surgery) (revised 2022)

●American Society of Plastic Surgeons (ASPS): Statement on breast implant associated-squamous cell carcinoma (BIA-SCC) (2022)

●Choosing Wisely: Don't routinely use sentinel node biopsy in clinically node negative women ≥70 years of age with early stage hormone receptor positive, HER2 negative invasive breast cancer (2016, updated 2021)

●Society for Ambulatory Anesthesia (SAMBA): Statement on intravenous catheter placement, venipuncture and blood pressure measurements in the ipsilateral upper extremity after breast cancer surgery with and without axillary lymph node dissection (2021)

●American College of Radiology (ACR): ACR Appropriateness Criteria on imaging after mastectomy and breast reconstruction (2020)

●Choosing Wisely: Don't routinely excise areas of pseudoangiomatous stromal hyperplasia (PASH) of the breast in patients who are not having symptoms from it (2018)

●Choosing Wisely: Don't routinely operate for a breast abscess without an initial attempt to percutaneously aspirate or drain it (2018)

●Choosing Wisely: Don't routinely surgically excise biopsy proven fibroadenomas that are smaller than 2 centimeters in size (2018)

●American Society of Clinical Oncology (ASCO): Clinical practice guideline on sentinel lymph node biopsy for patients with early-stage breast cancer, update (2017)

•ASCO: Clinical practice guideline on sentinel lymph node biopsy for patients with early-stage breast cancer (2014)

•ASCO: Guideline recommendations for sentinel lymph node biopsy in early-stage breast cancer (2005)

●ASPS: Evidence-based clinical practice guidelines – Autologous breast reconstruction with DIEP or pedicled TRAM abdominal flaps (2017)

●Choosing Wisely: Don't routinely excise all the lymph nodes beneath the arm in patients having lumpectomy for breast cancer (2016)

●Choosing Wisely: Don't routinely perform a double mastectomy in patients who have a single breast with cancer (2016)

●Choosing Wisely: Don't routinely re-operate on patients with invasive cancer if the cancer is close to the edge of the excised lumpectomy tissue (2016)

●Society of Surgical Oncology (SSO)/American Society for Radiation Oncology (ASTRO)/ASCO: Consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in ductal carcinoma in situ (2016)

●ASBrS: Toolbox to reduce lumpectomy reoperations and improve cosmetic outcome in breast cancer patients – Consensus conference (2015)

●SSO/ASTRO: Consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer (2014)

●Choosing Wisely: Don't perform axillary lymph node dissection for clinical stages I and II breast cancer with clinically negative lymph nodes without attempting sentinel node biopsy (2013)

●Choosing Wisely: Don't perform surgery to remove a breast lump for suspicious findings unless needle biopsy cannot be done (2013)

Europe

●Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB) – Results of a European consensus meeting (2009)

United Kingdom

●Association of Breast Surgery (ABS): Guidance platform

●British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS): Clinical guidance and regulations

●British Society of Breast Radiology (BSBR), ABS, BAPRAS: Breast imaging for aesthetic surgery (2018)

India

●Indian Council of Medical Research (ICMR): Consensus document for management of breast cancer (2016)

Japan

●Japanese Breast Cancer Society (JBCS): Clinical practice guideline for surgical treatment of breast cancer, 2015 edition (published 2016)