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

●The Lucerne Toolbox 2 to optimise axillary management for early breast cancer: A multidisciplinary expert consensus (2023)

●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 2024)

●Cancer Care Ontario (CCO) and American Society of Clinical Oncology (ASCO): Guideline for the management of the axilla in early-stage breast cancer (2021)

●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): Evidence-based clinical practice guideline revision on reduction mammaplasty (2022)

●ASPS: Statement on breast implant associated-squamous cell carcinoma (BIA-SCC) (2022)

●Cancer Care Ontario (CCO) and American Society of Clinical Oncology (ASCO): Guideline for the management of the axilla in early-stage breast cancer (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)

●ACR: ACR Appropriateness Criteria on imaging after mastectomy and breast reconstruction (2020)

●Best practices guideline for the pathologic diagnosis of breast implant–associated anaplastic large-cell lymphoma (2020)

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

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

●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)

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

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): Information hub

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

●Medicines and Healthcare products Regulatory Agency (MHRA): UK guidelines on the diagnosis and treatment of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) (2021)

●British Society of Breast Radiology (BSBR): Guidelines for performing breast and axillary biopsies in patients on anticoagulant and antiplatelet therapy (2018)

●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

●[In Japanese] Japan Breast Cancer Society (JBCS): Breast cancer treatment guidelines for patients (2023)

●[In Japanese] Choosing Wisely Japan: Breast cancer treatment – A better way to examine lymph nodes (2021)

●[In Japanese] Choosing Wisely Japan: Mammography before elective breast surgery – When it's needed and when it's not (2016)

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