Radiation Oncology/Breast/Guidelines

Breast Cancer Official Guidelines

Screening topics
Screening
 * ACS: Breast Cancer: Early Detection
 * Guideline link

Testing / Workup topics
Tumor Markers
 * ASCO: Tumor markers in breast cancer
 * 2007 Guideline link PMID 17954709 -- "American Society of Clinical Oncology 2007 update of recommendations for the use of tumor markers in breast cancer." (Harris L, J Clin Oncol. 2007 Nov 20;25(33):5287-312.)
 * The above showed values of CA125,CEA,ER/PR and Her2

HER2 testing
 * ASCO:
 * 2013 Guideline link PMID 24101045 -- "Recommendations for Human Epidermal Growth Factor Receptor 2 Testing in Breast Cancer: American Society of Clinical Oncology/College of American Pathologists Clinical Practice Guideline Update" (Wolff AC, J Clin Oncol. 2013 Oct 7 [Epub ahead of print])

Clinical / treatment topics
DCIS
 * ACR: Appropriateness Criteria
 * Ductal Carcinoma In Situ
 * SSO / ASTRO: Margin width
 * 2016 -- "Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ."
 * PMID 27538810 (Pract Radiat Oncol.), or PMID 27528719 (J Clin Oncol), or 27527714 (Ann Surg Oncol)

Sentinel Lymph Node
 * ASCO:
 * 2014 PMID 24663048 -- "Sentinel Lymph Node Biopsy for Patients With Early-Stage Breast Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update" (Lyman GH, J Clin Oncol. 2014 Mar 24. [Epub ahead of print])

Margins
 * SSO / ASTRO: Margin width (invasive carcinoma)
 * 2014 -- "Society of Surgical Oncology–American Society for Radiation Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Stages I and II Invasive Breast Cancer"
 * PMID 24516019 Abstract (Moran MS, J Clin Oncol. 2014 Feb 10. [Epub ahead of print])
 * PMID 24521674 (Moran MS, Int J Radiat Oncol Biol Phys. 2014 Mar 1;88(3):553-64.)
 * PMID 24711553 (Buchholz TA, J Clin Oncol. 2014 Apr 7. [Epub ahead of print]) - ASCO endorsement of SSO/ASTRO guideline.


 * SSO / ASTRO / ASCO: Margin width (DCIS)
 * 2016 -- "Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ."
 * PMID 27538810 (Morrow M, Pract Radiat Oncol. 2016 Sep-Oct;6(5):287-95.)
 * PMID 27528719 (Morrow M, J Clin Oncol. 2016 Aug 15.[Epub ahead of print])
 * PMID 27527714 (Morrow M, Ann Surg Oncol. 2016 Nov;23(12):3801-3810.)

Breast Conservation
 * ASTRO: Whole Breast Fractionation
 * 2010 PMID 20638191 -- "Fractionation for Whole Breast Irradiation: An American Society for Radiation Oncology (ASTRO) Evidence-Based Guideline." (Smith BD, Int J Radiat Oncol Biol Phys. 2010 Jul 15. [Epub ahead of print])
 * DEGRO: Breast Conserving Therapy
 * 2007 PMID 18040609 -- "DEGRO practical guidelines for radiotherapy of breast cancer I: breast-conserving therapy." (Sautter-Bihl ML, Strahlenther Onkol. 2007 Dec;183(12):661-6.)
 * ACR: Appropriateness Criteria
 * Conservative Surgery and Radiation - Stage I and II

Accelerated Partial Breast Irradiation
 * GEC-ESTRO: APBI Recommendations
 * 2010 PMID 20181402 -- "Patient selection for accelerated partial-breast irradiation (APBI) after breast-conserving surgery: Recommendations of the Groupe Européen de Curiethérapie-European Society for Therapeutic Radiology and Oncology (GEC-ESTRO) breast cancer working group based on clinical evidence (2009)." (Polgar C, Radiother Oncol. 2010 Mar;94(3):264-273. Epub 2010 Feb 22.)
 * ASTRO: APBI Consensus Statement
 * 2009 PMID 19545784 -- "Accelerated partial breast irradiation consensus statement from the American Society for Radiation Oncology (ASTRO)." (Smith BD, Int J Radiat Oncol Biol Phys. 2009 Jul 15;74(4):987-1001.)
 * ABS: APBI Guideline
 * 2007 Guideline link'''
 * ASBS: APBI Consensus Statement
 * Guideline link

Postmastectomy Radiation
 * DEGRO: Postmastectomy RT, regional lymphatics, and locally advanced disease
 * 2008 PMID 19016032 -- "DEGRO practical guidelines for radiotherapy of breast cancer II. Postmastectomy radiotherapy, irradiation of regional lymphatics, and treatment of locally advanced disease." (Sautter-Bihl ML, Strahlenther Onkol. 2008 Jul;184(7):347-53.)


 * ASCO: Clinical Practice Guideline
 * 2001 PMID 11230499 -- "Postmastectomy radiotherapy: clinical practice guidelines of the American Society of Clinical Oncology." (Recht A, J Clin Oncol. 2001 Mar 1;19(5):1539-69.)


 * ASTRO: PMRT Consensus Statement
 * 1999 PMID 10421530 -- "Consensus Statement on postmastectomy radiation therapy." (Harris JR, Int J Radiat Oncol Biol Phys. 1999 Jul 15;44(5):989-90.)


 * ACR: ACR Appropriateness Criteria
 * Postmastectomy Radiotherapy


 * ASCO / ASTRO / SSO: Guideline update
 * 2016 PMID 27659727 (Pract Radiat Oncol), PMID 27646947 (JCO), PMID 27646018 (Ann Surg Oncol) -- "Postmastectomy Radiotherapy: An ASCO, ASTRO, SSO Focused Guideline Update." (Recht A)

Locally Advanced Breast Cancer
 * ACR: ACR Appropriateness Criteria
 * Locally Advanced Breast Cancer

Recurrence
 * ACR: Appropriatness Critiera
 * Local-Regional Recurrence and Salvage Surgery

RT in Metastatic Disease
 * DEGRO: Brain Metastases and Leptomeningeal Carcinomatosis
 * 2010 PMID 20127222 -- "DEGRO Practical Guidelines for Palliative Radiotherapy of Breast Cancer Patients: Brain Metastases and Leptomeningeal Carcinomatosis." (Feyer P, Strahlenther Onkol. 2010 Feb;186(2):63-69. Epub 2010 Jan 26.)
 * DEGRO: Bone Metastases and Spinal Cord Compression
 * 2009 PMID 19714302 -- "DEGRO practice guidelines for palliative radiotherapy of metastatic breast cancer: bone metastases and metastatic spinal cord compression (MSCC)." (Souchon R, Strahlenther Onkol. 2009 Jul;185(7):417-24. Epub 2009 Aug 28.)

Curative Approach to Metastatic Disease
 * ESO-MBC: Can metastatic breast cancer be cured?
 * 2010 PMID 20220104 -- "International guidelines for management of metastatic breast cancer: can metastatic breast cancer be cured?" (Pagani O, J Natl Cancer Inst. 2010 Apr 7;102(7):456-63. Epub 2010 Mar 10.)

Follow-up topics
Follow-up
 * ASCO: Breast Cancer Follow-Up and Management After Primary Treatment
 * 2012 Guideline link PMID 23129741 -- "Breast Cancer Follow-Up and Management After Primary Treatment: American Society of Clinical Oncology Clinical Practice Guideline Update" (Khatcheressian JL, J Clin Oncol. 2013 Jan 14. -- early release)