title: NCCN Practice Guidelines for Breast Cancer.
abstract: The therapeutic options for patients with noninvasive or invasive breast cancer are complex and varied. In many situations, the patient and physician have the responsibility to jointly explore and ultimately select the most appropriate option from among the available alternatives. With rare exception, the evaluation, treatment, and follow-up recommendations contained within these guidelines were based largely on the results of past and present clinical trials. However, there is not a single clinical situation in which the treatment of breast cancer has been optimized with respect to either maximizing cure or minimizing toxicity and disfigurement. Therefore, patient and physician participation in prospective clinical trials allows patients not only to receive state-of-the-art cancer treatment but also to contribute to the improvement of treatment of future patients.
authors.affiliation: Stanford Hospital and Clinics, Palo Alto, CA, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Carlson
authors.forename: B O
authors.initials: BO
authors.lastname: Anderson
authors.forename: W
authors.initials: W
authors.lastname: Bensinger
authors.forename: C E
authors.initials: CE
authors.lastname: Cox
authors.forename: N E
authors.initials: NE
authors.lastname: Davidson
authors.forename: S B
authors.initials: SB
authors.lastname: Edge
authors.forename: W B
authors.initials: WB
authors.lastname: Farrar
authors.forename: L J
authors.initials: LJ
authors.lastname: Goldstein
authors.forename: W J
authors.initials: WJ
authors.lastname: Gradishar
authors.forename: A S
authors.initials: AS
authors.lastname: Lichter
authors.forename: B
authors.initials: B
authors.lastname: McCormick
authors.forename: L M
authors.initials: LM
authors.lastname: Nabell
authors.forename: E C
authors.initials: EC
authors.lastname: Reed
authors.forename: S M
authors.initials: SM
authors.lastname: Silver
authors.forename: M L
authors.initials: ML
authors.lastname: Smith
authors.forename: G
authors.initials: G
authors.lastname: Somlo
authors.forename: R
authors.initials: R
authors.lastname: Theriault
authors.forename: J H
authors.initials: JH
authors.lastname: Ward
authors.forename: E P
authors.initials: EP
authors.lastname: Winer
authors.forename: A
authors.initials: A
authors.lastname: Wolff
mesh_terms: D001943:Breast Neoplasms / Q000145:classification / Q000473:pathology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012308:Risk Management