title: [Are decisions of multidisciplinary tumor boards in accordance with the guidelines? Experience of an university reference center for breast cancer].
abstract: OBJECTIVE
  Multidisciplinary meeting (MDM) should ensure a homogeneous management of the patients by following breast cancer guidelines. Are these guidelines really applied in MDM decisions?
  
  
  METHODS
  We reviewed the last 200 cases of patients operated in our department for breast cancer. We searched for each case if MDM had been consulted, at which step of the management and if the decision was in accordance with our guidelines.
  
  
  RESULTS
  Mean age of the 200 patients was 56 (range 27-87)years old and 145 of them (72,5%) had an invasive breast cancer. All cases were presented to the MDM, 148 (74%) preoperatively and 200 (100%) postoperatively. Only four decisions did not follow our guidelines. In three cases, the decision was explained within the MDM report and in one case, the decision was not explained but could be understood.
  
  
  CONCLUSIONS
  We found a significant relation between MDM decisions and our guidelines. However, complex cases require adapting the guidelines to the particularity and the wishes of the patients.
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, faculté de médecine Pierre-et-Marie-Curie, université Paris VI, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France. cyril.touboul@tnn.com
authors.forename: C
authors.initials: C
authors.lastname: Touboul
authors.forename: C
authors.initials: C
authors.lastname: Bezu
authors.forename: E
authors.initials: E
authors.lastname: Daraï
authors.forename: J
authors.initials: J
authors.lastname: Chopier
authors.forename: E
authors.initials: E
authors.lastname: Touboul
authors.forename: J
authors.initials: J
authors.lastname: Gligorov
authors.forename: R
authors.initials: R
authors.lastname: Rouzier
authors.forename: S
authors.initials: S
authors.lastname: Uzan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology / Q000628:therapy*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D018714:Radiotherapy, Adjuvant; D021701:Sentinel Lymph Node Biopsy