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The Voice For Breast Surgery in the UK
ABS ~ Association of Breast Surgery

Guidelines


click to viewSociety 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
Please see below for the ABS' statement relating to these guidelines.
click to viewThe Association of Surgical Margins and Local Recurrence in Women with Ductal Carcinoma In Situ Treated with Breast-Conserving Therapy: A Meta-Analysis
The Association of Breast Surgery (ABS) has previously formulated guidance on optimal margin width for the surgical excision of DCIS during breast conserving surgery. This guidance can be found on this section of the ABS website. The guidance was adopted following a session devoted to this topic at its annual scientific conference in 2015, where ABS members actively participated in the decision making process. The evidence base for surgical margins is continuously evolving and remains under scrutiny by the Clinical Practice & Standards Committee of the ABS. Further guidance will be presented when it is felt that enough new evidence has accumulated for review of the current guidance. However, the Society of Surgical Oncology, the American Society for Radiation Oncology & the American Society of Clinical Oncology recently published a consensus statement on margins which can be found here. This guidance differs from the ABS guidance in that they recommend a 2mm excision margin, whereas the ABS recommends a margin of 1mm. The American recommendations are presented in order that ABS members have access to all significant publications on this issue. The ABS has no current plans to change its recommendation.
click to viewNHS Breast Screening Programme: Clinical guidance for breast cancer screening assessment
The NHS Breast Screening Programme has published new guidance on breast screening assessment which replaces the previous guidance published in 2009. Click here to view the new guidelines.
click to viewContralateral Prophylactic Mastectomy Consensus Statement from the American Society of Breast Surgeons: Additional Considerations and a Framework for Shared Decision Making
The ASBrS convened a panel of experts at its annual meeting in 2016 to develop a consensus statement on CPM. Their additional considerations and framework for Shared Decision Making have been published in the Annals of Surgical Oncology
click to viewContralateral Prophylactic Mastectomy (CPM) Consensus Statement from the American Society of Breast Surgeons: Data on CPM Outcomes and Risks
The ASBrS convened a panel at its 2016 annual meeting to develop a consensus statement on CPM. The data on CPM Outcomes and Risks have been published in the Annals of Surgical Oncology
click to viewAnaplastic Large Cell Lymphoma (ALCL
This information relates to Anaplastic Large Cell Lymphoma, which is an extremely rare subtype of non-Hodgkin's lymphoma that can affect different tissues including the breast. It has been reported in women with and without breast implants and population-based studies estimate an overall incidence of between 0.1 and 0.3 per 100,000 women. The French National Cancer Institute reported 18 cases in women with implants with an incidence of 0.7 to 1.17 per 100,000. To report any cases to the MHRA please e-mail aic@mhra.gsi.gov.uk
click to viewABS Consensus on Margin Width in Breast Conservation Surgery
The ABS discussed what should be the most appropriate advice on the minimum acceptable margin after breast conservation surgery in early breast cancer at its Conference in 2015. This is a summary of the discussions.
click to viewNICE Quality Standard: Breast Cancer (QS12)
The NICE Quality Standard for breast cancer (QS12) was updated in June 2016. This quality standard covers the management of early (ductal carcinoma in situ and invasive), locally advanced and advanced breast cancer, recurrent breast cancer and familial breast cancer in adults. It includes breast cancer identified through screening and by assessment of symptoms and covers care from the point of referral to a specialist team.
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