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Table of Contents

February 10, 1998; Volume 158,Issue 3

Clinical practice guidelines for the care and treatment of breast cancer

A Canadian consensus document developed by the Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer.

Guidelines for Physicians
Questions and Answers for Women


Guidelines for Physicians

Introduction and levels of evidence [FULL PDF]
1. The palpable breast lump: information and recommendations to assist decision-making when a breast lump is detected [FULL PDF]
2. Investigation of lesions detected by mammography [FULL PDF]
3. Mastectomy or lumpectomy? The choice of operation for clinical stages I and II breast cancer [SUMMARY] [FULL HTML] [FULL PDF] (Rev July 23, 2002)
4. Axillary dissection [FULL PDF] (2001 decision: no update required)
5. The management of ductal carcinoma in situ (DCIS) [SUMMARY] [FULL HTML] [FULL PDF] (Rev Oct. 2, 2001)
6. Breast radiotherapy after breast-conserving surgery [SUMMARY] [FULL PDF] (Rev Feb. 18, 2003)
7. Adjuvant systemic therapy for women with node-negative breast cancer [SUMMARY] [FULL HTML] [FULL PDF] (Rev Jan. 23, 2001)
8. Adjuvant systemic therapy for women with node-positive breast cancer [SUMMARY] [FULL HTML] [FULL PDF] (Rev Mar. 6, 2001)
9. Follow-up after treatment for breast cancer [SUMMARY] [FULL HTML] [FULL PDF] (Rev May 10, 2005)
10. The management of chronic pain in patients with breast cancer [SUMMARY] [FULL HTML] [FULL PDF] (Rev Oct. 30, 2001)
11. Lymphedema [FULL HTML] [FULL PDF] (Jan. 23, 2001)
12. Chemoprevention of breast cancer [FULL HTML] [FULL PDF] (June 12, 2001)
13. Sentinel lymph node biopsy [FULL HTML] [FULL PDF] (July 24, 2001)
14. The role of hormone replacement therapy in women with a previous diagnosis of breast cancer [FULL HTML] [FULL PDF] (Apr. 16, 2002)
15. Treatment for women with stage III or locally advanced breast cancer [FULL HTML] [FULL PDF] (Mar. 16, 2004)
16. Locoregional post-mastectomy radiotherapy [FULL HTML] [FULL PDF] (Apr. 13, 2004)
Suggested reading [FULL PDF]


Questions and Answers for Women

Download full PDF

Introduction [PDF] (1998)

What to do when an abnormality is discovered
1. Investigation of a breast lump that can be felt [PDF] (1998)
2. Investigation of an abnormality that is discovered by mammography [PDF](1998)

Breast Cancer Treatment
3. Mastectomy or lumpectomy? Choosing the most appropriate operation for early invasive breast cancer [HTML] [PDF] (Rev July 23, 2002)
4. Removal of lymph nodes during breast cancer surgery [PDF](1998)
5. Ductal carcinoma in situ (DCIS) [HTML][PDF] (Rev Oct. 2, 2001)
6. Radiation therapy after lumpectomy [PDF] (Rev Feb. 18, 2003)
7. Anticancer drug treatment for node-negative breast cancer [HTML] [PDF] (Rev Jan. 23, 2001)
8. Adjuvant systemic therapy for women with node-positive breast cancer [HTML] [PDF] (Rev Mar. 6, 2001)
11. Management of lymphedema related to breast cancer [PDF] (Jan. 23, 2001)
12. Chemoprevention and breast cancer [HTML] [PDF] (June 12, 2001)
13. Sentinel lymph node biopsy [HTML] [PDF] (July 24, 2001)
15. Treatment for women with stage III or locally advanced breast cancer [HTML] [PDF] (Mar.16, 2004)
16. Radiotherapy after mastectomy [HTML] [PDF] (Apr. 13, 2004)

Ongoing care
9. Follow-up care after breast cancer treatment [FULL HTML] [PDF] (Rev May 10, 2005)
10. Management of persistent pain after breast cancer treatment [HTML] [PDF] (Rev Oct. 30, 2001)
14. The use of hormone replacement therapy (HRT) by women who have had breast cancer [HTML] [PDF] (Apr. 16, 2002)
Where can I find support? [PDF] (1998)
What is a clinical trial? [PDF] (1998)
Where can I find more information? [PDF] (1998)

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Copyright 2021, Joule Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p)

All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

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