This guideline covers diagnosing and managing early and locally advanced breast cancer. It aims to help healthcare professionals offer the right treatments to people, taking into account the person's individual preferences. NICE has also produced guidelines on advanced breast cancer, familial breast cancer and suspected cancer recognition and referral.
This guideline includes new and updated recommendations on:
- surgery to the breast and axilla
- breast reconstruction
- diagnostic assessment and adjuvant therapy planning
- endocrine therapy
- adjuvant chemotherapy for invasive breast cancer
- bisphosphonate therapy
- primary systemic therapy
These supplement the existing recommendations on:
- referral, diagnosis and preoperative assessment
- providing information and psychological support
- complications of local treatment and menopausal symptoms
Who is it for?
- Healthcare professionals
- Commissioners and providers of breast cancer services
- People with early and locally advanced breast cancer, their families and carers
Guideline development process
This guideline updates and replaces NICE guideline CG80 (February 2009), and NICE technology appraisal guidance 107, 108, 109 and 112 (published 2006).
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.