NCCN降低乳腺癌风险临床实践指南XXXX

Version2.2010,08/07/2010©2010NationalComprehensiveCancerNetwork,Inc.Allrightsreserved.TheseguidelinesandthisillustrationmaynotbereproducedinanyformwithouttheexpresswrittenpermissionofNCCN.BreastCancerRiskReductionPracticeGuidelinesinOncology–v.2.2010NCCN®GuidelinesIndexBreastRiskReductionTOCDiscussion,ReferencesNCCNClinicalPracticeGuidelinesinOncology™BreastCancerRiskReductionV.2.2010Continue©2010NationalComprehensiveCancerNetwork,Inc.Allrightsreserved.TheseguidelinesandthisillustrationmaynotbereproducedinanyformwithouttheexpresswrittenpermissionofNCCN.BreastCancerRiskReductionPracticeGuidelinesinOncology–v.2.2010NCCN®GuidelinesIndexBreastRiskReductionTOCDiscussion,ReferencesNCCNBreastCancerRiskReductionPanelMembersThereseB.Bevers,MD/ChairTheUniversityofTexasM.D.AndersonCancerCenterDeborahK.Armstrong,MDTheSidneyKimmelComprehensiveCancerCenteratJohnsHopkinsBanuArun,MDTheUniversityofTexasM.D.AndersonCancerCenterRobertW.Carlson,MDStanfordComprehensiveCancerCenterKennethH.Cowan,MD,PhDUNMCEppleyCancerCenteratTheNebraskaMedicalCenterMaryB.Daly,MD,PhDFoxChaseCancerCenterIrvinFleming,MDÞ†††Þ†¶†St.Jude’sChildrensResearchHospital/UniversityofTennesseeHealthCenterJudyE.Garber,MD,MPHDana-Farber/BrighamandWomen'sCancerCenter|MassachusettsGeneralHospitalCancerCenterMaryGemignani,MDMemorialSloan-KetteringCancerCenterWilliamJ.Gradishar,MDRobertH.LurieComprehensiveCancerCenterofNorthwesternUniversityHelenKrontiras,MDUniversityofAlabamaatBirminghamComprehensiveCancerCenterSwatiKulkarni,MDRoswellParkCancerInstituteChristineLaronga,MDH.LeeMoffittCancerCenterandResearchInstituteTomLawton,MDFredHutchinsonCancerResearchCenter/SeattleCancerCareAllianceLorettaLoftus,MDH.LeeMoffittCancerCenter&ResearchInstituteDeborahJ.MacDonald,PhD,RN,APNGCityofHopeComprehensiveCancerCenterMartinC.Mahoney,MD,PhDRoswellParkCancerInstitute¶‡¶¶¶†Þ*SofiaD.Merajver,MD,PhDUniversityofMichiganComprehensiveCancerCenterIngridMeszoely,MDVanderbilt-IngramCancerCenterLisaNewman,MD,MPHUniversityofMichiganComprehensiveCancerCenterElizabethPritchard,MDRenaV.Sellin,MDTheUniversityofTexasM.D.AndersonCancerCenterVictoriaSeewaldt,MDDukeComprehensiveCancerCenterCharlesL.Shapiro,MDArthurG.JamesCancerHospital&RichardJ.SoloveResearchInstituteatTheOhioStateUniversityJohnH.Ward,MDHuntsmanCancerInstituteattheUniversityofUtah†‡¶¶¶ð†††‡St.Jude’sChildrensResearchHospital/UniversityofTennesseeHealthCenterPathologyðEndocrinologyGenetics*WritingCommitteeMemberEpidemiologyGynoncology†MedicalOncologyÞInternalmedicine,includingFamily,PreventiveMedicineAllergy/Immunology¶Surgery/SurgicalOncology‡HematologyContinue**NCCNGuidelinesPanelDisclosuresPrintedbyzzon1/10/20112:41:54AM.Forpersonaluseonly.Notapprovedfordistribution.Copyright©2011NationalComprehensiveCancerNetwork,Inc.,AllRightsReserved.Version2.2010,08/07/2010©2010NationalComprehensiveCancerNetwork,Inc.Allrightsreserved.TheseguidelinesandthisillustrationmaynotbereproducedinanyformwithouttheexpresswrittenpermissionofNCCN.BreastCancerRiskReductionPracticeGuidelinesinOncology–v.2.2010NCCN®GuidelinesIndexBreastRiskReductionTOCDiscussion,ReferencesTableofContentsNCCNBreastCancerRiskReductionPanelMembersSummaryofGuidelinesUpdatesFamilialRiskAssessment(BRISK-1)ElementsofRisk,RiskAssessment(BRISK-3)PatientDoesNotDesireRiskReductionTherapy(BRISK-4)PatientDesiresRiskReductionTherapy:Strategy,BaselineAssessment,Intervention,Monitoring,FindingsandManagement(BRISK-5)Non-SurgicalRiskReductionTherapy,Monitoring(BRISK-6)Monitoring,FindingsandManagement(BRISK-7)ComponentsofRisk/BenefitAssessmentandCounseling(BRISK-A)BreastCancerRisk-ReductionAgents(BRISK-B)GuidelinesIndexPrinttheBreastCancerRiskReductionGuidelineTheseguidelinesareastatementofevidenceandconsensusoftheauthorsregardingtheirviewsofcurrentlyacceptedapproachestotreatment.Anyclinicianseekingtoapplyorconsulttheseguidelinesisexpectedtouseindependentmedicaljudgmentinthecontextofindividualclinicalcircumstancestodetermineanypatient'scareortreatment.TheNationalComprehensiveCancerNetworkmakesnorepresentationsnorwarrantiesofanykindwhatsoeverregardingtheircontent,use,orapplicationanddisclaimsanyresponsibilityfortheirapplicationoruseinanyway.TheseguidelinesarecopyrightedbyNationalComprehensiveCancerNetwork.Allrightsreserved.TheseguidelinesandtheillustrationshereinmaynotbereproducedinanyformwithouttheexpresswrittenpermissionofNCCN.©2010.ClinicalTrials:CategoriesofEvidenceandConsensus:NCCNAllrecommendationsareCategory2Aunlessotherwisespecified.SeeThebelievesthatthebestmanagementforanycancerpatientisinaclinicaltrial.Participationinclinicaltrialsisespeciallyencouraged.NCCNTofindclinicaltrialsonlineatNCCNmemberinstitutions,clickhere:nccn.org/clinical_trials/physician.htmlNCCNCategoriesofEvidenceForhelpusingthesedocuments,pleaseclickhereDiscussionPrintedbyzzon1/10/20112:41:54AM.Forpersonaluseonly.Notapprovedfordistribution.Copyright©2011NationalComprehensiveCancerNetwork,Inc.,AllRightsReserved.Version2.2010,08/07/2010©2010NationalComprehensiveCancerNetwo