The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer Screening and Diagnosis, 2018 Edition

Hiroji Iwata,Kouichi Hirokaga,Ken Yamaguchi,Akihiko Suzuki,Shogo Nakano,Kazunori Kubota,Takayoshi Uematsu,Mari Kikuchi,Shigehira Saji,Kazutaka Nakashima

doi:10.1007/s12282-019-01025-7

Abstract

This article updates readers as to what is new in the Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer Screening and Diagnosis, 2018 Edition. Breast cancer screening issues are covered, including matters of breast density and possible supplemental modalities, along with appropriate pre-operative/follow-up diagnostic breast imaging tests. Up-to-date clinical practice guidelines for breast cancer screening and diagnosis should help to provide patients and clinicians with not only evidence-based breast imaging options, but also accurate and balanced information about the benefits and harms of intervention, which ultimately enables shared decision making about imaging test plans.

Highlights

The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer Screening and Diagnosis, 2018 Edition provide consensus statement from groups about their views on currently accepted approaches to breast cancer screening and diagnosis
We advise against using handheld ultrasound as an adjunct to population-based breast cancer screening mammography for women with dense breasts. [Strength of Recommendation (SoR), 3; Strength of Evidence (SoE), moderate]
We advise against using breast tomosynthesis as an adjunct to population-based breast cancer screening mammography for women with dense breasts [SoR, 3; SoE, very weak]

Summary

Introduction

The Japanese Breast Cancer Society Clinical Practice Guidelines for Breast Cancer Screening and Diagnosis, 2018 Edition provide consensus statement from groups (a guideline forming committee, a panel of experts, including breast cancer survivors, who rated statements according to the modified Delphi method; and, an evaluating committee) about their views on currently accepted approaches to breast cancer screening and diagnosis. Is handheld ultrasound recommended as an adjunct to population‐based breast cancer screening mammography for women with dense breasts? We advise against using handheld ultrasound as an adjunct to population-based breast cancer screening mammography for women with dense breasts.

Results

Conclusion