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Abstract：
We have prepared the Japanese Breast Cancer Society clinical practice guidelines (CPGs) for surgical treatment of breast cancer, 2018 update after a systematic review (SR) of the literature based upon the Medical Information Network Distribution Service (Minds) procedure. The CPG committee for surgical treatment of breast cancer, composed of breast surgeons and plastic surgeons treating breast cancer, has developed the CPGs. Eight clinical questions (CQs) were selected and divided roughly into the following five categories: (1) breast surgery in initial therapy (CQs 1-3); (2) axillary surgery in initial therapy (CQs 4-5); (3) breast reconstruction in initial therapy (CQ 6); (4) surgical treatment for recurrent and metastatic breast cancer (CQs 7-8); and (5) others. Recommendations for these CQs were decided by the GRADE grid method. In addition, 4 outlines, 14 background questions (BQs), and 12 future research questions (FQs) were also selected. Statements for these BQs and FQs are provided. We developed the updated CPGs for surgical treatment of breast cancer, 2018, which include 8 CQs and recommendations. As a decision-making tool for the understanding and treatment of breast cancer, these guidelines will help surgical oncologists dealing with breast cancer, medical staff, and patients, along with their family members.
摘要：
我们已经准备了日本乳腺癌学会临床实践指南（CPGs），用于乳腺癌的手术治疗，在对基于医疗信息网络分发服务(Minds)程序的文献进行系统审查(SR)后，2018年进行了更新。CPG乳腺癌手术治疗委员会，由治疗乳腺癌的乳房外科医生和整形外科医生组成，开发了CPG。选择了八个临床问题（CQ），大致分为以下五类：（1）初始治疗中的乳房手术（CQ1-3）；（2）初始治疗中的腋窝手术（CQ4-5）；（3）初始治疗中的乳房重建（CQ6）；（4）复发性和转移性乳腺癌的手术治疗（CQ7-8）；（5）其他。这些CQ的建议由等级网格方法决定。此外,4个轮廓，14个背景问题（BQs），并选择了12个未来的研究问题(FQs)。提供了这些BQ和FQ的语句。我们开发了用于乳腺癌手术治疗的最新CPG，2018年，其中包括8项CQ和建议。作为了解和治疗乳腺癌的决策工具，这些指南将帮助外科肿瘤学家处理乳腺癌，医务人员,和病人，和他们的家人一起。
