Interdisciplinary Screening, Diagnosis, Therapy and Follow-up of Breast Cancer. Guideline of the DGGG and the DKG (S3-Level, AWMF Registry Number 032/045OL, December 2017) – Part 1 with Recommendations for the Screening, Diagnosis and Therapy of Breast Cancer
Authors: Wöckel Achim , Festl Jasmin , Stüber Tanja , Brust Katharina , Stangl Stephanie , Heuschmann Peter , Albert Ute-Susann , Budach Wilfried , Follmann Markus , Janni Wolfgang , Kopp Ina , Kreienberg Rolf , Kühn Thorsten , Langer Thomas , Nothacker Monika , Scharl Anton , Schreer Ingrid , Link Hartmut , Engel Jutta , Fehm Tanja , Weis Joachim , Welt Anja , Steckelberg Anke , Feyer Petra , König Klaus , Hahne Andrea , Kreipe Hans , Knoefel Wolfram , Denkinger Michael , Brucker Sara , Lüftner Diana , Kubisch Christian , Gerlach Christina , Lebeau Annette , Siedentopf Friederike , Petersen Cordula , Bartsch Hans , Schulz-Wendtland Rüdiger , Hahn Markus , Hanf Volker , Müller-Schimpfle Markus , Henscher Ulla , Roncarati Renza , Katalinic Alexander , Heitmann Christoph , Honegger Christoph , Paradies Kerstin , Bjelic-Radisic Vesna , Degenhardt Friedrich , Wenz Frederik , Rick Oliver , Hölzel Dieter , Zaiss Matthias , Kemper Gudrun , Budach Volker , Denkert Carsten , Gerber Bernd , Tesch Hans , Hirsmüller Susanne , Sinn Hans-Peter , Dunst Jürgen , Münstedt Karsten , Bick Ulrich , Fallenberg Eva , Tholen Reina , Hung Roswita , Baumann Freerk , Beckmann Matthias , Blohmer Jens , Fasching Peter , Lux Michael , Harbeck Nadia , Hadji Peyman , Hauner Hans , Heywang-Köbrunner Sylvia , Huober Jens , Hübner Jutta , Jackisch Christian , Loibl Sibylle , Lück Hans-Jürgen , von Minckwitz Gunter , Möbus Volker , Müller Volkmar , Nöthlings Ute , Schmidt Marcus , Schmutzler Rita , Schneeweiss Andreas , Schütz Florian , Stickeler Elmar , Thomssen Christoph , Untch Michael , Wesselmann Simone , Bücker Arno , Krockenberger Mathias 
Published: October 2018

Purpose The aim of this official guideline coordinated and published by the German Society for Gynecology and Obstetrics (DGGG) and the German Cancer Society (DKG) was to optimize the screening, diagnosis, therapy and follow-up care of breast cancer.

Methods The process of updating the S3 guideline dating from 2012 was based on the adaptation of identified source guidelines which were combined with reviews of evidence compiled using PICO (Patients/Interventions/Control/Outcome) questions and the results of a systematic search of literature databases and the selection and evaluation of the identified literature. The interdisciplinary working groups took the identified materials as their starting point to develop recommendations and statements which were modified and graded in a structured consensus procedure.

Recommendations Part 1 of this short version of the guideline presents recommendations for the screening, diagnosis and follow-up care of breast cancer. The importance of mammography for screening is confirmed in this updated version of the guideline and forms the basis for all screening. In addition to the conventional methods used to diagnose breast cancer, computed tomography (CT) is recommended for staging in women with a higher risk of recurrence. The follow-up concept includes suggested intervals between physical, ultrasound and mammography examinations, additional high-tech diagnostic procedures, and the determination of tumor markers for the evaluation of metastatic disease.