Resources

Common Exercises For Breast Cancer Surgery

Exercise Log

Treatment Summary and Survivorship Care Plan

Drain Measurement Log

Your Breast Cancer Skills Checklist

Program Evaluation

American Cancer Society

American College of Surgeons

American Physical Therapy Association

American Society of Breast Surgeons

American Society of Clinical Oncology (ASCO)

American Society of Plastic Surgeons

FORCE: Facing Our Risk of Cancer Empowered

Living Beyond Breast Cancer

National Cancer Institute (NCI)

Susan G. Komen^®

The Aesthetic Society

Disclaimer: These sites include resources you may find helpful. Please note, the ACS is not responsible for information obtained from outside sources.

References

1. What is breast cancer? American Cancer Society. Updated September 18, 2019. Accessed June 22, 2020. https://www.cancer.org/cancer/breast-cancer/about/what-is-breast-cancer.html
2. Breast Cancer Treatment (PDQ^®)–Health Professional Version. National Cancer Institute. January 19, 2024. Accessed February 15, 2024. https://www.cancer.gov/types/breast/hp/breast-treatment-pdq
3. American Cancer Society. Breast Cancer Facts & Figures 2022-2024. Atlanta: American Cancer Society, Inc.; 2022.
4. Paget Disease of the Breast. National Cancer Institute. April 10, 2012. Accessed February 15, 2024. https://www.cancer.gov/types/breast/paget-breast-fact-sheet
5. Hughes KS. DCIS does not need treatment…really? Breast Cancer Res Treat. 2015;154(1):1-4. doi:10.1007/s10549-015-3606-x
6. Caliskan M, Gatti G, Sosnovskikh I, et al. Paget’s disease of the breast: the experience of the European Institute of Oncology and review of the literature. Breast Cancer Res Treat. 2008;112(3):513-521. doi:10.1007/ s10549-007-9880-5

7. Breast Cancer Treatment (PDQ^®)–Patient Version. National Cancer Institute. December 6, 2023. Accessed February 15, 2024. https://www.cancer.gov/types/breast/patient/breast-treatment-pdq

8. Taylor LJ, Steiman J, Schumacher JR, Wilke LG, Greenberg CC, Neuman HB. Surgical management of lobular carcinoma in situ: analysis of the National Cancer Database. Ann Surg Oncol. 2018;25(8):2229-2234. doi:10.1245/s10434-018-6495-5
9. Treatment for LCIS. Breastcancer.org. Updated September 9, 2016. Accessed August 27, 2020. https://www.breastcancer.org/symptoms/types/lcis/treatment
10. Cummings MC, Simpson PT, Reid LE, et al. Metastatic progression of breast cancer: insights from 50 years of autopsies. J Pathol. 2014;232(1):23-31. doi:10.1002/path.4288
11. Invasive locular carcinoma (ILC). Breastcancer.org. Updated March 9, 2019. Accessed August 27, 2020. https://www.breastcancer.org/symptoms/types/ilc
12. Male breast cancer. Breastcancer.org. November, 2, 2023. Accessed February 8, 2024. https://www.breastcancer.org/types/male-breast-cancer
13. Cancer staging. National Cancer Institute. October 14, 2022. Accessed December 11, 2023. https://www.cancer.gov/about-cancer/diagnosis-staging/staging
14. Breast cancer stages. Breastcancer.org. Updated October 13, 2023. Accessed December 11, 2023. https://www.breastcancer.org/pathology-report/breast-cancer-stages
15. Cancer stat facts: female breast cancer. National Cancer Institute. Surveillance, Epidemiology, and End Results Program. Accessed February 8, 2024. https://seer.cancer.gov/statfacts/html/breast.html
16. Breast cancer: stages. Cancer.net. October 2022. Accessed December 11, 2023. https://www.cancer.net/cancer-types/breast-cancer/stages
17. Kurian AW, Lichtensztajn DY, Keegan TH, Nelson DO, Clarke CA, Gomez SL. Use of and mortality after bilateral mastectomy compared with other surgical treatments for breast cancer in California, 1998–2011. JAMA. 2014;312(9):902-914. doi:10.1001/jama.2014.10707
18. Moran MS, Schnitt SJ, Giuliano AE, et al. Society of Surgical Oncology–American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer. Ann Surg Oncol. 2014;21(3):704-716. doi:10.1245/s10434-014-3481-4
19. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol. 2013;14(6):500-515. doi:10.1016/S1470-2045(13)70076-7
20. Prosthetics: an alternative to reconstruction. Breastcancer.org. Updated March 7, 2019. Accessed August 27, 2020. https://www.breastcancer.org/treatment/surgery/reconstruction/prosthetics
21. Breast self-exam. Breastcancer.org. Updated October 24, 2019. Accessed June 22, 2020. https://www.breastcancer.org/symptoms/testing/types/self_exam
22. Breast awareness and self-exam. Johns Hopkins Medicine. Accessed June 20, 2020. https://www.hopkinsmedicine.org/kimmel_cancer_center/cancers_we_treat/breast_cancer_program/treatment_and_services/risk_and_prevention/breast_exam.html#:~:text=Adult%20women%20of%20all%20ages,self%2Dexam%20is%20very%20important.
23. Sensitivity, specificity, and false negative rate for 1,682,504 screening mammography examinations from 2007-2013. Breast Cancer Surveillance Consortium (BCSC). Updated March 23, 2017. Accessed August 27, 2020. https://www.bcsc-research.org/statistics/screening-performance-benchmarks/screening-sens-spec-false-negative
24. Mammograms After Breast Cancer Surgery. American Cancer Society. January 14, 2022. Accessed February 8, 2024. https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/having-a-mammogram-after-youve-had-breast-cancer-surgery.html
25. Thigpen D, Kappler A, Brem R. The Role of Ultrasound in Screening Dense Breasts—A Review of the Literature and Practical Solutions for Implementation. Diagnostics (Basel). 2018;8(1):20. https://doi.org/10.3390/diagnostics8010020
26. Breast Ultrasound. radiologyinfo.org. November 1, 2022. Accessed February 15, 2024. https://www.radiologyinfo.org/en/info/breastus
27. American Cancer Society recommendations for the early detection of breast cancer. American Cancer Society. December 19, 2023. Accessed February 29, 2024. https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html
28. Oeffinger KC, Fontham ET, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update from the American Cancer Society. JAMA. 2015;314(15):1599-614. doi: 10.1001/jama.2015.12783. Erratum in: JAMA. 2016 Apr 5;315(13):1406. PMID: 26501536; PMCID: PMC4831582
29. Genetics. Breastcancer.org. January 19, 2024. Accessed February 8, 2024. https://www.breastcancer.org/risk/risk-factors/genetics
30. U.S. Preventive Services Task Force. Risk assessment, genetic counseling, and genetic testing for BRCA-Related Cancer, JAMA. 2019;322(7):652-665. doi:10.1001/jama.2019.10987
31. Hornor MA, Duane TM, Ehlers AP, et al. American College of Surgeons’ guidelines for the perioperative management of antithrombotic medication. J Am Coll Surg. 2018;227(5):521-536.e1. doi:10.1016/j.jamcollsurg.2018.08.183
32. The American Society of Breast Surgeons. Consensus guideline on venous thromboembolism (VTE) prophylaxis for patients undergoing breast operations. Accessed. June 18, 2020. https://www.breastsurgeons.org/docs/statements/Consensus-Guideline-on-Venous-Thromboembolism -VTE-Prophylaxis-for-Patients-Undergoing-Breast-Operations.pdf
33. Exercises after breast cancer Surgery. American Cancer Society. Revised October 27, 2021. Accessed December 15, 2023. https://www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/exercises-after-breast-cancer-surgery.html.
34. Reducing lymphedema risk before surgery. Breastcancer.org. Updated March 26, 2014. Accessed July 15, 2020. https://www.breastcancer.org/treatment/lymphedema/reduce_risk/before
35. Miller CL, Specht MC, Skolny MN, et al. Risk of lymphedema after mastectomy – potential benefit of applying ACOSOG Z0011 protocol to mastectomy patients. Breast Cancer Res Treat. 2014;144(1):71-77. doi:10.1007/s10549-014-2856-3
36. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. an updated report by the American Society of Anesthesiologists task force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology. 2017;126:376-393. https://doi.org/10.1097/ALN.0000000000001452
37. Juhl AA, Christiansen P, Damsgaard TE. Persistent pain after breast cancer treatment: a questionnaire-based study on the prevalence, associated treatment variables, and pain type. J Breast Cancer. 2016;19(4):447-454. doi:10.4048/jbc.2016.19.4.447
38. Johannsen M, Christensen S, Zachariae R, Jensen AB. Socio-demographic, treatment-related, and health behavioral predictors of persistent pain 15 months and 7-9 years after surgery: a nationwide prospective study of women treated for primary breast cancer. Breast Cancer Res Treat. 2015;152(3):645-58. doi: 10.1007/s10549-015-3497-x. Epub 2015 Jul 19. PMID: 26189085.
39. Wolin KY, Schwartz AL, Matthews CE, Courneya KS, Schmitz KH. Implementing the exercise guidelines for cancer survivors. J Support Oncol. 2012;10(5):171-177. doi:10.1016/j.suponc.2012.02.001
40. Surgery risks. Breastcancer.org. Updated February 21, 2020. Accessed February 21, 2020. https://www.breastcancer.org/treatment/surgery/expectations/risks
41. Possible problems after breast conserving surgery. Cancer Research UK. Accessed June 25, 2020. https://www.cancerresearchuk.org/about-cancer/breast-cancer/treatment/surgery/after-surgery/problems-after-surgery
42. Local treatments for ILC: surgery and radiation therapy. Breastcancer.org. Updated August 16, 2014. Accessed June 20, 2020. https://www.breastcancer.org/symptoms/types/ilc/treatment/local
43. Straub JM, New J, Hamilton CD, Lominska C, Shnayder Y, Thomas SM. Radiation-induced fibrosis: mechanisms and implications for therapy. J Cancer Res Clin Oncol. 2015;141(11):1985-1994. doi:10.1007/s00432-015-1974-6
44. Cancer treatment tables. CancerQuest.org. Accessed August 8, 2018. https://www.cancerquest.org/patients/treatments/cancer-treatment-tables
45. FDA clears wider use of cooling cap to reduce hair loss during chemotherapy. National Cancer Institute. Published July 21, 2017. Accessed August 27, 2020. https://www.cancer.gov/news-events/cancer-currents-blog/2017/fda-cooling-cap-chemotherapy
46. BRCA gene mutations: cancer risk and genetic testing. National Cancer Institute. November 19, 2020. Accessed February 15, 2024. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet
47. Hsieh FC, Miao NF, Tseng IJ, et al. Effect of home-based music intervention versus ambient music on breast cancer survivors in the community: a feasibility study in Taiwan. Eur J Cancer Care (Engl). 2019;28(4):e13064. doi:10.1111/ecc.13064
48. Recurrent breast cancer. Breastcancer.org. Accessed January 29, 2020. https://www.breastcancer.org/symptoms/diagnosis/recurrent
49. Kneece J, Breast Cancer Treatment Handbook: Understanding the Disease, Treatments, Emotions, and Recovery from Breast Cancer. 8th Ed. Educare Publishing; 2017.
50. When is radiation appropriate? Breastcancer.org. Updated March 28, 2020. Accessed June 24, 2020. https://www.breastcancer.org/treatment/radiation/when_appropriate
51. National Lymphedema Network Medical Advisory Committee. Lymphedema Risk Reduction Practices. New York: National Lymphedema Network; 2011. https://static1.squarespace.com/static/5b741fa71aef1d1e6500b325/t/621c4ad5d985833faafd332a/1646021333750/Risk+Reduction.pdf
52. National Lymphedema Network Medical Advisory Committee. Screening and Measurement for Early Detection of Breast Cancer-Related Lymphedema. New York: National Lymphedema Network; 2011. https://static1.squarespace.com/static/5b741fa71aef1d1e6500b325/t/621c4c2657a104147e907bd5/1646021670937/BCRL-2.pdf
53. Breast cancer: Lymphedema after treatment. Johns Hopkins Medicine. Accessed March 30, 2023. https://www.hopkinsmedicine.org/health/ conditions-and-diseases/breast-cancer/breast-cancer-lymphede­ma-after-treatment
54. Crown A, Fazeli S, Kurian AW, Ochoa DA, Joseph KA. Disparity in Breast Cancer Care: Current State of Access to Screening, Genetic Testing, Oncofertility, and Reconstruction. J Am Coll Surg. 2023;236(6):1233-1239. doi:10.1097/XCS.0000000000000647
55. Temple-Oberle C, Shea-Budgell MA, Tan M, et al. Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations. Plast Reconstr Surg. 2017;139(5):1056e-1071e. doi:10.1097/PRS.0000000000003242
56. WHCRA - Women’s Health and Cancer Rights Act. American Cancer Society. May 13, 2019. Accessed May 29, 2023. https://www.cancer.org/cancer/financial-insurance-matters/health-insurance-laws/womens-health-and-cancer-rights-act.html.
57. Chapman ME, Hu L, Plato CF, Kohan DE. Bioimpedance spectroscopy for the estimation of body fluid volumes in mice. Am J Physiol Renal Physiol. 2010;299(1):F280-F283. doi: 10.1152/ajprenal.00113.2010.
58. Dictionary of Cancer Terms. National Cancer Institute. Accessed May 29, 2023. https://www.cancer.gov/publications/dictionaries/can­cer-terms/def/aesthetic-flat-closure
59. Conner K. About Aesthetic Flat Closure. breastcancer.org. Accessed May 29,2023. https://www.breastcancer.org/treatment/surgery/going-flat-no-reconstruction/aesthetic-flat-closure
60. Optimal Resources for Geriatric Surgery: 2019 Standards. Chicago: American College of Surgeons, 2019. Accessed May 12, 2023. https://www.facs.org/media/f10eka54/geriatricsv_standards.pdf
61. Fausto A, Fanizzi A, Volterrani L, et al. Feasibility, Image Quality and Clinical Evaluation of Contrast-Enhanced Breast MRI Per­formed in a Supine Position Compared to the Standard Prone Position. Cancers (Basel). 2020; 12(9):2364. Published 2020 Aug 21. doi:10.3390/cancers12092364
62. Exercises after Breast Surgery. Canadian Cancer Society 2019.
63. Wound Home Skills Kit: Surgical Wounds. American College of Surgeons. Published 2018. Accessed March 30, 2023. https://www.facs.org/media/zr5dimjk/wound_surgical.pdf
64. Song J, Liu X, Wu T. Effectiveness of prophylactic application of nega­tive pressure wound therapy in stopping surgical site wound problems for closed incisions in breast cancer surgery: A meta-analysis. Int Wound J. 2023;20(2):241-250. Doi:10.1111/iwj.13866
65. Groenen H, Jalalzadeh H, Buis DR, et al. Incisional negative pressure wound therapy for the prevention of surgical site infection: An up-to-date meta-analysis and trial sequential analysis. EclinicalMedicine. 2023;62:102-105. Published 2023 Jul 24. https://doi.org/10.1016/j.eclinm.2023.102105
66. Shah C, Whitworth P, Valente S, et al. Bioimpedance spectroscopy for breast cancer-related lymphedema assessment: Clinical practice guide­lines. Breast Cancer Res Treat. 2023;198(1):1-9. Doi:10.1007/s10549-022- 06850-7
67. Definitions of symptoms for reportable illnesses. Centers for Disease Control and Prevention. June 30, 2017. Accessed November 8, 2023. https://www.cdc.gov/quarantine/air/report­ing-deaths-illness/definitions-symptoms-reportable-illnesses.html.
68. American College of Surgeons. Optimal Resources for Breast Can­cer: 2024 Standards. American College of Surgeons. December 2023. https://www.facs.org/quality-programs/cancer-programs/national-accreditation-program-for-breast-centers/standards-and-resources/accept
69. Toohey K, Hunter M, McKinnon K, et al. A systematic review of multimodal prehabilitation in breast cancer. Breast Cancer Res Treat. 2023 Jan;197(1):1-37. Doi: 10.1007/s10549-022- 06759-1.
70. Sentinel lymph node biopsy. National Cancer Institute. June 25, 2019. Accessed December 11, 2023. https://www.cancer.gov/about-cancer/ diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet#what-is-a-sentinel-lymph-node-biopsy.
71. ACS NSQIP Surgical Risk Calculator. Accessed December 14, 2023. https://riskcalculator.facs.org/RiskCalculator/.
72. Breast cancer: statistics. Cancer.Net. February 2023. Accessed February 9, 2024. https://www.cancer.net/cancer-types/breast-cancer/statistics
73. Getting called back after a mammogram. American Cancer Society. May 17, 2022. Accessed February 9, 2024. https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/mammograms/getting-called-back-after-a-mammogram.html
74. Invasive ductal carcinoma (IDC). Breastcancer.org. August 15, 2023. Accessed February 16, 2024. https://www.breastcancer.org/types/invasive-ductal-carcinoma
75. Lehman CD, Arao RF, Sprague BL, et al. (2017). National performance benchmarks for modern screening digital mammography: update from the Breast Cancer Surveillance Consortium. Radiology, 283(1), 49–58. https://doi.org/10.1148/radiol.2016161174
76. Nelson HD, Fu R, Goddard K, et al. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Rockville (MD): Agency for Healthcare Research and Quality (US); December 2013. [PubMed Abstract: https://pubmed.ncbi.nlm.nih.gov/24432435/]
77. What does it mean to have dense breasts? Centers for Disease Control and Prevention. July 25, 2023. Accessed February 9, 2024. https://www.cdc.gov/cancer/breast/basic_info/dense-breasts.htm
78. What is a breast mri?: Breast cancer screening. American Cancer Society. January 14, 2022. Accessed February 29, 2024. https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/breast-mri-scans.html.
79. External beam radiation therapy for cancer. National Cancer Institute. May 1, 2018. Accessed February 16, 2024. https://www.cancer.gov/about-cancer/treatment/types/radiation-therapy/external-beam
80. Side effects of breast radiotherapy. Cancer Research UK. July 6, 2023. Accessed February 28, 2024. https://www.cancerresearchuk.org/about-cancer/breast-cancer/treatment/radiotherapy/side-effects
81. Gutierrez C, Schiff R. HER2: biology, detection, and clinical implications. Arch Pathol Lab Med. 2011;135(1):55-62. doi:10.5858/2010-0454-RAR.1
82. Invasive Breast Cancer (IDC/ILC). American Cancer Society. November 19, 2021. Accessed March 7, 2024. https://www.cancer.org/cancer/types/breast-cancer/about/types-of-breast-cancer/invasive-breast-cancer.html.
83. Baskaran V, Murray RL, Hunter A, Lim WS, McKeever TM (2019) Effect of tobacco smoking on the risk of developing community acquired pneumonia: A systematic review and meta-analysis. PLoS ONE 14(7):e0220204. https://doi.org/10.1371/journal.pone.0220204
84. Sørensen LT. Wound healing and infection in surgery: The clinical impact of smoking and smoking cessation: A systematic review and meta-analysis. Arch Surg. 2012;147(4):373–383. doi:10.1001/arch­surg.2012.5