Decision Pathways in Breast Cancer Management

  • Adnan Aydiner
  • Abdullah Igci
  • Neslihan Cabioglu
  • Leyla Ozer
  • Fatma Sen
  • Serkan Keskin
  • Mahmut Muslumanoglu
  • Hasan Karanlik
  • Kamuran Arslan Ibis
  • Seden Kucucuk
  • Maktav Dincer
  • Ekrem Yavuz
  • Sitki Tuzlali
  • Atilla Soran


This chapter reviews substantial new evidence on locoregional and systemic therapies for early and advanced breast cancer and in situ carcinoma. In breast cancer, the treatment strategy is chosen based on the features and biology of the tumor and on the patient’s age, general health status and personal preferences. The decision options are based on the best evidence-based recommendations. The decision process is based on comprehensive guidelines that elaborate the current sequential treatment options and interventions for breast cancer patients in detail. This information does not cover all possibilities in clinical decision-making. This chapter comprises decision pathways outlining the step-by-step clinical decision-making process for patient management.


Breast cancer Decision pathways Chemotherapy Radiotherapy Surgery Invasive cancer In situ cancer Pregnancy Paget Cystosarcoma phyllodes 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Adnan Aydiner
    • 1
  • Abdullah Igci
    • 2
  • Neslihan Cabioglu
    • 3
  • Leyla Ozer
    • 4
  • Fatma Sen
    • 5
  • Serkan Keskin
    • 6
  • Mahmut Muslumanoglu
    • 3
  • Hasan Karanlik
    • 7
  • Kamuran Arslan Ibis
    • 8
  • Seden Kucucuk
    • 8
  • Maktav Dincer
    • 9
  • Ekrem Yavuz
    • 10
  • Sitki Tuzlali
    • 11
    • 12
  • Atilla Soran
    • 13
  1. 1.Internal Medicine, Medical Oncology, Istanbul Medical Faculty, Department of Medical Oncology, Institute of OncologyIstanbul UniversityIstanbulTurkey
  2. 2.General Surgery, Istanbul Medical Faculty, Department of SurgeryIstanbul UniversityIstanbulTurkey
  3. 3.Istanbul Medical Faculty, Department of General SurgeryIstanbul UniversityIstanbulTurkey
  4. 4.Internal Medicine, Department of Medical OncologyMehmet Ali Aydinlar University HospitalIstanbulTurkey
  5. 5.Department of Medical OncologyAvrasya HospitalIstanbulTurkey
  6. 6.Internal Medicine, Department of Medical OncologyMemorial HospitalIstanbulTurkey
  7. 7.Department of Surgical OncologyIstanbul University, Institute of OncologyIstanbulTurkey
  8. 8.Istanbul Medical Faculty, Department of Radiation OncologyIstanbul University, Institute of OncologyIstanbulTurkey
  9. 9.Department of Radiation OncologyGayrettepe Florence Nightingale HospitalIstanbulTurkey
  10. 10.Istanbul Medical Faculty, Department of Pathology, Istanbul UniversityIstanbulTurkey
  11. 11.Tuzlali Private Pathology LaboratoryIstanbulTurkey
  12. 12.Istanbul University, Istanbul Medical Faculty, Department of PathologyIstanbulTurkey
  13. 13.Surgical OncologyMagee-Women’s Hospital, University of Pittsburgh Medical CentrePittsburghUSA

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