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. 2021 Jun 4;134(13):1516–1518. doi: 10.1097/CM9.0000000000001587

Recommendation 3: Surgical options for breast cancer patients with BRCA1/2 mutation.

Surgical options for breast cancer patients with BRCA1/2 mutation Level of evidence Recommendation strength
3.1 Breast-conserving surgery with adjuvant radiotherapy (RT) to the whole breast[6,912] I A
3.2 Mastectomy[6,8,11,12] I A
3.3 Mastectomy combined with immediate breast reconstruction[6,8,11,12] I A
3.4 Contralateral prophylactic mastectomy with or without immediate breast reconstruction[6] II B

Including nipple-areolar complex (NAC)-sparing or skin-sparing mastectomy.