{
  "schema_version": 1,
  "kind": "condition",
  "id": "breast-cancer",
  "name": "Breast cancer",
  "category": "chronic",
  "sources": "Breast Cancer - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK482286/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD27 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Menon G, Alkabban FM, Ferguson T. Breast Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-.",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Breast cancer - disease-level clinical article (breast-cancer-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 316,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "The most common cancer among Egyptian women. Definitive treatment (surgery, chemotherapy, radiotherapy, endocrine therapy) is oncology-led and not something a GP prescribes, but the GP plays a real role in early recognition of a lump or suspicious finding, prompt urgent referral, and advising on screening (clinical breast exam, mammography).",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "The most common cancer among Egyptian women. Definitive treatment (surgery, chemotherapy, radiotherapy, endocrine therapy) is oncology-led and not something a GP prescribes, but the GP plays a real role in early recognition of a lump or suspicious finding, prompt urgent referral, and advising on screening (clinical breast exam, mammography).",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Rapidly progressive inflammatory skin changes (erythema, edema, peau d'orange) that fail to improve after a short course of antibiotics (less than a week) require urgent biopsy for underlying malignancy.",
        "RED FLAG - Nipple changes including crusting, erythema, flattening, blisters, or retraction indicate potential breast malignancy.",
        "RED FLAG - A new breast lump, especially one that is hard, fixed or irregular; nipple retraction or discharge, particularly bloody; skin dimpling or orange-peel change; or enlarged lymph nodes in the armpit: refer urgently."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "breast-cancer"
    }
  ]
}