Triage & Prioritization of breast tumour cases for surgery tailored to local case-mix (adapted from ACS [11], ESMO [12]) (ACS-American College of Surgeons, ESMO-European Society of Medical Oncology).

Table 1: Triage & Prioritization of breast tumour cases for surgery tailored to local case-mix (adapted from ACS [11], ESMO [12]) (ACS-American College of Surgeons, ESMO-European Society of Medical Oncology).

Breast tumour
High priority	Completed post-neoadjuvant chemotherapy
	Complications of prior breast cancer surgery with bleeding or infection requiring re-intervention
	Complications from reconstructive surgery
	Breast cancer diagnosed in pregnancy
	Unusual cases for special considerations: Patients with progressive disease on systemic therapy, angiosarcoma, and malignant phyllodes, bleeding/ruptured tumours
	Triple negative /HER2+*
	High grade DCIS
	Discordant biopsy of likely to be malignant
Medium priority	Malignant or local recurrence
Medium priority	Axillary surgery staging
Low priority	Low grade DCIS
	Discordant biopsy likely benign
	Breast reconstruction (autologous/implant)
	Excision of benign breast lesion
	Prophylactic surgery for high risk asymptomatic patients

* Triple negative in patients who were either not indicated or not fit for systemic chemotherapy