Literature DB >> 30016145

Patient Selection for Ductal Carcinoma In Situ Observation Trials: Are the Lesions Truly Low Risk?

Gitanjali V Patel1, Eduardo Pascual Van Sant1, Bret Taback2, Richard Ha1.   

Abstract

OBJECTIVE: The purpose of this article is to report on a study conducted to determine whether the lesions in patients with what is deemed to be low-risk ductal carcinoma in situ (DCIS) selected for two large clinical trials are in fact low-risk lesions.
CONCLUSION: A retrospective review was conducted to determine whether the eligibility criteria of the two trials are predictive that DCIS is low risk. More than 20% of lesions are upgraded to invasive carcinoma in patients with low-risk DCIS as defined in two large clinical trials. More accurate methods are needed to determine whether patients with a diagnosis of low-grade DCIS can be treated less aggressively.

Entities:  

Keywords:  breast cancer; ductal carcinoma in situ; invasive breast carcinoma

Mesh:

Year:  2018        PMID: 30016145     DOI: 10.2214/AJR.17.19244

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  7 in total

Review 1.  Diagnosis of ductal carcinoma in situ in an era of de-escalation of therapy.

Authors:  Stuart J Schnitt
Journal:  Mod Pathol       Date:  2020-09-09       Impact factor: 7.842

2.  Can dedicated breast PET help to reduce overdiagnosis and overtreatment by differentiating between indolent and potentially aggressive ductal carcinoma in situ?

Authors:  Lucía Graña-López; Michel Herranz; Inés Domínguez-Prado; Sonia Argibay; Ángeles Villares; Manuel Vázquez-Caruncho
Journal:  Eur Radiol       Date:  2019-08-02       Impact factor: 5.315

3.  Potential Role of Convolutional Neural Network Based Algorithm in Patient Selection for DCIS Observation Trials Using a Mammogram Dataset.

Authors:  Simukayi Mutasa; Peter Chang; Eduardo P Van Sant; John Nemer; Michael Liu; Jenika Karcich; Gita Patel; Sachin Jambawalikar; Richard Ha
Journal:  Acad Radiol       Date:  2019-09-14       Impact factor: 3.173

4.  Could ultrasound-guided cryoablation be used to manage "low-risk" DCIS?: a feasibility case report.

Authors:  Michael J Plaza; Denzel A Cole
Journal:  Radiol Case Rep       Date:  2020-06-20

Review 5.  A retrospective alternative for active surveillance trials for ductal carcinoma in situ of the breast.

Authors:  Mieke R Van Bockstal; Marie C Agahozo; Linetta B Koppert; Carolien H M van Deurzen
Journal:  Int J Cancer       Date:  2019-05-08       Impact factor: 7.396

Review 6.  Preneoplastic Low-Risk Mammary Ductal Lesions (Atypical Ductal Hyperplasia and Ductal Carcinoma In Situ Spectrum): Current Status and Future Directions.

Authors:  Thaer Khoury
Journal:  Cancers (Basel)       Date:  2022-01-20       Impact factor: 6.639

Review 7.  De-Escalating the Management of In Situ and Invasive Breast Cancer.

Authors:  Fernando A Angarita; Robert Brumer; Matthew Castelo; Nestor F Esnaola; Stephen B Edge; Kazuaki Takabe
Journal:  Cancers (Basel)       Date:  2022-09-20       Impact factor: 6.575

  7 in total

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