Ramifications of Breast-Conserving Surgery for Ductal Carcinoma in Situ

Ten-year follow-up shows high rates of subsequent invasive procedures.

As more women undergo screening mammography, the number who receive diagnoses of ductal carcinoma in situ (DCIS) has risen. Breast-conserving surgery (BCS) is a reasonable alternative to mastectomy for DCIS, as both approaches yield similar long-term mortality outcomes (JW Oncol Hematol Apr 19 2011); however, the recurrence risk associated with BCS necessitates ongoing surveillance. In a report based on 10-year follow-up of women enrolled in three U.S. integrated health care systems who were treated for DCIS with BCS between 1990 and 2001, investigators assessed the frequency of diagnostic mammograms and ipsilateral invasive procedures.

During a median follow-up of 4.8 years in 2948 evaluable women (mean age at diagnosis, 58), ipsilateral re…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Ramifications of Breast-Conserving Surgery for Ductal Carcinoma in Situ

Topics

Reviewing Author