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1 DCIS and IBC were distinguished on the basis of cell sig
2 DCIS is a nonobligatory precursor for invasive carcinoma
3 DCIS is considered a precursor to invasive ductal carcin
4 from 1952 invasive breast cancer samples, 10 DCIS, 9 benign samples and 144 tumour adjacent normal br
12 11 and for 757 women in SEER-Medicare with a DCIS diagnosis between 1991 and 2009 who had not undergo
13 ially in the first 5 years, while additional DCIS is an indication for longer follow-up, emphasizing
15 issue persistence, improves efficacy against DCIS lesions in vivo, and requires 5-fold less CPX to ac
17 ficant benefit in decreasing IBTR across all DCIS age groups, similar to that seen in patients with i
19 th physical and mental measures of QoL among DCIS survivors at fewer than 2 years after diagnosis wer
20 sion The rates of underestimation in ADH and DCIS diagnosed at MR imaging-guided vacuum-assisted biop
24 e related to both invasive breast cancer and DCIS within certain geographic regions and PM component
28 Importantly, we identify invasive-only and DCIS-specific DNA methylation alterations that could pot
30 dentified distinct lipid composition between DCIS and IBC and across molecular subtypes of breast can
32 ment of tools such as the Oncotype DX Breast DCIS Score, a gene expression-based assay with the poten
33 he four molecular subtypes of breast cancer, DCIS, and normal tissue, and add to the understanding of
34 asive breast cancer, and all breast cancers (DCIS plus invasive) for U.S. women undergoing screening
36 K1 (caMNK1)-expressing human MCF-10A-derived DCIS cell lines, which were orthotopically injected into
38 cant negative association of screen-detected DCIS cases with the rate of invasive interval cancers (P
39 ive MR imaging in women with newly diagnosed DCIS show promise for association with breast cancer rec
43 7% (11 of 37); the sensitivity for extensive DCIS components was 91.7% (55 of 60) versus 41.7% (25 of
45 e to obligate overdiagnosis rates (0.15% for DCIS and less than 0.1% for invasive breast cancer and a
46 ikely in mass (n = 20 for ADH and n = 20 for DCIS) than in non-mass (n = 46 for ADH and n = 97 for DC
47 the United States are estimated to be 9% for DCIS and approximately 7% for both invasive breast cance
48 n in non-mass (n = 46 for ADH and n = 97 for DCIS), compared with nonunderestimation, in ADH and DCIS
54 gional practice patterns of radiotherapy for DCIS affect the use of mastectomy in these patients.
55 2009 who had not undergone radiotherapy for DCIS and experienced a subsequent breast cancer or DCIS
56 who do not receive initial radiotherapy for DCIS are candidates for subsequent BCS if they experienc
58 obligate (or type 1) overdiagnosis rates for DCIS, invasive breast cancer, and all breast cancers (DC
59 ased study, the patient prognostic score for DCIS is associated with the magnitude of improvement in
61 haracterized by greater radiotherapy use for DCIS increased the likelihood of receiving mastectomy vs
62 s to 30%, 21%, and 22.5% at age 80 years for DCIS, invasive breast cancer, and all breast cancers, re
63 rpose The Oncotype DX DCIS Score short form (DCIS Score) estimates the risk of an ipsilateral breast
65 5 per thousand): 419 diagnoses of high-grade DCIS (detection rate, 0.57 per thousand), 388 diagnoses
66 0 women screened) and highest for high-grade DCIS (range, 0.53[271 of 508 817 patients] to 0.59 [237
67 % (22 of 63); the sensitivity for high-grade DCIS components was 91.8% (45 of 49) versus 36.7% (18 of
68 he molecular level, low-grade and high-grade DCIS have different molecular alterations, and the intri
69 sistently high detection rates of high-grade DCIS in two consecutive subsequent screening rounds comp
70 Conversely, the detection rate of high-grade DCIS remained at the high level found in the prevalence
72 trials randomizing women with non-high-grade DCIS to active surveillance, defined as imaging surveill
75 grade DCIS, </= 2.5 cm; cohort 2: high-grade DCIS, </= 1 cm) with each of five strategies: (1) no tes
76 with a clinical diagnosis of non-high-grade DCIS, 8320 (22.2%) had invasive carcinoma based on final
77 DCIS, test for intermediate- and high-grade DCIS, RT for intermediate- or high-risk scores; (4) test
79 ousand), 388 diagnoses of intermediate-grade DCIS (detection rate, 0.53 per thousand), and 182 diagno
80 he increase was lower for intermediate-grade DCIS (odds ratio, 1.11; P = .016) and not significant fo
81 27); the sensitivity for intermediate-grade DCIS components was 84.1% (53 of 63) versus 34.9% (22 of
83 ion of detection rates of intermediate-grade DCIS was less pronounced (OR = 0.79, P = .006 and OR = 0
84 5194 study (cohort 1: low/intermediate-grade DCIS, </= 2.5 cm; cohort 2: high-grade DCIS, </= 1 cm) w
87 er detection rates were lowest for low-grade DCIS (range, 0.11 [58 of 508 817 patients] to 0.25 [178
88 alence round; conversely, rates of low-grade DCIS and, less markedly, intermediate-grade DCIS decreas
89 ng versus conventional imaging for low-grade DCIS components was 74.0% (20 of 27) versus 40.7% (11 of
91 T only for cohort 2; (3) no RT for low-grade DCIS, test for intermediate- and high-grade DCIS, RT for
96 significantly superior OS observed for IDC + DCIS was limited to patients with invasive tumor size <
99 bit different biological behavior than IDC + DCIS, but whether this translates to a difference in out
101 DK4/6 inhibitors and its loss could identify DCIS lesions that are likely to progress into invasive b
103 ial cells is also significantly decreased in DCIS, which may be associated with invasive progression.
105 Most of these genes were highly expressed in DCIS samples with IBC, including PLAU (P = 0.002), COL1A
106 view the miRNAs that have been identified in DCIS and how they may contribute to the progression to i
107 we review the miRNA signatures identified in DCIS, describe how these signatures may be used to predi
108 in as the standard for an adequate margin in DCIS treated with WBRT is associated with low rates of I
110 ic and transcriptomic changes are present in DCIS before the emergence of invasive disease, indicatin
111 of this study was to assess long-term QoL in DCIS survivors in relation to age at diagnosis, time sin
116 f MNK1 repressed NODAL expression, inhibited DCIS to IDC conversion, and decreased tumor relapse and
118 were matched with 12 patients with a limited DCIS component and IBC, representing lesions with a high
119 ns were performed with digital mammography), DCIS detection rates were determined for 5-year age grou
120 sus conventional imaging for small, marginal DCIS components was 56.8% (21 of 37) versus 29.7% (11 of
121 X11 confers distinct features to ER-negative DCIS.com breast cancer cells, leading to populations enr
127 may be used to predict the aggressiveness of DCIS, and discuss future perspectives for DCIS biomarker
130 at 1 in every 3 invasive tumors and cases of DCIS diagnosed in women offered screening represent over
131 nd that 711 invasive tumors and 180 cases of DCIS were overdiagnosed in 2010 (overdiagnosis rate of 4
132 ts, for every three screen-detected cases of DCIS, there was one fewer invasive interval cancer in th
134 sion Breast MR imaging improves depiction of DCIS components of invasive breast cancers before surger
135 stimate the association between detection of DCIS at screening and invasive interval cancers subseque
137 d for 2679 women in SEER with a diagnosis of DCIS between 1990 and 2011 and for 757 women in SEER-Med
138 nsitivity of MR imaging for the diagnosis of DCIS components pre-operatively (84.9%; 118 of 139) was
140 nished during follow-up, while the effect of DCIS adjacent to invasive tumor seemed to remain stable.
143 g increased with increasing nuclear grade of DCIS components, as follows: The sensitivity of MR imagi
144 %; 51 of 139) (P < .0001); more than half of DCIS components (51.1%; 71 of 139) were detected only wi
148 e annual increase in the long-axis length of DCIS calcifications was greater than that of benign brea
150 dth of 2 mm or greater for the management of DCIS; however, controversy regarding re-excision remains
153 bution of 0.15% to obligate overdiagnosis of DCIS and a contribution of less than 0.1% to the obligat
156 nts required for the invasive progression of DCIS occur at the preinvasive stage, and these events in
157 Purpose To quantify the growth rates of DCIS and benign breast disease that manifest as mammogra
159 nopause was associated with a higher risk of DCIS but lower risks of LCIS and invasive ductal carcino
160 g increased with increasing relative size of DCIS components, as follows: The sensitivity of MR imagi
162 the existence of distinct subpopulations of DCIS lesions, which will likely have utility in breast c
163 electing patients for active surveillance of DCIS, factors other than tumor biology associated with i
164 tent to which the diagnosis and treatment of DCIS could prevent the occurrence of invasive breast can
165 ers suggests that detection and treatment of DCIS is worthwhile in prevention of future invasive dise
166 once the gold standard for the treatment of DCIS; however, breast-conserving surgery (BCS) has been
169 Gene expression profiling was performed on DCIS cells to identify transcriptional differences betwe
170 evidence regarding the role of the Oncotype DCIS Score in estimating the risk of ipsilateral local r
173 low likelihood that a diagnosis of atypia or DCIS would be verified by a reference consensus diagnosi
175 rradiation of node-negative breast cancer or DCIS did not result in more breast induration compared w
176 s with nonpalpable invasive breast cancer or DCIS visible on ultrasound were enrolled in this randomi
178 ng women with histologically verified IBC or DCIS having wire-guided BCS performed between January 1,
182 rwent surgery per study protocol, persistent DCIS remained in 50 patients (85%), invasive cancer was
185 ort of postmenopausal women with ER-positive DCIS, preoperative letrozole resulted in significant ima
186 opausal women with hormone-receptor-positive DCIS, which may be be more appropriate for some women wi
188 60); the sensitivity for large, predominant DCIS components was 100.0% (42 of 42) versus 35.7% (15 o
195 registry provided data for 1970 graded pure DCIS cases from 16 screening regions of the prevalence r
197 situ (DCIS), we compared patients with pure DCIS and patients with DCIS and synchronous invasive bre
199 Of these 37 women, 12 (32.4%) had residual DCIS only, 20 (54.1%) had minimal residual tumor (<5 mm)
200 ected in six patients (10%), and no residual DCIS or invasive cancer was seen in nine patients (15%).
201 Prospective studies of women with "low-risk" DCIS treated with BCS alone have successfully identified
202 erinterpreted) and ductal carcinoma in situ (DCIS) (18.5% overinterpreted and 11.8% underinterpreted)
203 1) and presence of ductal carcinoma in situ (DCIS) (HR, 2.15; 95% CI, 1.36-3.38; P = .001) were assoc
205 st cancer (IBC) or ductal carcinoma in situ (DCIS) and to examine whether the risk of reoperation is
207 ocrine therapy for ductal carcinoma in situ (DCIS) as a potential alternative to surgery has been und
209 identification of ductal carcinoma in situ (DCIS) components of biopsy-proven invasive breast cancer
210 d overtreatment of ductal carcinoma in situ (DCIS) detected by mammography has led to the development
213 in microdissected ductal carcinoma in situ (DCIS) from patients with luminal and HER2-positive breas
214 e recalls yielding ductal carcinoma in situ (DCIS) increased from 0.3 per 1000 screening examinations
215 cells derived from ductal carcinoma in situ (DCIS) increased secretion of the proinflammatory cytokin
218 east RT (WBRT) for ductal carcinoma in situ (DCIS) is largely extrapolated from invasive cancer data,
219 ve status in human ductal carcinoma in situ (DCIS) lesions and invasive breast cancers as well as wit
220 Background Most ductal carcinoma in situ (DCIS) lesions are first detected on screening mammograms
221 cer tumors and 179 ductal carcinoma in situ (DCIS) lesions were overdiagnosed in 2010 (overdiagnosis
222 t of patients with ductal carcinoma in situ (DCIS) of the breast develop ipsilateral invasive breast
223 Historically, ductal carcinoma in situ (DCIS) of the breast has been managed aggressively with s
229 elatively indolent ductal carcinoma in situ (DCIS) to invasive ductal carcinoma (IDC) are not well un
230 e margin width for ductal carcinoma in situ (DCIS) treated with breast-conserving surgery and whole-b
231 ) in patients with ductal carcinoma in situ (DCIS) treated with breast-conserving surgery without adj
233 e breast cancer or ductal carcinoma in situ (DCIS) were randomly assigned to radiotherapy at a dose o
235 east cancer (IBC), ductal carcinoma in situ (DCIS), and adjacent benign tissue (ABT), and metabolomic
236 detection rates of ductal carcinoma in situ (DCIS), classified according to nuclear grade, between th
237 f that cancer, for ductal carcinoma in situ (DCIS), invasive breast cancer, and all breast cancers.
238 ggressive forms of ductal carcinoma in situ (DCIS), they cannot be identified with conventional histo
239 the progression of ductal carcinoma in situ (DCIS), we compared patients with pure DCIS and patients
248 ctors and incident ductal carcinoma in situ (DCIS; n = 1,453) with that of risk factors and invasive
252 tus of gene candidates to define late-stage (DCIS and invasive), invasive stage only or DCIS stage on
256 hormone therapy were stronger for LCIS than DCIS (P for heterogeneity = 0.03) and invasive lobular c
258 ent concerns and evidence that suggests that DCIS can be stratified according to risk of recurrence o
260 power analysis was conducted to estimate the DCIS sample size needed to detect the anticipated benefi
269 ministered drug delivery system for treating DCIS, for which no primary chemotherapy option is availa
270 reen detection rate as the outcome variable; DCIS detection frequencies were fitted first as a contin
271 enabled an era of precision medicine, where DCIS can be molecularly analyzed by tools, such as next-
275 crease the number of patients diagnosed with DCIS, making a precise localization of nonpalpable DCIS
280 Mental measures of QoL among patients with DCIS declined at >/= 10 years after diagnosis and were s
281 tudy was performed to identify patients with DCIS diagnosed between 1988 and 2007 and treated with BC
282 r biomarkers that can stratify patients with DCIS into different prognostic groups based on the biolo
283 with matched control subjects, patients with DCIS recurrence exhibited significantly greater FTV (med
284 ns was significantly higher in patients with DCIS vs those with IBC (unadjusted odds ratio, 2.21; 95%
286 ousand four hundred ninety-one patients with DCIS who underwent breast-conserving surgery from 1996 t
288 We identified 32,144 eligible patients with DCIS, 20,329 (63%) in the RT group and 11,815 (37%) in t
291 For each patient, a control subject with DCIS that did not recur was identified and matched on th
293 e goal of identifying a subset of women with DCIS at minimal risk of recurrence after surgical excisi
294 fer significantly between the 139 women with DCIS components (5.0% [95% CI: 2.0%, 10.1%]) compared wi
295 breast tumor recurrence (IBTR) in women with DCIS treated with vs without the RT boost after breast-c