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1 DCIS is considered a precursor to invasive ductal carcin
2 DCIS-like lesions developed throughout the mammary ducts
8 7 patients died of breast cancer following a DCIS diagnosis (mean follow-up, 7.5 [range, 0-23.9] year
9 ors for death from breast cancer following a DCIS diagnosis include age at diagnosis and black ethnic
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 ficant benefit in decreasing IBTR across all DCIS age groups, similar to that seen in patients with i
17 th physical and mental measures of QoL among DCIS survivors at fewer than 2 years after diagnosis wer
18 (95% CI, 3%-6%) were underinterpreted; among DCIS cases (2097 interpretations), 84% (95% CI, 82%-86%)
19 sion The rates of underestimation in ADH and DCIS diagnosed at MR imaging-guided vacuum-assisted biop
22 to identify two DCIS subgroups (DCIS-C1 and DCIS-C2) based on their tumor-intrinsic subtypes, prolif
24 veloped ductal intraepithelial neoplasia and DCIS, and progressed to invasive carcinoma, suggesting t
27 n experience a second primary breast cancer (DCIS or invasive), and some ultimately die of breast can
28 asive breast cancer, and all breast cancers (DCIS plus invasive) for U.S. women undergoing screening
31 cant negative association of screen-detected DCIS cases with the rate of invasive interval cancers (P
32 ive MR imaging in women with newly diagnosed DCIS show promise for association with breast cancer rec
36 7% (11 of 37); the sensitivity for extensive DCIS components was 91.7% (55 of 60) versus 41.7% (25 of
39 e to obligate overdiagnosis rates (0.15% for DCIS and less than 0.1% for invasive breast cancer and a
40 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
41 the United States are estimated to be 9% for DCIS and approximately 7% for both invasive breast cance
42 n in non-mass (n = 46 for ADH and n = 97 for DCIS), compared with nonunderestimation, in ADH and DCIS
48 gional practice patterns of radiotherapy for DCIS affect the use of mastectomy in these patients.
49 2009 who had not undergone radiotherapy for DCIS and experienced a subsequent breast cancer or DCIS
50 who do not receive initial radiotherapy for DCIS are candidates for subsequent BCS if they experienc
52 obligate (or type 1) overdiagnosis rates for DCIS, invasive breast cancer, and all breast cancers (DC
53 ased study, the patient prognostic score for DCIS is associated with the magnitude of improvement in
56 haracterized by greater radiotherapy use for DCIS increased the likelihood of receiving mastectomy vs
57 s to 30%, 21%, and 22.5% at age 80 years for DCIS, invasive breast cancer, and all breast cancers, re
58 rpose The Oncotype DX DCIS Score short form (DCIS Score) estimates the risk of an ipsilateral breast
59 y stem cells and cancer stem-like cells from DCIS tumors revealed that miR-140 is significantly downr
60 stimate the hazard ratio (HR) for death from DCIS by age at diagnosis, clinical features, ethnicity,
61 5 per thousand): 419 diagnoses of high-grade DCIS (detection rate, 0.57 per thousand), 388 diagnoses
62 and methylome analysis of 30 pure high-grade DCIS (HG-DCIS) and 10 normal breast epithelial samples.
64 0 women screened) and highest for high-grade DCIS (range, 0.53[271 of 508 817 patients] to 0.59 [237
65 % (22 of 63); the sensitivity for high-grade DCIS components was 91.8% (45 of 49) versus 36.7% (18 of
66 sistently high detection rates of high-grade DCIS in two consecutive subsequent screening rounds comp
67 Conversely, the detection rate of high-grade DCIS remained at the high level found in the prevalence
68 Of note, the detection rate for high-grade DCIS showed a significant increase with age (odds ratio,
70 trials randomizing women with non-high-grade DCIS to active surveillance, defined as imaging surveill
71 azard ratios of intermediate- and high-grade DCIS were significantly different (low grade: hazard rat
74 grade DCIS, </= 2.5 cm; cohort 2: high-grade DCIS, </= 1 cm) with each of five strategies: (1) no tes
75 with a clinical diagnosis of non-high-grade DCIS, 8320 (22.2%) had invasive carcinoma based on final
76 DCIS, test for intermediate- and high-grade DCIS, RT for intermediate- or high-risk scores; (4) test
80 ousand), 388 diagnoses of intermediate-grade DCIS (detection rate, 0.53 per thousand), and 182 diagno
81 he increase was lower for intermediate-grade DCIS (odds ratio, 1.11; P = .016) and not significant fo
82 cancer detection rate of intermediate-grade DCIS (range, 0.02-0.12; r = 0.89; P < .001) and of high-
83 27); the sensitivity for intermediate-grade DCIS components was 84.1% (53 of 63) versus 34.9% (22 of
85 ion of detection rates of intermediate-grade DCIS was less pronounced (OR = 0.79, P = .006 and OR = 0
86 5194 study (cohort 1: low/intermediate-grade DCIS, </= 2.5 cm; cohort 2: high-grade DCIS, </= 1 cm) w
87 igned): cohort 1: low- or intermediate-grade DCIS, tumor size 2.5 cm or smaller (n = 561); or cohort
88 an increase in high- and intermediate-grade DCIS, which are precursor lesions that carry a higher ri
91 with the cancer detection rate of low-grade DCIS (range, 0.004-0.05; r = 0.49; P = .052), and it sho
92 er detection rates were lowest for low-grade DCIS (range, 0.11 [58 of 508 817 patients] to 0.25 [178
93 alence round; conversely, rates of low-grade DCIS and, less markedly, intermediate-grade DCIS decreas
94 ses) because of three nonenhancing low-grade DCIS cases; in turn, MR imaging depicted additional inva
95 ng versus conventional imaging for low-grade DCIS components was 74.0% (20 of 27) versus 40.7% (11 of
96 t of performing breast surgery for low-grade DCIS was lower than that for intermediate- or high-grade
98 T only for cohort 2; (3) no RT for low-grade DCIS, test for intermediate- and high-grade DCIS, RT for
110 ceptor 2 (ErbB2) overexpression is common in DCIS, as is disruption of the retinoblastoma tumor suppr
112 Most of these genes were highly expressed in DCIS samples with IBC, including PLAU (P = 0.002), COL1A
113 we observed upregulation of lncRNA HOTAIR in DCIS-C1 lesions and hypermethylation of HOXA5 and SOX ge
114 we review the miRNA signatures identified in DCIS, describe how these signatures may be used to predi
115 in as the standard for an adequate margin in DCIS treated with WBRT is associated with low rates of I
116 HER2/neu is frequently overexpressed in DCIS but is less common in IBC, thereby suggesting addit
117 ic and transcriptomic changes are present in DCIS before the emergence of invasive disease, indicatin
118 of this study was to assess long-term QoL in DCIS survivors in relation to age at diagnosis, time sin
122 like subpopulations in a model of basal-like DCIS and identify subpopulations of CD49f+/CD24- stem-li
124 were matched with 12 patients with a limited DCIS component and IBC, representing lesions with a high
125 ns were performed with digital mammography), DCIS detection rates were determined for 5-year age grou
126 sus conventional imaging for small, marginal DCIS components was 56.8% (21 of 37) versus 29.7% (11 of
131 may be used to predict the aggressiveness of DCIS, and discuss future perspectives for DCIS biomarker
133 at 1 in every 3 invasive tumors and cases of DCIS diagnosed in women offered screening represent over
135 nd that 711 invasive tumors and 180 cases of DCIS were overdiagnosed in 2010 (overdiagnosis rate of 4
136 ween 1988 and 2011, 57,222 eligible cases of DCIS with known nuclear grade and surgery status were id
137 ts, for every three screen-detected cases of DCIS, there was one fewer invasive interval cancer in th
139 pectively reviewed a prospective database of DCIS patients undergoing breast-conserving surgery from
140 sion Breast MR imaging improves depiction of DCIS components of invasive breast cancers before surger
141 stimate the association between detection of DCIS at screening and invasive interval cancers subseque
143 d for 2679 women in SEER with a diagnosis of DCIS between 1990 and 2011 and for 757 women in SEER-Med
144 nsitivity of MR imaging for the diagnosis of DCIS components pre-operatively (84.9%; 118 of 139) was
145 l study of women who received a diagnosis of DCIS from 1988 to 2011 in the Surveillance, Epidemiology
146 h DCIS, the mean (range) age at diagnosis of DCIS was 53.8 (15-69) years and the mean (range) duratio
148 nished during follow-up, while the effect of DCIS adjacent to invasive tumor seemed to remain stable.
149 aintenance of BCIC, facilitates formation of DCIS, a necessary step before development of invasive di
151 g increased with increasing nuclear grade of DCIS components, as follows: The sensitivity of MR imagi
152 %; 51 of 139) (P < .0001); more than half of DCIS components (51.1%; 71 of 139) were detected only wi
155 al role in the initiation and maintenance of DCIS and that reduction of AIB1 causes loss of BCIC, los
156 e conservative approach to the management of DCIS without surgical intervention or radiation therapy
160 bution of 0.15% to obligate overdiagnosis of DCIS and a contribution of less than 0.1% to the obligat
164 roles for semaphorin 7a in the promotion of DCIS growth, motility and invasion as well as lymphangio
167 nopause was associated with a higher risk of DCIS but lower risks of LCIS and invasive ductal carcino
168 g increased with increasing relative size of DCIS components, as follows: The sensitivity of MR imagi
170 the existence of distinct subpopulations of DCIS lesions, which will likely have utility in breast c
171 identification of alphavbeta6 in a subset of DCIS presents a unique way to stratify patients with DCI
172 electing patients for active surveillance of DCIS, factors other than tumor biology associated with i
173 tent to which the diagnosis and treatment of DCIS could prevent the occurrence of invasive breast can
174 ers suggests that detection and treatment of DCIS is worthwhile in prevention of future invasive dise
176 once the gold standard for the treatment of DCIS; however, breast-conserving surgery (BCS) has been
180 Gene expression profiling was performed on DCIS cells to identify transcriptional differences betwe
182 low likelihood that a diagnosis of atypia or DCIS would be verified by a reference consensus diagnosi
184 s with nonpalpable invasive breast cancer or DCIS visible on ultrasound were enrolled in this randomi
186 ng women with histologically verified IBC or DCIS having wire-guided BCS performed between January 1,
188 opausal women with hormone-receptor-positive DCIS, which may be be more appropriate for some women wi
191 60); the sensitivity for large, predominant DCIS components was 100.0% (42 of 42) versus 35.7% (15 o
196 registry provided data for 1970 graded pure DCIS cases from 16 screening regions of the prevalence r
198 situ (DCIS), we compared patients with pure DCIS and patients with DCIS and synchronous invasive bre
200 s obtained from 16 women diagnosed with pure DCIS, a similar loss in myoepithelial cell markers was o
202 We found that SFN treatment could reprogram DCIS stem-like cells as evidenced by significant changes
203 Prospective studies of women with "low-risk" DCIS treated with BCS alone have successfully identified
204 erinterpreted) and ductal carcinoma in situ (DCIS) (18.5% overinterpreted and 11.8% underinterpreted)
205 1) and presence of ductal carcinoma in situ (DCIS) (HR, 2.15; 95% CI, 1.36-3.38; P = .001) were assoc
207 r the formation of ductal carcinoma in situ (DCIS) and its progression to invasive breast carcinoma h
208 tion of women with ductal carcinoma in situ (DCIS) and long follow-up, the relationship between margi
209 ion of early-stage ductal carcinoma in situ (DCIS) and report that compromised myoepithelial cell dif
210 st cancer (IBC) or ductal carcinoma in situ (DCIS) and to examine whether the risk of reoperation is
211 erplasia (ADH) and ductal carcinoma in situ (DCIS) at magnetic resonance (MR) imaging-guided vacuum-a
212 identification of ductal carcinoma in situ (DCIS) components of biopsy-proven invasive breast cancer
214 d overtreatment of ductal carcinoma in situ (DCIS) detected by mammography has led to the development
215 , P < .0001), have ductal carcinoma in situ (DCIS) in the index breast (31% [27 of 86] vs 19% [164 of
216 cells derived from ductal carcinoma in situ (DCIS) increased secretion of the proinflammatory cytokin
221 east RT (WBRT) for ductal carcinoma in situ (DCIS) is largely extrapolated from invasive cancer data,
222 ve status in human ductal carcinoma in situ (DCIS) lesions and invasive breast cancers as well as wit
223 cer tumors and 179 ductal carcinoma in situ (DCIS) lesions were overdiagnosed in 2010 (overdiagnosis
224 the prevalence of ductal carcinoma in situ (DCIS) of the breast has increased substantially followin
228 he transition from ductal carcinoma in situ (DCIS) to invasive breast cancer (IBC) is a crucial step
229 the progression of ductal carcinoma in situ (DCIS) to invasive breast cancer remain poorly understood
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
232 breast cancer, 73 ductal carcinoma in situ (DCIS), 72 with atypical hyperplasia (atypia), and 72 ben
233 risk patients with ductal carcinoma in situ (DCIS), a breast cancer diagnosis found frequently in mam
234 detection rates of ductal carcinoma in situ (DCIS), classified according to nuclear grade, between th
235 f that cancer, for ductal carcinoma in situ (DCIS), invasive breast cancer, and all breast cancers.
237 ggressive forms of ductal carcinoma in situ (DCIS), they cannot be identified with conventional histo
238 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
249 mmography alone (a ductal carcinoma in situ [DCIS] with microinvasion and a DCIS with < 10-mm invasiv
250 itive (23 cases of ductal carcinoma in situ [DCIS], 43 invasive cancers) and 287 (81.3%) were false-p
251 still have no understanding on why only some DCIS lesions evolve to invasive cancer whereas others ap
253 a allowed us to identify two DCIS subgroups (DCIS-C1 and DCIS-C2) based on their tumor-intrinsic subt
256 hormone therapy were stronger for LCIS than DCIS (P for heterogeneity = 0.03) and invasive lobular c
260 power analysis was conducted to estimate the DCIS sample size needed to detect the anticipated benefi
263 ocol specifications included excision of the DCIS tumor with a minimum negative margin width of at le
270 s of RNA-seq data allowed us to identify two DCIS subgroups (DCIS-C1 and DCIS-C2) based on their tumo
271 reen detection rate as the outcome variable; DCIS detection frequencies were fitted first as a contin
273 n orthotopic xenograft assays, compared with DCIS-like lesions developing from RB-proficient cells.
274 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 of health-related QoL in 1,604 patients with DCIS diagnosed in 1997 to 2006 with up to four follow-up
283 sents a unique way to stratify patients with DCIS into those who may or may not progress to more seri
284 with matched control subjects, patients with DCIS recurrence exhibited significantly greater FTV (med
286 ns was significantly higher in patients with DCIS vs those with IBC (unadjusted odds ratio, 2.21; 95%
289 We identified 32,144 eligible patients with DCIS, 20,329 (63%) in the RT group and 11,815 (37%) in t
291 In this good-risk subset of patients with DCIS, with a median follow-up of 7 years, the LF rate wa
292 For each patient, a control subject with DCIS that did not recur was identified and matched on th
294 e goal of identifying a subset of women with DCIS at minimal risk of recurrence after surgical excisi
295 fer significantly between the 139 women with DCIS components (5.0% [95% CI: 2.0%, 10.1%]) compared wi
297 breast tumor recurrence (IBTR) in women with DCIS treated with vs without the RT boost after breast-c
298 axillary lymph node evaluation in women with DCIS undergoing BCS and uncertainty regarding its use wi
299 d in the Perspective database for women with DCIS who underwent breast-conserving surgery (BCS) or ma
300 clinical trial was performed for women with DCIS who were selected for low-risk clinical and patholo
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