Ductal carcinoma in situ of the breast: our experience
Autor: | Ruggiero, R., Procaccini, E., Sanguinetti, A., Cremone, C., Gili, S., Docimo, G., Docimo, L., Sparavigna, L., Gubitosi, A., Domenico Parmeggiani, Avenia, N. |
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Přispěvatelé: | Ruggiero, Roberto, Procaccini, Eugenio, Sanguinetti, A, Cremone, C, Gili, S, Docimo, Giovanni, Docimo, Ludovico, Sparavigna, L, Gubitosi, Adelmo, Parmeggiani, Domenico, Avenia, N. |
Jazyk: | angličtina |
Rok vydání: | 2009 |
Předmět: |
Adult
Antineoplastic Agents Hormonal Ductal Carcinoma Sentinel Lymph Node Biopsy Breast Neoplasms Middle Aged Mastectomy Segmental Carcinoma Intraductal Noninfiltrating Treatment Outcome Chemotherapy Adjuvant Practice Guidelines as Topic Breast Cancer Humans Female Radiotherapy Adjuvant Surgery Neoplasm Recurrence Local skin and connective tissue diseases Aged Follow-Up Studies Retrospective Studies |
Zdroj: | Scopus-Elsevier |
Popis: | AIM: The ductal carcinoma in situ (DCIS) is a more and more frequent neoplasia, representing over 25% of diagnosed breast cancer in recent surveys.It is particularly interesting as concerns several aspects of which the most important are issues linked to clinical diagnosis and the difficulties of histopathological classification, with evident and important therapeutic implications. PATIENTS AND METHODS: The authors report their experience about 161 ductal carcinoma in situ of the breast. Guidelines for surgical treatment are: radiological or clinical diagnosis, tumor's extension, histological classification, grading and margin status. At the present the authors prefer breast conserving surgery with tumor margin's study. They report their experience in the last seven years about sentinel lymph node biopsy. RESULTS: The most frequent histotype resulted comedocarcinoma (61,8%) followed by non comedo (38,2%). Local recurrence after DCIS therapy is 6,1%. CONCLUSIONS: 80-90% of the patients currently treated for DCIS present non-palpable breast lesions at diagnosis. Breast conserving surgery is the first choice and radiotherapy and endocrine therapy are indicated for selected patients. |
Databáze: | OpenAIRE |
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