LymphedemaV1, Main, Exploration, bibRecord, 002E46

A Simple Model to Assess the Probability of Invasion in Ductal Carcinoma In Situ of the Breast Diagnosed by Needle Biopsy

Identifieur interne : 002E46 ( Main/Exploration ); précédent : 002E45; suivant : 002E47

A Simple Model to Assess the Probability of Invasion in Ductal Carcinoma In Situ of the Breast Diagnosed by Needle Biopsy

Auteurs : Old Ich Coufal [République tchèque] ; Iveta Selingerová [République tchèque] ; Pavlína Vrt Lová [République tchèque] ; Petr Krsi Ka [République tchèque] ; Lucie Gabrielová [République tchèque] ; Pavel Fabian [République tchèque] ; Kate Ina Stískalová [République tchèque] ; Monika Schneiderová [République tchèque] ; Alexandr Poprach [République tchèque] ; Ivan Justan [République tchèque]

Source :

BioMed Research International [ 2314-6133 ] ; 2014.

RBID : PMC:4119639

Abstract

Objectives. The aim of the study was to develop a clinical prediction model for assessing the probability of having invasive cancer in the definitive surgical resection specimen in patients with biopsy diagnosis of ductal carcinoma in situ (DCIS) of the breast, to facilitate decision making regarding axillary surgery. Methods. In 349 women with DCIS, predictors of invasion in the definitive resection specimen were identified. A model to predict the probability of invasion was developed and subsequently simplified to divide patients into two risk categories. The model's performance was validated on another patient population. Results. Multivariate logistic regression revealed four independent predictors of invasion: (i) suspicious (micro)invasion in the biopsy specimen; (ii) visibility of the lesion on ultrasonography; (iii) size of the lesion on mammography >30 mm; (iv) clinical palpability of the lesion. The actual frequency of invasion in the high-risk patient group in the test and validation population was 52.6% and 48.3%, respectively; in the low-risk group it was 16.8% and 7.1%, respectively. Conclusion. The model proved to have good performance. In patients with a low probability of invasion, an axillary procedure can be omitted without a substantial risk of additional surgery.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119639

DOI: 10.1155/2014/480840
PubMed: 25114904
PubMed Central: 4119639

Affiliations:

République tchèque

Le document en format XML

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<author><name sortKey="Stiskalova, Kate Ina" sort="Stiskalova, Kate Ina" uniqKey="Stiskalova K" first="Kate Ina" last="Stískalová">Kate Ina Stískalová</name>
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<author><name sortKey="Justan, Ivan" sort="Justan, Ivan" uniqKey="Justan I" first="Ivan" last="Justan">Ivan Justan</name>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives</italic>
. The aim of the study was to develop a clinical prediction model for assessing the probability of having invasive cancer in the definitive surgical resection specimen in patients with biopsy diagnosis of ductal carcinoma in situ (DCIS) of the breast, to facilitate decision making regarding axillary surgery. <italic>Methods</italic>
. In 349 women with DCIS, predictors of invasion in the definitive resection specimen were identified. A model to predict the probability of invasion was developed and subsequently simplified to divide patients into two risk categories. The model's performance was validated on another patient population. <italic>Results</italic>
. Multivariate logistic regression revealed four independent predictors of invasion: (i) suspicious (micro)invasion in the biopsy specimen; (ii) visibility of the lesion on ultrasonography; (iii) size of the lesion on mammography >30 mm; (iv) clinical palpability of the lesion. The actual frequency of invasion in the high-risk patient group in the test and validation population was 52.6% and 48.3%, respectively; in the low-risk group it was 16.8% and 7.1%, respectively. <italic>Conclusion</italic>
. The model proved to have good performance. In patients with a low probability of invasion, an axillary procedure can be omitted without a substantial risk of additional surgery.</p>
</div>
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Serveur d'exploration sur le lymphœdème

A Simple Model to Assess the Probability of Invasion in Ductal Carcinoma In Situ of the Breast Diagnosed by Needle Biopsy

A Simple Model to Assess the Probability of Invasion in Ductal Carcinoma In Situ of the Breast Diagnosed by Needle Biopsy

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	Serveur d'exploration sur le lymphœdème
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