Sentinel node procedure is warranted in Ductal Carcinoma In Situ (DCIS) with high risk of occult invasive carcinoma and Micro Invasive Carcinoma (DCIS MIC) treated by mastectomy

2006 ◽  
Vol 4 (2) ◽  
pp. 79
Author(s):  
C. Tunon de Lara ◽  
Giard ◽  
M. Buttarelli ◽  
J. Blanchot ◽  
J. Classe ◽  
...  
Keyword(s):  
High Risk ◽  
Sentinel Node ◽  
Ductal Carcinoma In Situ ◽  
Carcinoma In Situ ◽  
Invasive Carcinoma ◽  
Ductal Carcinoma ◽  
Sentinel Node Procedure

Sentinel Node Procedure Obsolete in Lumpectomy for Ductal Carcinoma In Situ

2017 ◽  
Vol 17 (3) ◽  
pp. e87-e93 ◽  
Author(s):  
Cathelijne Heymans ◽  
James van Bastelaar ◽  
Ruben G.J. Visschers ◽  
Yvonne L.J. Vissers
Keyword(s):  
Sentinel Node ◽  
Ductal Carcinoma In Situ ◽  
Carcinoma In Situ ◽  
Ductal Carcinoma ◽  
Sentinel Node Procedure

Is it possible to refine the indication for sentinel node biopsy in high-risk ductal carcinoma in situ?

2006 ◽  
Vol 27 (10) ◽  
pp. 785-789 ◽  
Author(s):  
Manel Fraile ◽  
Josep M. Gubern ◽  
Miquel Rull ◽  
Francisco J. Juli??n ◽  
Cristina Serra ◽  
...  
Keyword(s):  
High Risk ◽  
Sentinel Node ◽  
Sentinel Node Biopsy ◽  
Ductal Carcinoma In Situ ◽  
Carcinoma In Situ ◽  
Ductal Carcinoma ◽  
Node Biopsy

Advocating Nonsurgical Management of Patients With Small, Incidental Radial Scars at the Time of Needle Core Biopsy: A Study of 77 Cases

2015 ◽  
Vol 139 (9) ◽  
pp. 1137-1142 ◽  
Author(s):  
Cathleen Matrai ◽  
Timothy M. D'Alfonso ◽  
Lindsay Pharmer ◽  
Michele B. Drotman ◽  
Rache M. Simmons ◽  
...  
Keyword(s):  
Ductal Carcinoma In Situ ◽  
Core Biopsy ◽  
Carcinoma In Situ ◽  
Invasive Carcinoma ◽  
Ductal Carcinoma ◽  
Lobular Carcinoma ◽  
Radial Scar ◽  
Needle Core Biopsy ◽  
Ductal Hyperplasia

Context Radial scars are benign sclerosing lesions that are routinely excised when diagnosed in a needle core biopsy. Optimal management for patients with incidental and small (≤5 mm) radial scars is uncertain. Objective To assess pathologic upgrade of radial scars diagnosed in needle core biopsy samples and identify a subset of patients who could benefit from conservative management. Design Patients with a diagnosis of radial scar in a needle core biopsy who underwent excision of the biopsied area were identified. Radial scars greater than 5 mm in size and those with coexisting atypia, carcinoma, and papillary lesions were excluded. After histologic-radiographic correlation, rates of pathologic upgrade were assessed. Results Seventy-seven radial scars diagnosed in 66 patients were included. Overall, 9 of 77 (12%) showed upgrade to a high-risk lesion (6 lobular carcinoma in situ, 2 atypical ductal hyperplasia, 1 atypical lobular hyperplasia), while none (0%) showed upgrade to invasive carcinoma or ductal carcinoma in situ. One of 22 incidental radial scars (4.5%) showed upgrade on excision versus 6 of 36 (16.7%) for radial scars considered to be the radiographic target (P = .23). Older age was associated with upgrade (P < .001). Conclusions No incidental or small (≤5 mm) radial scars excised revealed invasive carcinoma or ductal carcinoma in situ on excision. Provided there is good pathologic-radiologic concordance, it appears reasonable for these patients to be managed conservatively.

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