Surgical Management of Lobular Carcinoma In Situ: Analysis of the National Cancer Database

Surgical Management of Lobular Carcinoma In Situ: Analysis of the National Cancer Database Ann Surg Oncol (2018) 25:2229–2234 https://doi.org/10.1245/s10434-018-6495-5 OR IG INA L A R TIC L E – BREA S T O NC OLOG Y Surgical Management of Lobular Carcinoma In Situ: Analysis of the National Cancer Database 1 2 1 1 Lauren J. Taylor, MD , Jennifer Steiman, MD , Jessica R. Schumacher, PhD , Lee G. Wilke, MD , 1 1 Caprice C. Greenberg, MD, MPH , and Heather B. Neuman, MD, MS 1 2 Department of Surgery, Clinical Science Center, University of Wisconsin, Madison, WI; Department of Surgery, University of Pittsburgh, Pittsburgh, PA ABSTRACT diagnosis was associated with receipt of bilateral mastec- Background. Current guidelines recommend counseling tomy. Unilateral mastectomy rates within geographic on risk-reduction strategies, including lifestyle modifica- regions ranged from 2.7% in New England to 8% in the tion, endocrine therapy, and bilateral mastectomy, for South. patients with classic-type lobular carcinoma in situ (LCIS) Conclusions. Nearly as many patients underwent unilat- detected on core biopsy or surgical excision. Importantly, eral (4%) as bilateral mastectomy (5.1%), representing current diagnosis and treatment guidelines for classic-type inappropriate care. These findings highlight an opportunity LCIS do not include unilateral mastectomy for primary to reduce unnecessary care through improved provider and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Surgical Oncology Springer Journals

Surgical Management of Lobular Carcinoma In Situ: Analysis of the National Cancer Database

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Publisher
Springer International Publishing
Copyright
Copyright © 2018 by Society of Surgical Oncology
Subject
Medicine & Public Health; Surgical Oncology; Oncology; Surgery
ISSN
1068-9265
eISSN
1534-4681
D.O.I.
10.1245/s10434-018-6495-5
Publisher site
See Article on Publisher Site

Abstract

Ann Surg Oncol (2018) 25:2229–2234 https://doi.org/10.1245/s10434-018-6495-5 OR IG INA L A R TIC L E – BREA S T O NC OLOG Y Surgical Management of Lobular Carcinoma In Situ: Analysis of the National Cancer Database 1 2 1 1 Lauren J. Taylor, MD , Jennifer Steiman, MD , Jessica R. Schumacher, PhD , Lee G. Wilke, MD , 1 1 Caprice C. Greenberg, MD, MPH , and Heather B. Neuman, MD, MS 1 2 Department of Surgery, Clinical Science Center, University of Wisconsin, Madison, WI; Department of Surgery, University of Pittsburgh, Pittsburgh, PA ABSTRACT diagnosis was associated with receipt of bilateral mastec- Background. Current guidelines recommend counseling tomy. Unilateral mastectomy rates within geographic on risk-reduction strategies, including lifestyle modifica- regions ranged from 2.7% in New England to 8% in the tion, endocrine therapy, and bilateral mastectomy, for South. patients with classic-type lobular carcinoma in situ (LCIS) Conclusions. Nearly as many patients underwent unilat- detected on core biopsy or surgical excision. Importantly, eral (4%) as bilateral mastectomy (5.1%), representing current diagnosis and treatment guidelines for classic-type inappropriate care. These findings highlight an opportunity LCIS do not include unilateral mastectomy for primary to reduce unnecessary care through improved provider and

Journal

Annals of Surgical OncologySpringer Journals

Published: May 31, 2018

References

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