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
Annals of Surgical Oncology – Springer Journals
Published: May 31, 2018
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