Are There Alternative Strategies for the Local Management of Ductal Carcinoma in Situ?

被引:4
作者
Rosso, Kelly J. [1 ]
Weiss, Anna [1 ]
Thompson, Alastair M. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Breast Surg Oncol, FCT7-6092,Unit 1434,1400 Pressler St, Houston, TX 77030 USA
关键词
Ductal carcinoma in situ (DCIS); Active surveillance; Endocrine therapy; INVASIVE BREAST-CANCER; COMPARING TOTAL MASTECTOMY; RANDOMIZED CLINICAL-TRIAL; LYMPH-NODE BIOPSY; QUALITY-OF-LIFE; RECURRENCE RISK; NEEDLE-BIOPSY; CONSERVING SURGERY; PAIN OUTCOMES; FOLLOW-UP;
D O I
10.1016/j.soc.2017.08.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The management of ductal carcinoma in situ (DCIS) has traditionally followed the evidence base for invasive breast cancer using surgery, radiation therapy, and drug therapy to remove the DCIS from the breast and reduce the risk of recurrence for both DCIS and invasive breast cancer. Because of concerns regarding the overtreatment of DCIS, randomized controlled trials have been established to test the outcomes (invasive breast cancer outcomes and patient-reported outcome measures) of active surveillance compared with guideline-concordant care for low-risk (for progression) DCIS. These strategies are undergoing rigorous evaluation to evaluate alternatives to the current management of DCIS.
引用
收藏
页码:69 / +
页数:13
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