Evidence map›Paper›PMID 31538286›Full record

ArticleAnnals of surgical oncology2019

Breast Cancer Found Incidentally After Reduction Mammaplasty in Young Insured Women.

Kara Vande Walle, Dou-Yan Y Yang, Trista J Stankowski-Drengler, Devon Livingston-Rosanoff, Sara Fernandes-Taylor, Jessica R Schumacher, Lee G Wilke, Caprice C Greenberg, Heather B Neuman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kara Vande WalleDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Dou-Yan Y YangDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Trista J Stankowski-DrenglerDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Devon Livingston-RosanoffDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Sara Fernandes-TaylorDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Jessica R SchumacherDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Lee G WilkeDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Caprice C GreenbergDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA.
Heather B NeumanDepartment of Surgery, Clinical Science Center, University of Wisconsin-Madison, Madison, WI, USA. neuman@surgery.wisc.edu.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
NCATS NIH HHS UL1 TR000427NCI NIH HHS T32 CA090217
6 · The paper itself

Abstract

backgroundReduction mammaplasty is a common operation performed for healthy women. The estimated incidence of breast cancer diagnosed at the time of reduction mammaplasty varies from 0.06 to 4.5%, and information on the care of these patients is limited. This study aimed to determine the incidence of breast cancer identified incidentally during reduction mammaplasty and to characterize preoperative imaging.

methodsWomen 18 years of age or older who underwent reduction mammaplasty from 2013 to 2015 were identified from the Truven Health MarketScan

resultsReduction mammaplasty was performed for 18,969 women with a mean age of 42.5 years. Of these patients, 186 (0.98%) were incidentally found to have breast cancer, with 134 (0.71%) having invasive breast cancer and 52 (0.27%) having carcinoma in situ. The patients with incidentally found cancer were older than the patients without cancer (50.8 vs. 42.5 years; p < 0.001). Overall, 58.2% of the patients had undergone mammography before reduction mammoplasty. The rates were higher (> 80%) for the patients older than 40 years. Preoperative mammography was performed for 76.3% of those with a diagnosis of breast cancer at time of reduction mammoplasty.

conclusionsBreast cancer diagnosed incidentally at the time of reduction mammaplasty is uncommon and often radiographically occult. The majority of women older than 50 years appropriately received preoperative mammography. These data can be used to manage patient expectations about the potential for the incidental diagnosis of breast cancer at reduction mammaplasty, even with a negative preoperative mammography.

Indexed as

Incidental FindingsPostoperative CareAdultBreast NeoplasmsCarcinoma in SituFemaleFollow-Up StudiesHumansInsurance, HealthMagnetic Resonance ImagingMammaplastyMammographyMiddle AgedPrognosisUltrasonography, Mammary

Identifiers

PMID31538286
PMCPMC7486797

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.