Evidence map›Paper›PMID 35053533›Full record

ArticleCancers2022

A Model to Predict Upstaging to Invasive Carcinoma in Patients Preoperatively Diagnosed with Low-Grade Ductal Carcinoma In Situ of the Breast.

Luca Nicosia, Anna Carla Bozzini, Silvia Penco, Chiara Trentin, Maria Pizzamiglio, Matteo Lazzeroni, Germana Lissidini, Paolo Veronesi, Gabriel Farante, Samuele Frassoni and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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

16 authors at 4 institutions in 1 country.

Luca NicosiaBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0003-3979-8075
Anna Carla BozziniBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Silvia PencoBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Chiara TrentinBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Maria PizzamiglioBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Matteo LazzeroniDivision of Cancer Prevention and Genetics, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-2162-4002
Germana LissidiniDivision of Breast Surgery, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Paolo VeronesiDivision of Breast Surgery, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Gabriel FaranteDivision of Breast Surgery, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Samuele FrassoniDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, 20126 Milan, Italy.
Vincenzo BagnardiDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, 20126 Milan, Italy.
Cristiana FodorDivision of Radiation Oncology, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Nicola FuscoDepartment of Oncology and Hemato-Oncology, University of Milan, 20133 Milan, Italy.ORCID 0000-0002-9101-9131
Elham SajjadiDepartment of Oncology and Hemato-Oncology, University of Milan, 20133 Milan, Italy.ORCID 0000-0001-7401-1843
Enrico CassanoBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-3437-8939
Filippo PesapaneBreast Imaging Division, Radiology Department, IEO, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-0374-5054
European Institute of Oncology · ITUniversity of Milan · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to create a model of radiological and pathological criteria able to predict the upgrade rate of low-grade ductal carcinoma in situ (DCIS) to invasive carcinoma, in patients undergoing vacuum-assisted breast biopsy (VABB) and subsequent surgical excision.

methodsA total of 3100 VABBs were retrospectively reviewed, among which we reported 295 low-grade DCIS who subsequently underwent surgery. The association between patients' features and the upgrade rate to invasive breast cancer (IBC) was evaluated by univariate and multivariate analysis. Finally, we developed a nomogram for predicting the upstage at surgery, according to the multivariate logistic regression model.

resultsThe overall upgrade rate to invasive carcinoma was 10.8%. At univariate analysis, the risk of upgrade was significantly lower in patients with greater age (

conclusionsAn easy-to-use nomogram for predicting the upstage at surgery based on radiological and pathological criteria is able to identify patients with low-grade carcinoma in situ with low risk of upstaging to infiltrating carcinomas.

Indexed as

active surveillancebiopsybreastductal carcinoma in situ (DCIS)invasive breast carcinomaovertreatment

Identifiers

PMID35053533
PMCPMC8773816
OpenAlexW4225374263

What OpenQuestion holds

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Registered trials

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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.