Evidence map›Paper›PMID 38398134›Full record

ArticleCancers2024

Surgical De-Escalation for Re-Excision in Patients with a Margin Less Than 2 mm and a Diagnosis of DCIS.

Gianluca Vanni, Marco Pellicciaro, Nicola Di Lorenzo, Rosaria Barbarino, Marco Materazzo, Federico Tacconi, Andrea Squeri, Rolando Maria D'Angelillo, Massimiliano Berretta, Oreste Claudio Buonomo

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 3 institutions in 1 country.

Gianluca VanniBreast Unit Policlinico Tor Vergata, Department of Surgical Science, Tor Vergata University, Viale Oxford 81, 00133 Rome, Italy.
Marco PellicciaroBreast Unit Policlinico Tor Vergata, Department of Surgical Science, Tor Vergata University, Viale Oxford 81, 00133 Rome, Italy.ORCID 0000-0001-9557-2850
Nicola Di LorenzoDepartment of Surgical Sciences, Tor Vergata University, 00133 Rome, Italy.ORCID 0000-0003-3370-4912
Rosaria BarbarinoRadiotherapy, Department of Oncoematology, Policlinico Tor Vergata, 00133 Rome, Italy.
Marco MaterazzoBreast Unit Policlinico Tor Vergata, Department of Surgical Science, Tor Vergata University, Viale Oxford 81, 00133 Rome, Italy.ORCID 0000-0002-3599-061X
Federico TacconiDepartment of Surgical Sciences, Unit of Thoracic Surgery, Tor Vergata University, 00133 Rome, Italy.
Andrea SqueriSchool of Specialization in Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, 98100 Messina, Italy.ORCID 0009-0009-4314-3689
Rolando Maria D'AngelilloRadiotherapy, Department of Oncoematology, Policlinico Tor Vergata, 00133 Rome, Italy.
Massimiliano BerrettaDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.ORCID 0000-0002-9837-9148
Oreste Claudio BuonomoBreast Unit Policlinico Tor Vergata, Department of Surgical Science, Tor Vergata University, Viale Oxford 81, 00133 Rome, Italy.
Policlinico Tor Vergata · ITUniversity of Rome Tor Vergata · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current surgical guidelines recommend an optimal margin width of 2 mm for the management of patients diagnosed with ductal carcinoma in situ (DCIS). However, there are still many controversies regarding re-excision when the optimal margin criteria are not met in the first resection. The purpose of this study is to understand the importance of surgical margin width, re-excision, and treatments to avoid additional surgery on locoregional recurrence (LRR). The study is retrospective and analyzed surgical margins, adjuvant treatments, re-excision, and LRR in patients with DCIS who underwent breast-conserving surgery (BCS). A total of 197 patients were enrolled. Re-operation for a close margin rate was 13.5%, and the 3-year recurrence was 7.6%. No difference in the LRR was reported among the patients subjected to BCS regardless of the margin width (

Indexed as

DCISductal carcinoma in situlocoregional recurrenceomitting margin re-excisionsurgical de-escalation

Identifiers

PMID38398134
PMCPMC10886566
OpenAlexW4391746705

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.