Evidence map›Paper›PMID 39832051›Full record

ArticleBreast cancer research and treatment2025

Clinicopathologic characteristics of ductal carcinoma in situ and risk of subsequent invasive breast cancer: a multicenter, population-based cohort study.

Thomas E Rohan, Yihong Wang, Fergus Couch, Heather Spencer Feigelson, Robert T Greenlee, Stacey Honda, Azadeh Stark, Dhananjay Chitale, Chenxin Zhang, Xiaonan Xue and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. p16, COX-2, and Ki67 Protein Expression in DCIS and Risk of Ipsilateral Invasive Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    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

12 authors.

Thomas E RohanDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA. thomas.rohan@einsteinmed.edu.
Yihong WangDepartment of Pathology and Laboratory Medicine, Rhode Island Hospital and Lifespan Medical Center, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Fergus CouchDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Heather Spencer FeigelsonInstitute for Health Research, Kaiser Permanente, Aurora, CO, USA.
Robert T GreenleeCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USA.
Stacey HondaCenter for Integrated Healthcare, Kaiser Permanente, Hawaii Permanente Medical Group, Honolulu, HI, USA.
Azadeh StarkDepartment of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, MI, USA.
Dhananjay ChitaleDepartment of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, MI, USA.
Chenxin ZhangDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Xiaonan XueDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Mindy GinsbergDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Olivier LoudigCenter for Discovery and Innovation (CDI), Hackensack Meridian Health, Nutley, NJ, USA.

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
Molecular markers of risk of subsequent invasive breast cancer in women wth ductal carcinoma in situR01CA218429 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI LOUDIG, OLIVIER, ROHAN, THOMAS E · 2017 to 2021
$6.4M
Breast Cancer Research Foundation BCRF-23-140National Cancer Institute/National Institutes of Health R01CA218429NCATS NIH HHS UM1 TR004400NCI NIH HHS R01 CA218429
6 · The paper itself

Abstract

purposeTo study the association between clinicopathologic characteristics of ductal carcinoma in situ (DCIS) and risk of subsequent invasive breast cancer (IBC).

methodsWe conducted a case-control study nested in a multicenter, population-based cohort of 8175 women aged ≥ 18 years with DCIS diagnosed between 1987 and 2016 and followed for a median duration of 83 months. Cases (n = 497) were women with a first diagnosis of DCIS who developed a subsequent IBC ≥ 6 months later; controls (2/case; n = 959) were matched to cases on age at and calendar year of DCIS diagnosis. Univariable and multivariable conditional logistic regression models were used to examine the associations between the DCIS characteristics of interest (non-screen detection of DCIS, tumor size, positive margins, grade of DCIS, necrosis, architectural pattern, microcalcification, and estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) status) and risk of IBC.

resultsIn the total study population, the associations were largely null. In subgroup analyses, there were strong position associations with punctate necrosis (pre/perimenopausal women), detection by physical exam (postmenopausal women), architectural patterns other than the main types (breast-conserving surgery [BCS]), and DCIS margins (ipsilateral cases), and inverse associations with HER2 positivity (BCS) and microcalcification (mastectomy); however, the associated confidence intervals were mostly very wide.

conclusionThe results of this study provide limited support for associations of the DCIS clinicopathologic characteristics studied here and risk of IBC.

Indexed as

Breast NeoplasmsCarcinoma, Intraductal, NoninfiltratingAdultAgedCase-Control StudiesCohort StudiesErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoplasm GradingNeoplasm InvasivenessReceptors, EstrogenReceptors, ProgesteroneRisk FactorsErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneClinicopathologicDuctal carcinoma in situInvasive breast cancerRisk factors

Identifiers

PMID39832051
PMCPMC11953078

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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.