Evidence map›Paper›PMID 39928263›Full record

ArticleBreast cancer research and treatment2025

Lumpectomy surgery for large ductal carcinoma in situ.

Daniela Bresciani Padilla, Jacqueline Tsai, Amanda Sutherland Beck, Irene L Wapnir

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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. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Daniela Bresciani PadillaDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Jacqueline TsaiDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Amanda Sutherland BeckDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Irene L WapnirDepartment of Surgery, Stanford University School of Medicine, 300 Pasteur Drive H3625, Stanford, CA, 94305, USA. wapnir@stanford.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast-conserving surgery for larger ductal carcinoma in situ (DCIS) remains limited. We compare the attempted use and success rates of lumpectomy surgery in patients with DCIS measuring ≥ 4 cm versus < 4 cm.

methodsA retrospective review was conducted using the institutional tumor registry to identify cases of pure DCIS that were surgically treated from 2015 to 2022. Clinical-pathological data were abstracted from electronic medical records. Pathologic tumor size on initial surgery was used to define the two cohorts. Comparisons of variables were made using Chi-square and ANOVA tests.

resultsA total of 669 patients, 84% (562) with tumors measuring < 4 cm and 16% (107) ≥ 4 cm were identified. Lumpectomy was the initial surgery performed for 89% of women with lesions measuring < 4 cm on preoperative imaging studies compared to 64% of those ≥ 4 cm. Overall, 461 (92.9%) of 496 in the < 4 cm succeeded at lumpectomy compared to 36 (56.3%) of 64 in the ≥ 4 cm group. Re-excision lumpectomies or mastectomy were performed in 27% and 44% of the < 4 cm and ≥ 4 cm subgroups. Lumpectomy was achieved for 70% of women with tumors in the 4 to 5.9 cm range compared to 33% in the 6-7.9 cm and the ≥ 8 cm groups. There were no local recurrences in the ≥ 4 cm group at an average of 4.4 years follow-up.

conclusionLumpectomy is a viable option for many patients with DCIS ≥ 4 cm, especially those measuring < 6 cm, though repeat re-excisions may be required after initial attempt.

Indexed as

Breast NeoplasmsCarcinoma, Intraductal, NoninfiltratingMastectomy, SegmentalAdultAgedAged, 80 and overFemaleHumansMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeTumor BurdenDuctal carcinoma in situLumpectomyMastectomy

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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.