Predictive Factors for Breast Cancer in Patients Diagnosed with Ductal Intraepithelial Neoplasia, Grade 1B

For ductal intraepithelial neoplasia, grade 1B, studies that predict breast cancer risk after an 11-gauge vacuum-assisted breast biopsy have yielded contradictory results. In order to identify a predictive model of breast cancer risk, we assessed the underestimation rate according to radiological an...

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Veröffentlicht in:Anticancer research 2012-08, Vol.32 (8), p.3571-3579
Hauptverfasser: BENDIFALLAH, S, CHABBERT-BUFFET, N, MAURIN, N, CHOPIER, J, ANTOINE, M, BEZU, C, UZAN, S, ROUZIER, R
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container_end_page 3579
container_issue 8
container_start_page 3571
container_title Anticancer research
container_volume 32
creator BENDIFALLAH, S
CHABBERT-BUFFET, N
MAURIN, N
CHOPIER, J
ANTOINE, M
BEZU, C
UZAN, S
ROUZIER, R
description For ductal intraepithelial neoplasia, grade 1B, studies that predict breast cancer risk after an 11-gauge vacuum-assisted breast biopsy have yielded contradictory results. In order to identify a predictive model of breast cancer risk, we assessed the underestimation rate according to radiological and clinical findings. Our study involved 212 patients. We compared the area under the receiver operating characteristic curves and the clinical utility of a logistic regression and partitioning model. Overall upgrade to malignancy occurred in 42 (19.8%) out of the 212 cases. The area under the curve for the logistic regression and partitioning model were 0.65 (95% confidence interval=0.61-0.70) and 0.58 (95% confidence interval=0.54-0.62), respectively. The lowest predicted underestimation rate obtained with the logistic regression model was 9.5%. From this large series, we were unable to define any accurate safety model for breast cancer. Surgery should be thus recommended.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Biological and medical sciences
Breast Neoplasms - pathology
Carcinoma in Situ - pathology
Carcinoma, Ductal, Breast - pathology
Carcinoma, Intraductal, Noninfiltrating - pathology
Female
Gynecology. Andrology. Obstetrics
Humans
Logistic Models
Mammary gland diseases
Medical sciences
Middle Aged
Neoplasm Grading
Prognosis
Risk Factors
Tumors
title Predictive Factors for Breast Cancer in Patients Diagnosed with Ductal Intraepithelial Neoplasia, Grade 1B
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