This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

GILBERT LAWRENCE, MD
Stoneboro, Pa

Arch Surg. 1991;126(12):1541.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor. —The paper that appeared in the April 1991 issue of the ARCHIVES by Silverstein et al¹ is a well researched study that sheds light on the natural behavior of intraductal carcinoma. Based on the 7% local recurrence rate, the authors cast a doubt on the effectiveness of lumpectomy and radiation therapy for ductal carcinoma in situ (DCIS). This is unfortunate! The risk of ipsilateral failure is much lower than the risk of a new tumor in the contralateral breast. It is heartening that none of the patients in the series had, and the authors do not recommend, bilateral mastectomy for DCIS.

The 7% incidence of local recurrence in patients treated with lumpectomy and radiation therapy is significantly lower than the reported incidence of local recurrence in infiltrating ductal carcinoma treated in a similar manner. Hence, there is no basis for the authors' comment that "Intraductal carcinomas . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?