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. 2017 May 9;47(8):671–677. doi: 10.1093/jjco/hyx059

Table 1.

Predictors of invasive components in patients with preoperatively diagnosed ductal carcinoma in situ

Total no. of patients No. of underestimates of invasive cancer (%) Predictors of invasive component
Jackman et al. (14) 1 326 183 (14%)
  • Mammographic mass (1.9 times as much as Calcification only, P < 0.001)

  • Diagnosis by core-needle biopsy (1.9 times as much as VAB , P < 0.001)

Renshaw et al. (15) 91 17 (19%) Comedo DCIS with cribriform/papillary pattern (OR: not shown , P = 0.002)
Hoorntje et al. (16) 255 41 (16%) NG 3 DCIS (OR = 2.9, 95% CI 1.0–7.8) Periductal inflammation in core biopsies (OR = 3.3, 95% CI 1.3–8.7)
Yen et al. (17) 398 80 (20%)
  • Age ≤ 55y (OR = 2.19, 95% CI 1.11–4.32)

  • Mammographic size ≥4.0 cm (OR = 2.92, 95% CI 1.51–5.66)

  • HG 3 (OR = 3.06, 95% CI 1.49–6.30)

  • Diagnosis by core-needle biopsy (Comparison with open biopsy, OR = 3.76, 95% CI 1.46–9.63)

Mittendorf et al. (18) 85 7 (20%) Diagnosis by core-needle biopsy (Comparison with open biopsy, OR: not shown)
Wilkie et al. (19) 675 66 (10%)
  • HG 3 (OR: not shown , P = 0.003)

  • Mammographic mass (OR = 2, 95% CI 1.08–4.65)

Goyal et al. (20) 587 220 (38%)
  • Clinically palpable mass (OR = 5.09, 95% CI 3.06–8.48)

  • Mammographic mass (OR = 7.37, 95% CI 3.27–16.64)

Huo et al. (21) 200 41 (20.5%)
  • Mass lesion on imaging (OR = 2.48, 95% CI 1.1–5.62)

  • Lesion size ≥1.5 cm (OR = 3.15, 95% CI 1.44–6.88)

Miyake et al. (22) 103 37 (35.9%)
  • Palpable lesion (OR = 4.091, 95% CI 1.399–11.959)

  • MRI size ≥2.0 cm (OR = 4.506, 95% CI 1.322–15.358)

Park et al. (23) 86 27 (31.4%)
  • Palpable mass or nipple discharge (43% vs 22%; P = 0.04)

  • Number of core specimens < 5 (45% vs 20%; P = 0.011)

  • Mammographic size ≥2.5 cm (44% vs 14%; P = 0.022)US size ≥3.2 cm (55% vs 24%; P = 0.009)MRI size ≥3.0 cm (48% vs 19%; P = 0.004)

DCIS, ductal carcinoma in situ; VAB, vacuum-assisted biopsy; CNB, core needle biopsy.