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. Author manuscript; available in PMC: 2020 Jan 1.
Published in final edited form as: Ann Surg. 2019 Jan;269(1):150–157. doi: 10.1097/SLA.0000000000002439

TABLE 4.

Predictors of 10-yr Local Regional Recurrence Rates in Patients With Ductal Carcinoma In Situ Treated With Lumpectomy, With and Without Radiation Therapy

Adjuvant Radiation Therapy
No Adjuvant Radiation Therapy
Predictor Events/Total 10-Yr Local Regional Recurrence Rate P Value Events/Total 10-Yr Local Regional Recurrence Rate P Value
All patients 33/1193 3.5% (2.4%, 5.1%) 28/298 6.7% (4.2%, 10.7%)
Age, yrs
 ≤40 5/72 10.0% (4.1%, 23.5%) 0.03 2/17 15.6% (4%, 50.7%) 0.26
 >40 28/1121 3.0% (2%, 4.6%) 16/281 6.2% (3.8%, 10.2%)
Family history
 No 15/662 2.4% (1.3%, 4.2%) 0.19 11/147 7.7% (4.2%, 13.9%) 0.35
 Yes 18/530 4.9% (3%, 8.1%) 7/151 5.8% (2.8%, 12%)
First degree relative with breast cancer
 No 28/979 3.4% (2.2%, 5.1%) 0.74 15/230 6.9% (4.1%, 11.5%) 0.54
 Yes 5/213 3.9% (1.6%, 9.4%) 3/68 6.0% (1.9%, 18%)
Nuclear grade
 Low or intermediate 17/592 3.8% (2.2%, 6.4%) 0.98 11/217 5.5% (3%, 10%) 0.19
 High 16/579 3.2% (1.8%, 5.5%) 6/68 10.9% (4.9%, 23.4%)
Tumor size
 ≤1 cm 8/506 1.5% (0.7%, 3.2%) 0.055 10/164 6.5% (3.4%, 12.2%) 0.42
 >1 cm 15/451 4.1% (2.3%, 7.3%) 4/51 10.6% (4.1%, 26.3%)
Comedo
 Absent 26/789 2.6% (1.2%, 5.7%) 0.39 14/232 6.8% (4%, 11.5%) 0.62
 Present 7/342 4.0% (2.6%, 6.3%) 4/51 8.3% (3.2%, 20.6%)
Necrosis
 Absent 22/735 4.0% (2.6%, 6.3%) 0.8 16/213 8.0% (4.9%, 13%) 0.16
 Present 11/443 2.4% (1.2%, 4.6%) 2/77 3.4% (0.8%, 13.4%)
Hormone therapy
 No 20/600 4.3% (2.7%, 6.8%) 0.34 14/222 7.6% (4.5%, 12.7%) 0.65
 Yes 13/593 2.6% (1.4%, 5%) 4/76 4.3% (1.4%, 12.8%)
Estrogen receptor status
 Positive 13/704 2.3% (1.2%, 4.2%) 0.7 8/145 5.6% (2.7%, 11.4%) 0.98
 Negative 2/138 1.5% (0.4%, 5.7%) 1/19 5.9% (0.9%, 35%)
Margin width
 Free (≥2 mm) 31/1093 3.3% (2.2%, 4.9%) 0.69 14/278 5.4% (3.1%, 9.2%) 0.0006
 Close (<2 mm) 2/100 4.8% (1.2%, 18.5%) 4/20 30.9% (12.4%, 64.6%)