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%) | — | |