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. 2019 May;189(5):956–965. doi: 10.1016/j.ajpath.2018.08.020

Figure 2.

Figure 2

Comparing traditional treatment models to precision medicine–informed treatment models in ductal carcinoma in situ (DCIS). In a traditional paradigm of DCIS treatment, two patients (A and B) with an intermediate-grade DCIS would be treated with surgery and radiotherapy. In contrast, a precision medicine–based treatment approach would incorporate genomic biomarkers to stratify DCIS lesions according to risk of recurrence or invasion; in this example, one patient's DCIS (patient DCIS A) was determined to be high risk, which would be treated with the standard surgery and radiotherapy, whereas the other low-risk DCIS (patient DCIS B) would be treated with active surveillance or surgery only.