Abstract

In a controlled clinical trial 114 patients with biopsy proven ductal carcinoma in situ were treated by breast conserving surgery without postoperative radiatioa Intraductal comedocarcinoma was found in 41%, cribriform and papillary types were found in 22%. The proportion of high-grade lesions and low-grade lesions being 1:0.6. Recurrences were found in 19%. High-grade DCIS was associated with a 15.3%, low-grade DCIS with a 12.2% recurrence rate. The recurrences did not show any correlation with the age of the patient nor the type and size of the lesion within the range of 2–46 mm. Optimal preconditions for mammographic follow-up seems to be of greater importance for the outcome of the patient than the size and type of the DCIS and the age of the patient.

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