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Critical appraisal of the 2 mm threshold in ductal carcinoma in situ: methodological concerns in meta-analysis of margin width and local recurrence risk.

作者信息

Rizk Mariam, Oner Muharrem, Mokbel Kefah

机构信息

The London Breast Institute, Princess Grace Hospital, London, UK.

出版信息

Gland Surg. 2025 Apr 30;14(4):771-775. doi: 10.21037/gs-2025-108. Epub 2025 Apr 25.

DOI:10.21037/gs-2025-108
PMID:40405944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12093165/
Abstract
摘要

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Critical appraisal of the 2 mm threshold in ductal carcinoma in situ: methodological concerns in meta-analysis of margin width and local recurrence risk.导管原位癌2毫米阈值的批判性评估：切缘宽度与局部复发风险荟萃分析中的方法学问题
Gland Surg. 2025 Apr 30;14(4):771-775. doi: 10.21037/gs-2025-108. Epub 2025 Apr 25.
2
Impact of resection margin width on local recurrence following breast-conserving surgery and whole breast radiotherapy for pure ductal carcinoma in situ: a systematic review and meta-analysis.保乳手术联合全乳放疗治疗单纯导管原位癌时切缘宽度对局部复发的影响：一项系统评价和荟萃分析
BMJ Oncol. 2025 Mar 6;4(1):e000633. doi: 10.1136/bmjonc-2024-000633. eCollection 2025.
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Does margin width impact breast cancer recurrence rates in women with breast conserving surgery for ductal carcinoma in situ?保乳手术治疗导管原位癌的女性中，切缘宽度是否会影响乳腺癌复发率？
Breast Cancer Res Treat. 2021 Sep;189(2):463-470. doi: 10.1007/s10549-021-06278-5. Epub 2021 Jun 15.
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Am Surg. 2025 Jul;91(7):1073-1077. doi: 10.1177/00031348241246179. Epub 2024 Apr 11.
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What should be the width of radiological margin to optimize resection of non-palpable invasive or in situ ductal carcinoma?为优化不可触及的浸润性或原位导管癌的切除，放射学切缘宽度应为多少？
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J Invest Surg. 2020 Aug;33(7):627-633. doi: 10.1080/08941939.2018.1539791. Epub 2018 Dec 21.
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Ductal carcinoma in situ. The success of breast conservation therapy: a shared experience of two single institutional nonrandomized prospective studies.导管原位癌。保乳治疗的成功：两项单机构非随机前瞻性研究的共同经验。
Surg Oncol Clin N Am. 1997 Apr;6(2):385-92.

本文引用的文献

1
Impact of resection margin width on local recurrence following breast-conserving surgery and whole breast radiotherapy for pure ductal carcinoma in situ: a systematic review and meta-analysis.保乳手术联合全乳放疗治疗单纯导管原位癌时切缘宽度对局部复发的影响：一项系统评价和荟萃分析
BMJ Oncol. 2025 Mar 6;4(1):e000633. doi: 10.1136/bmjonc-2024-000633. eCollection 2025.
2
Repeat breast-conserving surgery (BCS) for in breast tumor recurrence after initial BCS for ductal carcinoma .对导管癌初次保乳手术后乳腺肿瘤复发进行重复保乳手术。
Gland Surg. 2024 Dec 31;13(12):2218-2220. doi: 10.21037/gs-24-438. Epub 2024 Dec 24.
3
Surgical De-Escalation for Re-Excision in Patients with a Margin Less Than 2 mm and a Diagnosis of DCIS.
切缘小于2mm且诊断为导管原位癌患者再次切除的手术降级治疗
Cancers (Basel). 2024 Feb 10;16(4):743. doi: 10.3390/cancers16040743.
4
Reassessing treatment strategies for DCIS: analysis of survival and recurrence patterns.重新评估导管原位癌的治疗策略：生存及复发模式分析
Breast Cancer Res Treat. 2024 Jun;205(2):423-424. doi: 10.1007/s10549-024-07268-z. Epub 2024 Feb 15.
5
Unlocking the Power of the Homing Phenomenon: Why Breast Conserving Surgery Outshines Mastectomy in Overall Survival.解锁归巢现象的力量：为何保乳手术在总生存方面优于乳房切除术。
Clin Breast Cancer. 2024 Feb;24(2):85-92. doi: 10.1016/j.clbc.2023.10.003. Epub 2023 Oct 14.
6
Accurate Screening for Early-Stage Breast Cancer by Detection and Profiling of Circulating Tumor Cells.通过循环肿瘤细胞的检测与分析对早期乳腺癌进行精准筛查。
Cancers (Basel). 2022 Jul 9;14(14):3341. doi: 10.3390/cancers14143341.
7
Patterns of invasive recurrence among patients originally treated for ductal carcinoma in situ by breast-conserving surgery versus mastectomy.接受保乳手术与乳房切除术治疗的原位导管癌患者的侵袭性复发模式。
Breast Cancer Res Treat. 2021 Jun;187(3):919-920. doi: 10.1007/s10549-021-06245-0. Epub 2021 Apr 29.
8
Early breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up†.早期乳腺癌：ESMO 诊断、治疗及随访临床实践指南†
Ann Oncol. 2019 Aug 1;30(8):1194-1220. doi: 10.1093/annonc/mdz173.
9
Predictors of an Invasive Breast Cancer Recurrence after DCIS: A Systematic Review and Meta-analyses.DCIS 后浸润性乳腺癌复发的预测因素：系统评价和荟萃分析。
Cancer Epidemiol Biomarkers Prev. 2019 May;28(5):835-845. doi: 10.1158/1055-9965.EPI-18-0976. Epub 2019 Apr 25.
10
Randomized Placebo Controlled Trial of Low-Dose Tamoxifen to Prevent Local and Contralateral Recurrence in Breast Intraepithelial Neoplasia.随机安慰剂对照试验低剂量他莫昔芬预防乳腺上皮内瘤变的局部和对侧复发。
J Clin Oncol. 2019 Jul 1;37(19):1629-1637. doi: 10.1200/JCO.18.01779. Epub 2019 Apr 11.