Ductal Carcinoma in Situ (DCIS) | Medical Algorithm

Are you evaluating a woman who has had breast conserving therapy for DCIS?

Yes

Year of surgery

Age of the woman at the time of diagnosis

years

Is there a family history of breast cancer?

Yes

Did the woman receive radiation therapy after surgery?

Yes

Did the woman receive adjuvant endocrine therapy after surgery?

Yes

Is necrosis present in the DCIS?

Yes

Number of surgical excisions performed

Select an appropriate answer for each finding

Margins

Nuclear grade of the tumor

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Probability of local recurrence within 5 years of breast conserving therapy

Probability of local recurrence within 10 years of breast conserving therapy

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Pedigree Assessment Tool (PAT) of Hoskins et al for Identifying a Woman at High Risk for Hereditary Breast Cancer
Laboratory Tests
- Elston's Modification for the Criteria of Bloom and Richardson in the Histologic Grading of Infiltrating Ductal Carcinoma
- Allred Score for Reporting Estrogen Receptor Status by Immunohistochemistry for a Woman with Breast Cancer
Severity, Prognosis, Stage

Therapy

Selection
- Criteria for Counseling & Testing Patient for BRCA1 & BRCA2 Mutations
- Prognostic Factors for Woman with Recurrent Cancer in Ipsilateral Breast

Monitoring

Response To Therapy
Disease Progression
- Scoring Breast Cosmesis Following Therapy
- Clinical-Pathologic Scoring System (CPS and CPS+EG) of Jeruss et al for Evaluating a Woman with Breast Cancer After Neoadjuvant Therapy

Patient Concerns

Quality Of Life
- Scoring Breast Cosmesis Following Therapy
Psychological Response
- Scoring Breast Cosmesis Following Therapy

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Predicting Local Recurrence Risk Following Breast Conserving Therapy for Ductal Carcinoma in Situ (DCIS)

Purpose: To predict the risk of local recurrence following breast -conserving therapy for DCIS based on the study of Rudloff et al.

Evaluation

Results

Please fill out required fields.

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10