Van Nuys Prognostic Index Ductal Carcinoma In Situ

Purpose: To calculate the Van Nuys prognostic index for ductal carcinoma in situ.

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Evaluation

Is ductal carcinoma present?

Yes

Is any invasion present?

Yes

Size of lesion

Distance to closest margin

Is comedonecrosis present?

Yes

Tumor histologic grade

Results

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Results Interpretation and Description References Next Steps

Information complete?

Ductal carcinoma in situ?

Prognostic index

Prognostic risk group

Therapy Recommendations

• initial excision alone?

• radiation therapy?

• re-excision for better margins?

• modified radical mastectomy?

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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
Other Testing
- Predicting Local Recurrence Risk Following Breast Conserving Therapy for Ductal Carcinoma in Situ (DCIS)
Severity, Prognosis, Stage

Therapy

Selection

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

Specialty

Hematology Oncology
Surgery, general
Obstetrics & Gynecology

Objective

severity
prognosis
stage
response to therapy

ICD-10

C50 - Malignant neoplasm of breast

Info

Purpose: To calculate the Van Nuys prognostic index for ductal carcinoma in situ.

Specialty: Hematology Oncology, Surgery, general, Obstetrics & Gynecology

Objective: severity, prognosis, stage, response to therapy

ICD-10: C50,

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