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- W4297200219 abstract "Oncologic safety of active monitoring (AM) for atypical ductal hyperplasia (ADH) on core-needle biopsy (CNB) is not well defined. We sought to define oncologic outcomes for AM to manage ADH meeting institutional predefined low-risk criteria (LOW).ADH was diagnosed on CNB from 10/2015-03/2020. LOW (pure ADH, size <1 cm, >50% removed by CNB, <3 foci, and no necrosis) patients were offered AM; all others were recommended for surgical excision. Oncologic outcomes were compared for AM and surgery.111 were included, 21 (19%) meeting LOW. AM occurred in 18 (86%) while 3 elected for excision (with 0% upgrade). Of the 18 LOW in AM, 2 required additional CNB (none at ADH site): 0% were diagnosed with cancer over median 23 month follow-up.There were no missed cancers at ADH site during AM for LOW, confirming the oncologic safety of AM in this select group." @default.
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- W4297200219 date "2023-01-01" @default.
- W4297200219 modified "2023-10-14" @default.
- W4297200219 title "Safety of de-escalation of surgical intervention for atypical ductal hyperplasia on percutaneous biopsy: One size does not fit all" @default.
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- W4297200219 doi "https://doi.org/10.1016/j.amjsurg.2022.09.044" @default.
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