Skip to main content
Top
Published in: Annals of Surgical Oncology 3/2017

01-12-2017 | Breast Oncology

Confusion Over Differences in Registration and Randomization Criteria for the LORIS (Low-Risk DCIS) Trial

Authors: Daniel Rea, BSc, MBBS, PhD, FRCP, Adele Francis, MBChB, PhD, FRCS, Matthew Wallis, MBChB, FRCR, Jeremy Thomas, FRCPath, John Bartlett, BSc, PhD, FRCPath, Sarah Bowden, PhD, BSc, David Dodwell, MD, Lesley Fallowfield, DBE, BSc, DPhil, F.Med.Sci., Claire Gaunt, BSc (Hons), Andrew Hanby, BM, FRCPath, Valerie Jenkins, DPhil, BSc, SRN, Lucy Matthews, BSc (Hons), Sarah Pinder, FRCPath, Sarah Pirrie, MSc, Malcolm Reed, MD, FRCS, Margaret Wilcox, Tracy Roberts, PhD, Cliona Kirwan, MBBS, BSc, FRCS, PhD, Cassandra Brookes, BSc (Hons), MSc, Patricia Fairbrother, Lucinda Billingham, BSc, MSc, PhD, CStat, Andrew Evans, FRCR, Jennie Young, BA (Hons)

Published in: Annals of Surgical Oncology | Special Issue 3/2017

Login to get access

Excerpt

We read with interest and concern the article by Pilewskie et al.1 The author’s study claims to match a series of patients whom they have interpreted as fulfilling the eligibility for inclusion in the Low-Risk Ductal Carcinoma in Situ (LORIS) trial from retrospective cases diagnosed with ductal carcinoma in situ (DCIS) and treated with surgery. Their stated aim was to explore the safety of an observation approach as an alternative management strategy for DCIS outside the context of a clinical trial, and they report an upgrade from DCIS to invasive cancer in 20% (58/296) of cases examined. …
Literature
1.
go back to reference Pilewskie M, Stemple M, Rosenfeld H, et al. Do LORIS trial eligibility criteria identify a ductal carcinoma in situ patient population at low risk of upgrade to invasive carcinoma. Ann Surg Oncol. 2016;23:3487–93.CrossRefPubMedPubMedCentral Pilewskie M, Stemple M, Rosenfeld H, et al. Do LORIS trial eligibility criteria identify a ductal carcinoma in situ patient population at low risk of upgrade to invasive carcinoma. Ann Surg Oncol. 2016;23:3487–93.CrossRefPubMedPubMedCentral
2.
go back to reference Francis A, Thomas J, Fallowfield L, et al. Addressing overtreatment of screen detected DCIS; the LORIS trial. Eur J Cancer. 2015;51:2296–303.CrossRefPubMed Francis A, Thomas J, Fallowfield L, et al. Addressing overtreatment of screen detected DCIS; the LORIS trial. Eur J Cancer. 2015;51:2296–303.CrossRefPubMed
4.
go back to reference Wells WA, Carney PA, Eliasson MS, Grove MR, Tosteson ANA. Pathologists’ agreement with experts and reproducibility of breast ductal carcinoma in situ classification schemes. Am J Surg Pathol. 2000;24:651–9.CrossRefPubMed Wells WA, Carney PA, Eliasson MS, Grove MR, Tosteson ANA. Pathologists’ agreement with experts and reproducibility of breast ductal carcinoma in situ classification schemes. Am J Surg Pathol. 2000;24:651–9.CrossRefPubMed
5.
go back to reference Schuh F, Biazus JV, Resetkova E, Benfica CZ, Edelweiss MIA. Reproducibility of three classification systems of ductal carcinoma in situ of the breast using a web-based survey. Pathol Res Pract. 2010;206:705–11.CrossRefPubMed Schuh F, Biazus JV, Resetkova E, Benfica CZ, Edelweiss MIA. Reproducibility of three classification systems of ductal carcinoma in situ of the breast using a web-based survey. Pathol Res Pract. 2010;206:705–11.CrossRefPubMed
6.
go back to reference Douglas-Jones A, Morgan JM, Appleton MAC, et al. Consistency in the observation of features used to classify duct carcinoma in situ (DCIS) of the breast. J Clin Pathol. 2000;53:596–602.CrossRefPubMedPubMedCentral Douglas-Jones A, Morgan JM, Appleton MAC, et al. Consistency in the observation of features used to classify duct carcinoma in situ (DCIS) of the breast. J Clin Pathol. 2000;53:596–602.CrossRefPubMedPubMedCentral
7.
go back to reference Kim J, Han W, Lee JW, et al. Factors associated with upstaging from ductal carcinoma in situ following core needle biopsy to invasive cancer in subsequent surgical excision. Breast. 2012;21:641–5.CrossRefPubMed Kim J, Han W, Lee JW, et al. Factors associated with upstaging from ductal carcinoma in situ following core needle biopsy to invasive cancer in subsequent surgical excision. Breast. 2012;21:641–5.CrossRefPubMed
Metadata
Title
Confusion Over Differences in Registration and Randomization Criteria for the LORIS (Low-Risk DCIS) Trial
Authors
Daniel Rea, BSc, MBBS, PhD, FRCP
Adele Francis, MBChB, PhD, FRCS
Matthew Wallis, MBChB, FRCR
Jeremy Thomas, FRCPath
John Bartlett, BSc, PhD, FRCPath
Sarah Bowden, PhD, BSc
David Dodwell, MD
Lesley Fallowfield, DBE, BSc, DPhil, F.Med.Sci.
Claire Gaunt, BSc (Hons)
Andrew Hanby, BM, FRCPath
Valerie Jenkins, DPhil, BSc, SRN
Lucy Matthews, BSc (Hons)
Sarah Pinder, FRCPath
Sarah Pirrie, MSc
Malcolm Reed, MD, FRCS
Margaret Wilcox
Tracy Roberts, PhD
Cliona Kirwan, MBBS, BSc, FRCS, PhD
Cassandra Brookes, BSc (Hons), MSc
Patricia Fairbrother
Lucinda Billingham, BSc, MSc, PhD, CStat
Andrew Evans, FRCR
Jennie Young, BA (Hons)
Publication date
01-12-2017
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2017
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-017-6174-y

Other articles of this Special Issue 3/2017

Annals of Surgical Oncology 3/2017 Go to the issue