Factors influencing the quality of local management of ductal ...

7 downloads 0 Views 1MB Size Report
The introduction of widespread screening mammog- raphy has markedly increased the detection of ductal carcinoma in situ (DCIS) in North America, from an.
' !"##'(%)*+J(b2@F(;1'?$,"$#:.&)@.5%'!$7FFG ABSTRACT ,-./012345 .?6CB@6DBM(5BE2AABDC(5IC6298B5I34(P!"Q(IK9B5(H5BIM9T E2DMB5N6D7(M?57B54(P'$&Q(K25(2396AI@(E2D952@(2K(C?E9I@( EI5E6D2AI(.%'/.&"(P#$%&QF($8B(I6A(2K(98B(35BMBD9(M9?C4( GIM(92(E8I5IE9B56^B(98B(5I9BM(2K(!"(E2DM6CB5I962D(IDC( DGPLQLVWUDWLRQ DQG WR LGHQWLI\ IDFWRUV LQÀXHQFLQJ 982MB(5I9BM(6D(I(E28259(2K(G2ABD(C6I7D2MBC(HB9GBBD( =XXV(IDC(;E( &::7::F748(2G(C-8FYW

j6982?9(#$"#

V>F
ZJ>YF( /2GBNB5J( 69( M82?@C( I@M2( HB( D29BC( 98I9J(6D(`?BHBEJ(I(G2AID(WV]ZF( $8B(5BM?@9M(2K(I(5BEBD9(M4M9BAI96E(@69B5I9?5B(5BN6BG(2D( WKHEHQH¿WVRIWHOHPHGLFLQHUHYHDOHGSUHGRPLQDQWO\ 32M696NB(5BM?@9MJ(G698(I(E@BI5(95BDC(92GI5C(HB99B5(5BM?@9M( K25(lHB8IN62?5I@m(BDC326D9M(PK25(BLIA3@BJ(IC8B5BDEB( WR PHGLFDWLRQ RU GLHW DQG VHOIHI¿FDF\  WKDQ IRU ABC6EI@( 2?9E2ABM( PK25( BLIA3@BJ( H@22C( 35BMM?5B( 25( A259I@694QJ( R?I@694( 2K( @6KBJ( IDC( BE2D2A6E( 2?9E2ABM( PK25(BLIA3@BJ(E2M9M(25(82M369I@6^I962DQZZF($8?MJ(9B@BT ABC6E6DB(E2?@C(I6C(6D(352N6C6D7( !"(E2DM?@9I962DM(92( B@676H@B( 3I96BD9M( G82( G2?@C( D29( 298B5G6MB( 5BEB6NB( 98BA(HBEI?MB(2K(C6M9IDEB(HI556B5MF %?5( M9?C4( 8IM( M2AB( 6A3259ID9( @6A69I962DMF( *2( 6DK25AI962D(GIM(INI6@IH@B(2D(98B(352N6CB5aM(5BIM2D6D7( 25(2D(9?A2?5(KIE925M(M?E8(IM(M6^B(2K(AI576DMJ(86M92@T 274(75ICBJ(IDC(35BMBDEB(2K(E2ABC2(DBE52M6MJ(I@@(2K( ZKLFK PLJKW LQÀXHQFH WUHDWPHQW GHFLVLRQPDNLQJ IDC(5BE2AABDCI962DMZYJZ_F($8B(@IEU(2K(35625(CI9I(C6C( D29(I@@2G(?M(92(E2D952@(K25(3I96BD9M(G698(E86@C822C( /2C7U6D(@4A382AIJ(I(E2D95I6DC6EI962D(92(!"(HBEI?MB( 2K( 35625( !"F( /2GBNB5J( 76NBD( 98B( @2G( 6DE6CBDEB( 5I9B( 2K( 98I9( C6MBIMB( 6D( 98B( #IDIC6ID( 323?@I962D( P>( 3B5( ='8%,+']'?$:';ZXS;==W];WF (Z;F( /IDDI($OJ(&6E8I5CM2D(/J(OBD7(sJ(d2D7(jJ(v8ID7]'I@2A2DM( gJ(0IEU6@@23(jgF("(323?@I962DTHIMBC(M9?C4(2K(KIE925M(IKKBE96D7( 98B(?MB(2K(5IC6298B5I34(K25(BDC2AB956I@(EIDEB5F(!+.%'(%)*+'Q9' !*++'95:.*+R';];ZF (Z>F( "AB56EID($B@BABC6E6DB("MM2E6I962D(P)")QF(j8I9(6M($B@BABC6T E6DBt(ojBH(3I7BpF(jIM86D792DJ(1#S()")\(;"(=">F -./012,(I56FAB7?B5C69E86IDyAE76@@FEI z( # ( @6D6EI@(IDC(/BI@98()DK25AI96EM(&BMBI5E8(.52?3J( 0E.6@@(,D6NB5M694J(02D95BI@J(`#F {( 1 ( B3I59ABD9(2K(-36CBA62@274J(i62M9I96M96EM(IDC( %EE?3I962DI@(/BI@98J(0E.6@@(,D6NB5M694J(02DT 95BI@J(`#F |( 1 ( B3I59ABD9( 2K( 0BC6E6DBJ( 0E.6@@( ,D6NB5M694J( 02D95BI@J(`#F }( ' ( E822@( 2K( O84M6EI@( IDC( %EE?3I962DI@( $8B5I34J( 0E.6@@(,D6NB5M694J(02D95BI@J(`#F ~~( (1B3I59ABD9(2K('?57B54J(0E.6@@(,D6NB5M694J(02DT 95BI@J(`#F ( 1 ( B3I59ABD9( 2K( %DE2@274J( 0E.6@@( ,D6NB5M694J( 02D95BI@J(`#F

e222 #23456789(:(;(0?@96ABC()DEF(!2@@2G6D7(3?H@6EI962D(6D(!"##$%&'(%)*+*,-J(98B(K?@@(9BL9(2K(BIE8(I596E@B(6M(INI6@IH@B(6AABC6I9B@4(IDC(I5E86NBC(6D(O?H0BC(#BD95I@(PO0#QF