{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:44:25Z","timestamp":1769197465458,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T00:00:00Z","timestamp":1681603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sector resection for Ductal Carcinoma <jats:italic>in Situ<\/jats:italic> (DCIS) allows wide excision without compromising breast shape. There are concerns that radiotherapy for some DCIS after sector resection is unnecessary and reduces patient satisfaction and quality of life without affecting survival. This study aimed to investigate whether women with DCIS managed with sector resection without radiotherapy had acceptable rates of recurrence and health\u2010related quality of life outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective study of patients who underwent sector resection for DCIS without adjuvant radiotherapy from 1992 to 2021. Tumour size, grade, necrosis, margins, follow up and time to ipsilateral recurrence was recorded. Patients were posted a BREAST\u2010Q to assess health\u2010related quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010eight patients were treated for pure DCIS by two surgeons from 1992 to 2018. One hundred and sixteen patients underwent sector resection, 22 had mastectomy. Average age 61\u2009years. Mean follow up 9.14\u2009years. Recurrence rate after sector resection was 18.97%. 55% were DCIS. Annualized recurrence rate was 2.07%. There were no cancer\u2010related deaths. BREAST\u2010Q completion rate was 44%. Satisfaction with breasts, physical, psychosocial, and sexual well\u2010being scores were significantly higher than normative Australian values and a mixed cohort of women who underwent breast conserving surgery with radiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DCIS can be safely managed with sector resection without radiotherapy and regular long\u2010term follow up. This approach results in low annualized recurrence rates, high levels patient satisfaction and health\u2010related quality of life and should be considered a safe alternative for patients with DCIS to minimize morbidity without affecting cancer survival.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18459","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T04:13:39Z","timestamp":1681704819000},"page":"2208-2213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of <scp>DCIS<\/scp> treated with breast conserving surgery without radiotherapy on recurrence, survival, and health\u2010related quality of life"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7379-8100","authenticated-orcid":false,"given":"Siobhan Elizabeth","family":"Fitzpatrick","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Flinders Medical Centre  Adelaide South Australia Australia"},{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Eaton","sequence":"additional","affiliation":[{"name":"Department of Surgery Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"McLeay","sequence":"additional","affiliation":[{"name":"Department of Surgery Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola R.","family":"Dean","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Flinders Medical Centre  Adelaide South Australia Australia"},{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra031301"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2016.09.001"},{"key":"e_1_2_9_4_1","unstructured":"AIHW.Risk of Invasive Breast Cancer in Women Diagnosed with Ductal Carcinoma in Situ in Australia between 1995 and 2005. 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