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Balac N, Tungate RM, Jeong YJ, MacDonald H, Tung L, Schechter NR, Larsen L, Sener SF, Lang JE, Brownson KE. Is palpable DCIS more aggressive than screen-detected DCIS? Surg Open Sci 2022; 11:83-87. [PMID: 36589700 PMCID: PMC9798160 DOI: 10.1016/j.sopen.2022.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 12/07/2022] [Indexed: 12/14/2022] Open
Abstract
Background Palpable ductal carcinoma in-situ (pDCIS) is a subset of DCIS presenting with a clinical mass. We hypothesized pDCIS would have more aggressive clinical and pathological features, and higher rates of recurrence and upgrade to invasive disease compared to screen-detected DCIS. Materials and methods We performed a retrospective analysis of female patients (age 28-76) with DCIS on core-needle biopsy. pDCIS patients had a physician documented palpable mass prior to initial biopsy. Descriptive statistics were performed to compare groups. Results This study included 83 patients, 26 had pDCIS and 57 had screen-detected DCIS. Mean duration of follow-up was 49.4 months. pDCIS patients had significantly larger lesions (p = 0.03) which were more frequently biopsied via ultrasound (p = 0.002). In multivariate analysis, pDCIS was associated with ultrasound guided core needle biopsy, size of DCIS >2 cm, and comedo pattern (p = 0.001, p = 0.007 and p = 0.022, respectively). 7.7 % of pDCIS cases versus 3.5 % of screen-detected cases were upgraded to invasive cancer (p = 0.59). There was no difference in local recurrence (p = 0.55) between groups. Neither group experienced regional or distant recurrence. Conclusions pDCIS was associated with some aggressive pathologic and clinical features and was more frequently diagnosed by ultrasound guided core-needle biopsy than screen-detected DCIS. However, there was no significant difference in rate of recurrence or upgrade to invasive disease between groups. Key message Although pDCIS was associated with some aggressive pathologic and clinical features, there was no significant difference in rate of recurrence or upgrade to invasive disease compared to screen-detected DCIS.
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Affiliation(s)
- Nina Balac
- Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA,Corresponding author at: 1245 Park Avenue Apt 7A, New York, NY 10128, USA.
| | - Robert M. Tungate
- Department of Internal Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Young Ju Jeong
- Department of Surgery, Catholic University of Daegu School of Medicine, Daegu 42472, Republic of Korea
| | | | - Lily Tung
- Department of Trauma Surgery and Critical Care, Vancouver General Hospital, Vancouver, British Columbia V5Z 1M9, Canada
| | - Naomi R. Schechter
- Department of Radiation Oncology, University of Southern California, Los Angeles, CA 90033, USA
| | - Linda Larsen
- Department of Radiology, Division of Women's Imaging, University of Southern California, Los Angeles, CA 90033, USA
| | - Stephen F. Sener
- Division of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA,Department of Surgery, LAC+USC (LA County) Medical Center, Los Angeles, CA 90033, USA
| | - Julie E. Lang
- Division of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA,Department of Surgery, LAC+USC (LA County) Medical Center, Los Angeles, CA 90033, USA
| | - Kirstyn E. Brownson
- Division of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA,Department of Surgery, LAC+USC (LA County) Medical Center, Los Angeles, CA 90033, USA
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Huang S, Blissett G, Pei BA, Balac N, Bogner J, Reilly JM. A Descriptive Analysis of the Epidemiology and Motivations for Laser Tattoo Removal in an Underserved Population. J Community Health 2021; 47:127-135. [PMID: 34480684 DOI: 10.1007/s10900-021-01024-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2021] [Indexed: 11/30/2022]
Abstract
Tattoos of formerly gang-involved and incarcerated individuals can negatively impact their ability to reintegrate into society. Laser tattoo removal is essential to helping individuals obtain employment, re-cultivate positive relationships, and disengage from gangs. The objective of this study is to describe the demographics and motivations for laser tattoo removal at a large nonprofit clinic. This was a single center retrospective study conducted on patients presenting to Ya'stuvo Tattoo Removal between January 2016-December 2018 and had at least three laser tattoo removal sessions. Data was recorded on patient demographics, geographic location of residence (e.g. zipcode), comorbidities, probation/parole status, referral source, transportation mode, and motivations for receiving and removing tattoos. A representative sample of 862 patients was used to conduct our analysis. Average age at first visit was 30. 16% (n = 134) were on probation, 8% (n = 66) were on parole, and 63% (n = 544) did not report their probation/parole status. Reasons for receiving a tattoo included gangs (46%, n = 368), a current or ex-relationship (28%, n = 223), and decoration (20%, n = 159). The most common reasons for tattoo removal were employment (66%, n = 546), readiness to change life (47%, n = 392), maturity (47%, n = 392), family (43%, n = 356), and negative attention from tattoos (37%, n = 303). The current study highlights the importance of laser tattoo removal in reintegration and gang disengagement. Expanding cost efficient laser tattoo removal is paramount to meet the safety and socioeconomic needs of this population.
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Affiliation(s)
- Samantha Huang
- Keck School of Medicine of USC, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
| | - Gabriella Blissett
- Keck School of Medicine of USC, 1975 Zonal Ave, Los Angeles, CA, 90033, USA
| | - Bing April Pei
- Keck School of Medicine of USC, 1975 Zonal Ave, Los Angeles, CA, 90033, USA
| | - Nina Balac
- Keck School of Medicine of USC, 1975 Zonal Ave, Los Angeles, CA, 90033, USA
| | | | - Jo Marie Reilly
- Keck School of Medicine of USC, 1975 Zonal Ave, Los Angeles, CA, 90033, USA
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Gong A, Onwuzurike JO, Balac N, Patel SV, Sohn J, Grazette LP. SOLUBLE ST2 AND ITS ASSOCIATION WITH ECHOCARDIOGRAPHIC MEASURES OF DIASTOLIC DYSFUNCTION IN AMBULATORY PATIENTS WITH HFPEF. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)02070-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gong AO, Patel SV, Balac N, Lee AE, McLeod JM, Grazette LP. Prognostic Value of Soluble ST2 Measurements for Morbidity and Mortality in Ambulatory Patients with HFrEF. J Card Fail 2020. [DOI: 10.1016/j.cardfail.2020.09.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zhou A, Divjan A, Phipatanakul W, Balac N, Dominguez J, Matsui EC, Perzanowski MS. Relationship Between Domestic Mouse Allergen Exposure Assessed in Settled Dust and Mouse Specific IgE, IgG and IgG4 Antibodies in Asthmatic Children. J Allergy Clin Immunol 2015. [DOI: 10.1016/j.jaci.2014.12.1442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
The plasma levels of 8-methoxypsoralen (8-MOP) were determined in 18 patients on PUVA treatment for their psoriasis and in two control volunteers. Seven of the patients were on oral therapy and 13 having bath treatment. The plasma levels of 8-MOP were determined up to 6 h after treatment and varied between less than 10 ng/ml and 360 ng/ml for the orally treated group, and in the bath-treatment group were all less than 10 ng/ml.
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Affiliation(s)
- S E Thomas
- Department of Dermatology, Barnsley District General Hospital, U.K
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