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MSKCC DCIS Nomogram
Clinical Context & Background
The Memorial Sloan Kettering Cancer Center (MSKCC) DCIS Nomogram predicts the 5-year and 10-year risk of ipsilateral breast tumor recurrence (IBTR) after breast-conserving surgery alone (without radiation). It helps identify low-risk patients who might safely omit radiation therapy.
Formula Logic
Multivariable model using Age, Family Hx, Presentation, Margins, Grade, Necrosis, and Number of Excisions.Reference Data
| Risk Factor | Impact on Recurrence |
|---|---|
| Age < 40 | High Risk |
| Positive / Close Margins | High Risk |
| High Grade / Necrosis | High Risk |
| Symptomatic Presentation | High Risk |
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Evidence-based oncology decision support. Verify with clinical guidelines.