title: [Ductal carcinoma in situ diagnosis: 3 French national guidelines].
abstract: OBJECTIVE
  Since the last guidelines published by the French National Cancer Institute (INCa) and the learning society "Société française de sénologie et de pathologie mammaire (SFSPM)" in 2009 about diagnosis and management of ductal carcinoma in situ, new data raised issues about overdiagnosis and its consequences, overtreatment. Therefore, an update was necessary, to provide healthcare professionals up-to-date guidelines and study therapeutic desescalation in particular.
  
  
  METHODS
  The clinical practice guidelines development process is based on systematic literature review and critical appraisal by a multidisciplinary experts workgroup. The recommendations are thus based on the best available evidence and experts agreement. Prior to publication, the guidelines are also reviewed by more than 100 independent practitioners in cancer care delivery.
  
  
  RESULTS
  This article presents French guidelines about MRI and vacuum assisted breast biopsy indications for DCIS diagnosis and the management of low-grade DCIS.
authors.affiliation: Institut du cancer Courlancy, 38, rue de Courlancy, 51100 Reims, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Cutuli
authors.affiliation: Institut Bergonié, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Tunon De Lara
authors.affiliation: Institut Sainte-Catherine, 250, Chemin de Baigne-Pieds, 84918 Avignon cedex 9, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Arnaud
authors.affiliation: Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Bertheau
authors.affiliation: Hôpital Jeanne-de-Flandre, avenue Eugène-Avinée, 59000 Lille, France.
authors.forename: Loïc
authors.initials: L
authors.lastname: Boulanger
authors.affiliation: Centre François-Baclesse, 3, avenue du Général-Harris, 14076 Caen cedex 5, France; Centre d'imagerie, 14000 Lisieux, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Boute
authors.affiliation: Centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: Luc
authors.initials: L
authors.lastname: Ceugnart
authors.affiliation: Centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Chauvet
authors.affiliation: Centre Georges-François-Leclerc, 1, rue du Professeur-Marion, 21079 Dijon cedex, France.
authors.forename: Charles
authors.initials: C
authors.lastname: Coutant
authors.affiliation: Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: Patricia
authors.initials: P
authors.lastname: De Cremoux
authors.affiliation: Institut Curie, 26, rue d'Ulm, 75248 Paris cedex 05, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Fourquet
authors.affiliation: Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Hennequin
authors.affiliation: Accueil cancer, 18, rue Quincampoix, 75004 Paris, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: Lesieur
authors.affiliation: Institut de cancérologie de Lorraine, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy cedex, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Lesur
authors.affiliation: Institut de radiologie, 31, avenue Hoche, 75008 Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Lévy
authors.affiliation: Institut Curie, 26, rue d'Ulm, 75248 Paris cedex 05, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Vincent-Salomon
authors.affiliation: Département « Recommandations et bon usage du médicament », direction des recommandations, du médicament et de la qualité de l'expertise, Institut national du cancer, 52, avenue André-Morizet, 92513 Boulogne Billancourt cedex, France. Electronic address: sbesnard@institutcancer.fr.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Besnard
authors.affiliation: Département « Recommandations et bon usage du médicament », direction des recommandations, du médicament et de la qualité de l'expertise, Institut national du cancer, 52, avenue André-Morizet, 92513 Boulogne Billancourt cedex, France.
authors.forename: Chantal
authors.initials: C
authors.lastname: Belorgey
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000175:diagnosis*; D005260:Female; D006801:Humans
keywords: Bas grade; CCIS; DCIS; Guidelines; IRM; Low-grade DCIS; MRI; Macrobiopsie; Recommandations; Vacuum assisted breast biopsy