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Help Center; less ; Ten-year results comparing mastectomy to excision and radiation therapy for ductal carcinoma in situ of the breast. European Journal of Cancer, Melvin Silverstein. James Waisman. David Poller. Melvin Silverstein. James Waisman. David Poller. PDF. Download Free PDF. The American Journal of Surgery () – Scientific paper The University of Southern California/Van Nuys prognostic index for ductal carcinoma in situ of the breast Melvin J. Silverstein, M.D.* Keck School of Medicine, University of Southern California, Harold E. and Henrietta C. Lee Breast Center, USC/Norris Comprehensive Cancer Center, Eastlake Ave., Rm. , Los Angeles.

Breast Center, Sherman Way, Van Nuys, California. The Breast Center, Sherman Way, Van Nuys, CA ===Search for more papers by this author. Melvin J. Silverstein, The Van Nuys Breast Center, Surgical Oncology Clinics of North America, /S(18) Cancer 77(11): , There has been an update so that some call the index the USC/VNPI (Silverstein MJ, "The University of Southern California/Van Nuys prognostic index for ductal carcinoma in situ of the breast", Am. J. Surg. (4): ,

Supporting data from The Van Nuys Breast Center reveal that there is little benefit from postexcisional radiation therapy if margins are greater than 10 mm, regardless of nuclear grade or the presence of comedo‐type necrosis. These data are presented in graphic form in Figures 6 and 7. The original Van Nuys prognostic index (VNPI) was introduced in as an aid to the complex treatment decision-making process for patients with ductal carcinoma in situ (DCIS) of the breast.

Silverstein currently serves as medical director of Hoag Breast Center in Newport Beach, Calif., and as the Gross Family Foundation Endowed Chair in Oncoplastic Breast Surgery. He is professor of surgery with tenure at the Keck School of Medicine at the University of Southern California, and director of the breast fellowship program in. Apr 01,  · The Van Nuys Breast Center: The First Free-Standing Multidisciplinary Breast Center.

Silverstein MJ(1), Handel N, Gamagami P, Gierson ED, Furmanski M, Collins AR, Epstein M, Cohlan BF. Author information: (1)Breast Center, Van Nuys, California 62 healthy women were studied mammographically before and after augmentation mammoplasty. Postaugmentation mammograms were . BackgroundThe Van Nuys Prognostic Index (VNPI) is a simple score for predicting the risk of local recurrence (LR) in patients with Ductal Carcinoma In Situ (DCIS) conservatively treated. This score combines three independent predictors of Local Recurrence. The VNPI has recently been updated with the addition of age as a fourth parameter into the scoring system (University of Southern.