{"id":"https://openalex.org/W7224136509","doi":"https://doi.org/10.1308/rcsann.2026.0109","title":"Late invasive breast cancer after mastectomy for incidentally detected male DCIS: recurrence or new primary?","display_name":"Late invasive breast cancer after mastectomy for incidentally detected male DCIS: recurrence or new primary?","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224136509","doi":"https://doi.org/10.1308/rcsann.2026.0109","pmid":"https://pubmed.ncbi.nlm.nih.gov/42949043"},"language":"en","primary_location":{"id":"doi:10.1308/rcsann.2026.0109","doi":"https://doi.org/10.1308/rcsann.2026.0109","is_oa":true,"landing_page_url":"https://doi.org/10.1308/rcsann.2026.0109","pdf_url":null,"source":{"id":"https://openalex.org/S85077419","display_name":"Annals of The Royal College of Surgeons of England","issn_l":"0035-8843","issn":["0035-8843","1478-7083"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311544","host_organization_name":"Royal College of Surgeons of England","host_organization_lineage":["https://openalex.org/P4310311544"],"host_organization_lineage_names":["Royal College of Surgeons of England"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of The Royal College of Surgeons of England","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1308/rcsann.2026.0109","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087685335","display_name":"Rasheed Elayyan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101025","display_name":"The Rotherham NHS Foundation Trust","ror":"https://ror.org/00z4t3785","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101025"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"R Elayyan","raw_affiliation_strings":["The Rotherham NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Rotherham NHS Foundation Trust","institution_ids":["https://openalex.org/I4210101025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025682973","display_name":"B. in\u2018t Hout","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101025","display_name":"The Rotherham NHS Foundation Trust","ror":"https://ror.org/00z4t3785","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101025"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"B In\u2019t Hout","raw_affiliation_strings":["The Rotherham NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Rotherham NHS Foundation Trust","institution_ids":["https://openalex.org/I4210101025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160032075","display_name":"L Caldon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101025","display_name":"The Rotherham NHS Foundation Trust","ror":"https://ror.org/00z4t3785","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101025"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"L Caldon","raw_affiliation_strings":["The Rotherham NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Rotherham NHS Foundation Trust","institution_ids":["https://openalex.org/I4210101025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160015633","display_name":"N Ranawaka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101025","display_name":"The Rotherham NHS Foundation Trust","ror":"https://ror.org/00z4t3785","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101025"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"N Ranawaka","raw_affiliation_strings":["The Rotherham NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Rotherham NHS Foundation Trust","institution_ids":["https://openalex.org/I4210101025"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160033109","display_name":"R Oweis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101025","display_name":"The Rotherham NHS Foundation Trust","ror":"https://ror.org/00z4t3785","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101025"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"R Oweis","raw_affiliation_strings":["The Rotherham NHS Foundation Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Rotherham NHS Foundation Trust","institution_ids":["https://openalex.org/I4210101025"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210101025"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89150338,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13097","display_name":"Male Breast Health Studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13097","display_name":"Male Breast Health Studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11069","display_name":"Testicular diseases and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mastectomy","display_name":"mastectomy","score":0.6959999799728394},{"id":"https://openalex.org/keywords/local-recurrence","display_name":"local recurrence","score":0.7860000133514404},{"id":"https://openalex.org/keywords/incidental-detection","display_name":"incidental detection","score":0.5189999938011169},{"id":"https://openalex.org/keywords/long-term-follow-up","display_name":"long-term follow-up","score":0.8460000157356262},{"id":"https://openalex.org/keywords/male-breast-cancer","display_name":"male breast cancer","score":0.6470000147819519}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9089999794960022},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.8345999717712402},{"id":"https://openalex.org/C2780862961","wikidata":"https://www.wikidata.org/wiki/Q5311598","display_name":"Ductal carcinoma","level":4,"score":0.6786999702453613},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6273000240325928},{"id":"https://openalex.org/C3020375857","wikidata":"https://www.wikidata.org/wiki/Q1671685","display_name":"Invasive ductal carcinoma","level":4,"score":0.46140000224113464},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.41519999504089355},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4004000127315521},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.39329999685287476},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.36809998750686646},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3529999852180481},{"id":"https://openalex.org/C2777661416","wikidata":"https://www.wikidata.org/wiki/Q1035645","display_name":"Carcinoma in situ","level":3,"score":0.3490999937057495},{"id":"https://openalex.org/C2778303017","wikidata":"https://www.wikidata.org/wiki/Q7998643","display_name":"Wide local excision","level":2,"score":0.34599998593330383},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3325999975204468},{"id":"https://openalex.org/C2910588946","wikidata":"https://www.wikidata.org/wiki/Q7280491","display_name":"Total Mastectomy","level":5,"score":0.2994999885559082},{"id":"https://openalex.org/C3018130915","wikidata":"https://www.wikidata.org/wiki/Q1752284","display_name":"Neoplasm staging","level":3,"score":0.28040000796318054},{"id":"https://openalex.org/C2781001896","wikidata":"https://www.wikidata.org/wiki/Q994507","display_name":"Breast reconstruction","level":4,"score":0.2750000059604645},{"id":"https://openalex.org/C2778001805","wikidata":"https://www.wikidata.org/wiki/Q189961","display_name":"Mammary gland","level":4,"score":0.2687000036239624},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.26589998602867126},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.2590000033378601},{"id":"https://openalex.org/C2777396416","wikidata":"https://www.wikidata.org/wiki/Q6742919","display_name":"Male breast cancer","level":4,"score":0.25369998812675476},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2522999942302704}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1308/rcsann.2026.0109","doi":"https://doi.org/10.1308/rcsann.2026.0109","is_oa":true,"landing_page_url":"https://doi.org/10.1308/rcsann.2026.0109","pdf_url":null,"source":{"id":"https://openalex.org/S85077419","display_name":"Annals of The Royal College of Surgeons of England","issn_l":"0035-8843","issn":["0035-8843","1478-7083"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311544","host_organization_name":"Royal College of Surgeons of England","host_organization_lineage":["https://openalex.org/P4310311544"],"host_organization_lineage_names":["Royal College of Surgeons of England"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of The Royal College of Surgeons of England","raw_type":"journal-article"},{"id":"pmid:42949043","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42949043","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of the Royal College of Surgeons of England","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1308/rcsann.2026.0109","doi":"https://doi.org/10.1308/rcsann.2026.0109","is_oa":true,"landing_page_url":"https://doi.org/10.1308/rcsann.2026.0109","pdf_url":null,"source":{"id":"https://openalex.org/S85077419","display_name":"Annals of The Royal College of Surgeons of England","issn_l":"0035-8843","issn":["0035-8843","1478-7083"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311544","host_organization_name":"Royal College of Surgeons of England","host_organization_lineage":["https://openalex.org/P4310311544"],"host_organization_lineage_names":["Royal College of Surgeons of England"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of The Royal College of Surgeons of England","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W1983490106","https://openalex.org/W1996212672","https://openalex.org/W2047046414","https://openalex.org/W2053953532","https://openalex.org/W2090112305","https://openalex.org/W2122221019","https://openalex.org/W2124659104","https://openalex.org/W2127449091","https://openalex.org/W2148788003","https://openalex.org/W2783472631","https://openalex.org/W4296157756","https://openalex.org/W4392931654","https://openalex.org/W4396955417","https://openalex.org/W7128815883"],"related_works":["https://openalex.org/W2084660944","https://openalex.org/W4312793274","https://openalex.org/W1983726888","https://openalex.org/W4296157756","https://openalex.org/W2512796173","https://openalex.org/W2127449091","https://openalex.org/W2426144410","https://openalex.org/W2083999115","https://openalex.org/W3133903388","https://openalex.org/W7100878528"],"abstract_inverted_index":{"Ductal":[0],"carcinoma":[1],"in":[2,5,38,75],"situ":[3],"(DCIS)":[4],"men":[6],"is":[7,13],"rare,":[8],"and":[9,68],"its":[10],"long-term":[11],"behaviour":[12],"not":[14],"well":[15],"defined.":[16],"We":[17],"report":[18],"a":[19,31,39],"case":[20,43],"of":[21,57],"late":[22],"invasive":[23,55],"breast":[24],"cancer":[25],"more":[26],"than":[27],"two":[28],"decades":[29],"after":[30],"mastectomy":[32,47],"for":[33,48,80],"incidentally":[34],"detected":[35],"high-grade":[36],"DCIS":[37,50],"45-year-old":[40],"man.":[41],"This":[42],"highlights":[44],"that,":[45],"although":[46],"pure":[49],"offers":[51],"excellent":[52],"local":[53,61],"control,":[54],"occurrence":[56],"new":[58],"primary":[59],"or":[60],"recurrence":[62],"can":[63],"still":[64],"occur.":[65],"Ongoing":[66],"awareness":[67],"follow-up":[69],"may":[70],"therefore":[71],"be":[72],"warranted":[73],"even":[74],"male":[76],"patients":[77],"treated":[78],"definitively":[79],"DCIS.":[81]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}