In what situations do you order an Oncotype DX DCIS score for a patient with DCIS?

This is an excellent question. I suspect there will be many takes on this question since there is considerable controversy about omitting RT for DCIS in general. Here's what I think we know.

Let's review the clinical data from the Oncotype Dx DCIS Score.

1) Solin L et al JNCI 2013: A subset of the pat...

The risk catgeory score for oncotype Dx needs to be interpreted with caution. On multivariable analysis, other factors, along with score, were associated with the development of local recurrence including presence of multifocality, tumor size, age <50 years at diagnosis and subtype. A low score for ...