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Jennifer K Plichta

E. Fulton Brylawski Associate Professor in Women's Health
Surgical Oncology

Scholarly Works - Conferences


Real-world chemotherapy decision pathways and survival in early HR+/HER2- breast cancer: Oncotype DX recurrence score–guided versus clinician-guided treatment in NCDB (2010–2022).

Conference Journal of Clinical Oncology · June 1, 2026 e12754Background: Despite widespread adoption of the 21-gene Recurrence Score (Oncoty ... Full text Cite

Abstract P2-10-05: Survival in Older Women Receiving Adjuvant Radiation Monotherapy vs. Endocrine Monotherapy Following Lumpectomy

Conference Clinical Cancer Research · June 13, 2025 AbstractBackground: Breast cancer is increasingly prevalent in women over 65, and most are diagnosed with hormone receptor positive disease. While younger patients with early-stage breast cancer are treated ... Full text Cite

Abstract P2-08-22: Effectiveness and implementation of a decision support tool to improve surgical decision-making in young women with breast cancer: The CONSYDER Study

Conference Clinical Cancer Research · June 13, 2025 AbstractBackground: Young women with early-stage breast cancer are increasingly choosing contralateral prophylactic mastectomy (CPM) despite longstanding data demonstrating that breast conservation is equall ... Full text Cite

Abstract P2-12-01: Survival Outcomes after Pathologic Complete Response with Neoadjuvant Endocrine Therapy vs. Neoadjuvant Chemotherapy

Conference Clinical Cancer Research · June 13, 2025 AbstractBackground: Neoadjuvant systemic therapy has emerged as the standard of care for many patients with breast cancer potentially leading to surgical downstaging and providing insight into treatment resp ... Full text Cite

Race-specific survival prediction models for de novo metastatic breast cancer using machine learning.

Conference Journal of Clinical Oncology · June 1, 2025 e13116Background: Breast cancer is the most common malignancy among women and a major cause of cancer death. About 5-10% of breast cancer patients are initially diagnosed with stage IV (de novo metastatic breast cancer). A significant survival difference e ... Full text Cite

Abstract LB216: Exploration of optimal synergistic treatment strategies of postoperative radiotherapy and immunotherapy in early-stage breast cancer

Conference Cancer Research · April 25, 2025 AbstractBackground:The synergistic effects of radiotherapy (RT) and immunotherapy (IT) in cancer treatment have been increasingly reco ... Full text Cite

Surgeon Practice Patterns in De Novo Oligometastatic Breast Cancer

Conference ANNALS OF SURGICAL ONCOLOGY · March 2025 Link to item Cite

Comparison of incident breast cancer cases in the largest national US tumor registries.

Conference Cancer · January 1, 2025 BACKGROUND: This study compared incident breast cancer cases in the National Cancer Database (NCDB) and Surveillance, Epidemiology, End Results Program (SEER) to a national population cancer registry. METHODS: Patients with malignant or in situ breast canc ... Full text Link to item Cite

Omission of Axillary Lymph Node Dissection in Patients with Residual Nodal Disease After Neoadjuvant Chemotherapy.

Conference Ann Surg Oncol · December 2024 BACKGROUND: Axillary management after neoadjuvant chemotherapy (NAC) is evolving but axillary lymph node dissection (ALND) remains the standard of care for patients with residual nodal disease. The results of the Alliance A011202 trial evaluating the oncol ... Full text Link to item Cite

Rates of Pathologic Complete Response and Overall Survival in Patients with Inflammatory Breast Cancer: A National Cancer Database Study.

Conference Ann Surg Oncol · November 2024 BACKGROUND: Patients with inflammatory breast cancer (IBC) have worse survival compared with stage III non-IBC matched cohorts; however, the prognostic significance of achieving pathologic complete response (pCR) in the setting of IBC is not well described ... Full text Link to item Cite

Invasive Breast Procedures after Initial Atypia Diagnosis

Conference JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS · November 2024 Link to item Cite

Abstract GS02-04: Surgical Treatment of Women with Breast Cancer and a BRCA1 Mutation: An International Analysis of the Impact of Bilateral Mastectomy on Survival

Conference Cancer Research · May 2, 2024 AbstractBackground: Women with breast cancer and a BRCA1 mutation face a high risk of contralateral breast cancer. For this reason, many women with a unilateral breast cancer opt for bilateral mastectomies. ... Full text Cite

Abstract PO3-05-13: A Multi-Institutional Review of Contralateral Axillary Metastases: Time for Reclassification as Local-Regional Event?

Conference Cancer Research · May 2, 2024 AbstractBackground Current American Joint Committee on Cancer (AJCC) breast cancer staging considers contralateral axillary metastasis (CAM) stage IV disease (M1). Retrospective studies suggest that women wi ... Full text Cite

Abstract PO4-18-01: International Validation of a Staging Model for de novo Metastatic Breast Cancer

Conference Cancer Research · May 2, 2024 AbstractBackgroundGiven the heterogeneity in outcomes for de novo metastatic breast cancer (dnMBC), a staging system was recently developed that refines prognostic estimates ... Full text Cite

Abstract PO4-17-11: Normalized Breast Cancer Survival Outcomes in U.S. Tumor Registries

Conference Cancer Research · May 2, 2024 AbstractBackgroundThe largest U.S. tumor registries, NCDB (National Cancer Database) and SEER (Surveillance, Epidemiology, and End Results Program), are vital sources of epid ... Full text Cite

Abstract PO1-10-01: Racial/Ethnic Disparities in Rates of Pathological Complete Response and Survival in Patients with Inflammatory Breast Cancer

Conference Cancer Research · May 2, 2024 AbstractRadiation Therapy Toxicities and Survival Outcomes in Monoallelic ATM Variant Carriers with Non-Metastatic Breast Cancer: A Retrospective Analysis Rayan Bensenane1 MD, Arnaud Beddok1,2,3 MD, Nadine A ... Full text Cite

Germline Genetic Testing for Patients with Breast Atypia

Conference ANNALS OF SURGICAL ONCOLOGY · March 2024 Link to item Cite

Triple Negative Breast Cancer in Older Patients: Does Sentinel Lymph Node Biopsy Guide Therapy?

Conference JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS · November 2023 Link to item Cite

Timing of Breast Surgery for Patients with Metastatic Breast Cancer

Conference JOURNAL OF WOMENS HEALTH · November 2023 Link to item Cite

Comparison of incident breast cancer cases in the largest national US tumor registries.

Conference Journal of Clinical Oncology · June 1, 2023 6512 Background: National tumor registries, such as the NCDB (National Cancer Database) and SEER (Surveillance, Epidemiology, and End Results Program), have been used to explore numerous research questions related to trends in di ... Full text Cite

Breast cancer staging for patients with “low risk” disease: Are they all the same?

Conference Journal of Clinical Oncology · June 1, 2023 6584 Background: Studies have shown that a low (<11) Oncotype DX recurrence score (RS) is associated with better survival outcomes. RS is currently included in the AJCC prognostic staging criteria. Not all patients with a low ... Full text Cite

Abstract P3-05-20: Low 21-Gene Recurrence Score Is Not Associated with a High Axillary Nodal Burden in Post-Menopausal Women Presenting with a Clinically Negative Axilla

Conference Cancer Research · March 1, 2023 AbstractBackground: The predictive and prognostic value of the 21-gene recurrence score (RS) has emphasized the importance of tumor biology and minimized the credence of a limited (1-3 positive) nodal burden ... Full text Cite

Abstract P1-06-02: The effect of race on pathologic complete response rates and overall survival in patients with triple negative breast cancer

Conference Cancer Research · March 1, 2023 AbstractIntroduction: Despite the recent overall improvement in survival for patients with breast cancer, racial disparities in outcomes persist. While studies have demonstrated that socioeconomic factors an ... Full text Cite

ShouldStage IA Breast Cancerbe Expanded?

Conference ANNALS OF SURGICAL ONCOLOGY · March 2023 Link to item Cite

The role of tumor phenotype in the surgical treatment of early-stage breast cancer.

Conference Am J Surg · January 2023 BACKGROUND: We investigated whether tumor phenotype influences surgical decision-making, and how that may impact overall survival (OS) for early-stage breast cancer. METHODS: Women aged 18-69 with cT0-2/cN0/cM0 breast cancer in the National Cancer Database ... Full text Link to item Cite

The Influence of Body Mass Index on the Histopathology and Outcomes of Patients Diagnosed with Atypical Breast Lesions.

Conference Ann Surg Oncol · October 2022 BACKGROUND: Multiple studies have demonstrated a link between obesity and breast cancer; however, the potential association between obesity and atypical high-risk breast lesions has not been well characterized. We sought to evaluate the characteristics and ... Full text Link to item Cite

Malignant phyllodes tumor and primary breast sarcoma; distinct rare tumors of the breast.

Conference J Surg Oncol · May 2022 BACKGROUND: Malignant phyllodes (MP) and primary breast sarcomas (PBS) are rare neoplasms with overlapping histopathologic features. We compared overall survival (OS) and estimated the association of surgery and therapies with OS. METHODS: We utilized the ... Full text Link to item Cite

Disease characteristics and mortality among Asian women with breast cancer.

Conference Cancer · March 1, 2022 BACKGROUND: Asian women with breast cancer are often studied in aggregate, belying significant intragroup diversity. The authors sought to examine differences in breast cancer characteristics and outcomes among Asian women. METHODS: Asian, non-Hispanic Bla ... Full text Link to item Cite

Survival Outcomes Among Patients with Metastatic Breast Cancer: Review of 47,000 Patients.

Conference Ann Surg Oncol · November 2021 BACKGROUND: Although metastatic breast cancer (MBC) remains incurable, advances in therapies have improved survival. Using a contemporary dataset of de novo MBC patients, we explore how overall (OS) and cancer-specific survival (CSS) changed over time. MET ... Full text Link to item Cite

Mortality in Older Patients with Breast Cancer Undergoing Breast Surgery: How Low is "Low Risk"?

Conference Ann Surg Oncol · October 2021 BACKGROUND: Breast surgery carries a low risk of postoperative mortality. For older patients with multiple comorbidities, even low-risk procedures can confer some increased perioperative risk. We sought to identify factors associated with postoperative mor ... Full text Link to item Cite

Contralateral Axillary Nodal Metastases: Stage IV Disease or a Manifestation of Progressive Locally Advanced Breast Cancer?

Conference Ann Surg Oncol · October 2021 BACKGROUND: Contralateral axillary nodal metastases (CAM) is classified as stage IV disease, although many centers treat CAM with curative intent. We hypothesized that patients with CAM, treated with multimodality therapy, would have improved overall survi ... Full text Link to item Cite

Characterizing participants in the North Carolina Breast and Cervical Cancer Control Program: A retrospective review of 90,000 women.

Conference Cancer · July 15, 2021 BACKGROUND: The North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) provides breast cancer screening services to underserved women to mitigate disparities in access to care. The authors sought to characterize this understudied population. ... Full text Link to item Cite

Survival among patients with untreated metastatic breast cancer.

Conference Journal of Clinical Oncology · May 20, 2021 1095 Background: Treatments for metastatic breast cancer (MBC) have significantly improved survival for patients who receive treatment, yet data describing the prognosis for untreated patients is lacking. Therefore, we sought to ... Full text Cite

Abstract P3-08-10: Characterization of oncotype DX recurrence score and chemotherapy utilization patterns in young women (≤40) with early stage ER+/HER-, lymph node negative breast cancer

Conference Cancer Research · February 15, 2020 AbstractBackground: Meta-analyses have demonstrated that young women ≤40 (YW) derive the most benefit from chemotherapy (EBCTCG, Lancet. 1998). Oncotype DX was designed to determine the benefit of chemothera ... Full text Cite

Abstract P1-21-07: The Patient-reported Outcomes after Routine Treatment of Atypical Lesions (PORTAL) study: Pain, psychosocial wellbeing, and quality of life among women undergoing guideline concordant care for DCIS vs. active surveillance for in situ and atypical lesions

Conference Cancer Research · February 15, 2020 AbstractBackground: Guideline-concordant care (GCC) for DCIS includes surgery, radiation, and endocrine treatment. Active surveillance (AS) is a strategy under study for management of low risk DCIS. The PORT ... Full text Cite

Axillary lymph node dissection in node-positive breast cancer: are ten nodes adequate and when is enough, enough?

Conference Breast Cancer Res Treat · February 2020 PURPOSE: National guidelines define adequate axillary lymph node dissections as those yielding ≥ 10 lymph nodes (LNs). We aimed to identify the optimal LN yield among node-positive patients. METHODS: Using the National Cancer Data Base (2010-2015), we cate ... Full text Link to item Cite

Breast cancer tumor histopathology, stage at presentation, and treatment in the extremes of age.

Conference Breast Cancer Res Treat · February 2020 BACKGROUND: Given presumed differences in disease severity between young (≤ 45 years) and elderly (≥ 75 years) women with breast cancer, we sought to compare tumor histopathology, stage at presentation, patterns of care, and survival at the extremes of age ... Full text Link to item Cite

Decreasing rates of axillary lymph node dissections over time: Implications for surgical resident exposure and operative skills development.

Conference Am J Surg · October 2019 BACKGROUND: Sentinel lymph node biopsy has supplanted axillary lymph node dissection (ALND) in clinically node-negative breast cancer and select node-positive disease. We hypothesized a decreasing rate of both ALND and resident exposure over time. METHODS: ... Full text Link to item Cite

DCIS with Microinvasion: Is It In Situ or Invasive Disease?

Conference Ann Surg Oncol · October 2019 BACKGROUND: Ductal carcinoma in situ (DCIS) with microinvasion (DCISM) can be challenging in balancing the risks of overtreatment versus undertreatment. We compared DCISM, pure DCIS, and small volume (T1a) invasive ductal carcinoma (IDC) as related to hist ... Full text Link to item Cite

Neoadjuvant Endocrine Therapy Versus Neoadjuvant Chemotherapy in Node-Positive Invasive Lobular Carcinoma.

Conference Ann Surg Oncol · October 2019 BACKGROUND: Neoadjuvant chemotherapy (NACT) is often recommended for patients with node-positive invasive lobular carcinoma (ILC) despite unclear benefit in this largely hormone receptor-positive (HR+) group. We sought to compare overall survival (OS) betw ... Full text Link to item Cite

Abstract P3-08-07: Distinct biological signatures describe differences in BRCA mutated subgroups

Conference Cancer Research · February 15, 2019 AbstractBackground: BRCA mutated (BRCA+) breast cancers are expected to have increased activation of Homologous Recombination Deficiency (HRD) and altered DNA damage repair pathways when compared to BRCA wil ... Full text Cite

Reframing the conversation about contralateral prophylactic mastectomy: Preparing women for postsurgical realities.

Conference Psychooncology · February 2019 OBJECTIVE: Women with unilateral, early-stage breast cancer and low genetic risk are increasingly opting for contralateral prophylactic mastectomy (CPM), a concerning trend because CPM offers few clinical benefits while increasing risks of surgical complic ... Full text Link to item Cite

Axillary Nodal Evaluation in Elderly Breast Cancer Patients: Potential Effects on Treatment Decisions and Survival.

Conference Ann Surg Oncol · October 2018 BACKGROUND: Recent studies suggest that surgical lymph node (LN) evaluation may be omitted in select elderly breast cancer patients as it may not influence adjuvant therapy decisions. To evaluate differences in adjuvant therapy receipt and overall survival ... Full text Link to item Cite

It’s Not You, It’s Me: The Influence of Surgeon Gender on Patient Satisfaction Scores

Conference Journal of the American College of Surgeons · October 2018 Full text Cite

Extent of axillary surgery in women with Stage IV breast cancer

Conference ANNALS OF SURGICAL ONCOLOGY · June 1, 2018 Link to item Cite

Immune profiling of BRCA-mutated breast cancers.

Conference Journal of Clinical Oncology · May 20, 2018 Full text Cite

Restaging de novo metastatic breast cancer to refine prognostic estimates.

Conference Journal of Clinical Oncology · May 20, 2018 Full text Cite

Seeking a no-regrets decision: Women's rationale for choosing contralateral prophylactic mastectomy (CPM).

Conference Journal of Clinical Oncology · March 1, 2018 152 Background: More women with early-stage unilateral breast cancer and low genetic risk are opting for CPM, despite their low risk of developing cancer in their healthy breast and evidence to demonstrate that CPM improves neith ... Full text Cite

A population-based analysis of treatment and outcomes in 2,500 metaplastic breast cancer patients.

Conference Journal of Clinical Oncology · May 20, 2017 532 Background: Metaplastic breast cancer (MBC) is a rare, aggressive variant that is often triple negative (TN). Current guidelines recommend use of standard receptor-based treatment for MBC despite evidence of chemoresistance. ... Full text Cite

The epidemiology of metaplastic breast cancer: A review of 2,500 cases from the national cancer database.

Conference Journal of Clinical Oncology · May 20, 2017 1570 Background: Metaplastic breast cancer (MBC) is a rare, aggressive, sarcomatoid breast cancer that was first described in 1973 but only became recognized as a histologically distinct entity in 2000. Given the paucity of data ... Full text Cite

Temporal associations between prognostic indicators and overall survival after breast cancer.

Conference Journal of Clinical Oncology · May 20, 2017 e18144 Background: Breast oncologists have little guidance on predicting long term outcomes after interval survival. We aim to evaluate the association of overall survival (OS) with select factors at multiple time points. Methods ... Full text Cite

Abstract P1-10-04: Post-operative imaging after atypical ductal hyperplasia excision: The findings and costs

Conference Cancer Research · May 1, 2015 AbstractIntroduction: With a reported incidence of 2-12% in breast biopsy specimens, the appropriate management of atypical ductal hyperplasia (ADH) remains in evolution. At present, the optimal screening gu ... Full text Cite

Hospital Selection and Breast Cancer Patients: Who Goes Where

Conference ANNALS OF SURGICAL ONCOLOGY · May 1, 2015 Link to item Cite

Should All Branch-Duct IPMN's Be Resected?

Conference GASTROENTEROLOGY · May 1, 2014 Link to item Cite

LOCAL BURN INJURY PROMOTES CHOLINERGIC DYSREGULATION IN HUMAN EPIDERMIS

Conference WOUND REPAIR AND REGENERATION · March 1, 2014 Link to item Cite

Quality of life after pancreaticoduodenectomy: what are the long-term effects?

Conference Journal of the American College of Surgeons · September 2013 Full text Cite

Post-operative Surveillance of Ductal Carcinoma In Situ

Conference ANNALS OF SURGICAL ONCOLOGY · February 1, 2013 Link to item Cite

Does atypical ductal hyperplasia require 6 months of postoperative surveillance?

Conference Journal of Clinical Oncology · September 20, 2012 60 Background: Standard follow-up imaging for women with a history of breast cancer is well defined, but the appropriate screening guidelines for other high risk breast lesions, such as atypical ductal hyperplasia (ADH), remain u ... Full text Cite

Local burn injury modulates global cutaneous barrier function

Conference JOURNAL OF INVESTIGATIVE DERMATOLOGY · May 1, 2012 Link to item Cite

The economic impact of early enteral feeding in gastrointestinal surgery: a prospective survey of 51 consecutive patients.

Conference Am Surg · March 2005 Early postoperative oral feeding has been demonstrated to be safe and not increase postoperative morbidity. There are conflicting reports about its effect on postoperative length of stay. Some patients will fail attempts at early postoperative feeding and ... Link to item Cite