Materiały źródłowe

• #1 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  Ductal carcinoma in situ (DCIS) is a common form of breast cancer, accounting for approximately 20-25% of all new breast cancer cases in the United States. DCIS is a non-invasive cancer where abnormal cells have been found in the lining of the breast milk ducts. […] Because the cancerous cells have not spread outside of the milk ducts into the surrounding breast tissue, it means that the cancer is non-invasive and has not invaded (spread to) other tissue in the breast or the lymph nodes. […] Ductal carcinoma in situ is also called intraductal carcinoma and is Stage 0 breast cancer. DCIS is early-stage cancer that is highly treatable. Nearly all women with DCIS can be cured. However, if left untreated or undetected, DCIS may spread into the surrounding breast tissue and could become a more advanced cancer.

• #2 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Ductal carcinoma in situ (DCIS) means the cells that line the milk ducts of the breast have become cancer, but they have not spread into surrounding breast tissue. […] DCIS is considered non-invasive or pre-invasive breast cancer. DCIS cant spread outside the breast, but it is often treated because if left alone, some DCIS cells can continue to undergo abnormal changes that cause it to become invasive breast cancer (which can spread). […] In most cases, a woman with DCIS can choose between breast-conserving surgery (BCS) and simple mastectomy. […] In breast-conserving surgery (BCS), the surgeon removes the tumor and a small amount of normal breast tissue around it. […] If BCS is done, it is usually followed by radiation therapy. This lowers the chance of the cancer coming back in the same breast (either as more DCIS or as an invasive cancer).

• #3 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  Ductal carcinoma in situ (DCIS) is cancer in your breasts milk ducts. It isnt aggressive and it typically doesnt spread. This early form of breast cancer is usually curable with appropriate treatment, which often includes lumpectomy and radiation therapy. DCIS is highly treatable, and the outlook is excellent. […] Healthcare providers may call DCIS noninvasive or pre-invasive breast cancer. This means that the cancer cells havent spread beyond the walls of your milk ducts. Ductal carcinoma in situ doesnt typically metastasize, or spread to other organs in your body, as aggressive or invasive cancers do. […] While DCIS cant spread outside of your breast, it can turn into invasive ductal carcinoma which can spread outside of your breast in some cases. Thats why talking to a healthcare provider is so important. They can discuss treatment options to help reduce this risk.

• #4 Ductal carcinoma in situ (DCIS) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889

  Ductal carcinoma in situ is a very early form of breast cancer. In ductal carcinoma in situ, the cancer cells are confined inside a milk duct in the breast. The cancer cells haven’t spread into the breast tissue. Ductal carcinoma in situ is often shortened to DCIS. It’s sometimes called noninvasive, preinvasive or stage 0 breast cancer. […] Treatment for DCIS often involves surgery. Other treatments may combine surgery with radiation therapy or hormone therapy. […] Making changes in your daily life may help lower your risk of ductal carcinoma in situ. This early form of breast cancer also is called DCIS. To lower your risk of breast cancer, try to: […] Talk with your doctor or other healthcare professional about when to begin breast cancer screening. Ask about the benefits and risks of screening. Together, you can decide what breast cancer screening tests are right for you.

• #5 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  Ductal carcinoma in situ (DCIS) is cancer in your breasts milk ducts. It isnt aggressive and it typically doesnt spread. This early form of breast cancer is usually curable with appropriate treatment, which often includes lumpectomy and radiation therapy. DCIS is highly treatable, and the outlook is excellent. […] Healthcare providers may call DCIS noninvasive or pre-invasive breast cancer. This means that the cancer cells havent spread beyond the walls of your milk ducts. Ductal carcinoma in situ doesnt typically metastasize, or spread to other organs in your body, as aggressive or invasive cancers do. […] While DCIS cant spread outside of your breast, it can turn into invasive ductal carcinoma which can spread outside of your breast in some cases. Thats why talking to a healthcare provider is so important. They can discuss treatment options to help reduce this risk.

• #6 Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/about/types-of-breast-cancer/dcis.html

  Ductal carcinoma in situ (DCIS) is a non-invasive or pre-invasive breast cancer. Nearly all women with this early stage of breast cancer can be cured. […] DCIS is a non-invasive or pre-invasive breast cancer. This means the cells that line the ducts have changed to cancer cells but they have not spread through the walls of the ducts into the nearby breast tissue. […] Because DCIS hasn’t spread into the breast tissue around it, it can’t spread (metastasize) beyond the breast to other parts of the body. […] Right now, there’s no good way to know for sure which will become invasive cancer and which ones won’t, so almost all women with DCIS will be treated. […] In most cases, a woman with DCIS can choose between breast-conserving surgery (BCS) and simple mastectomy. Radiation is usually given after BCS. Tamoxifen or an aromatase inhibitor after surgery might also be an option if the DCIS is hormone-receptor positive.

• #7 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  DCIS does not usually present with any noticeable signs or symptoms and is often found as a result of an annual screening mammogram, making early detection the key to finding breast cancer in this early stage. […] Common treatments for DCIS include surgery, radiation, and hormonal therapy, or a combination of these. Chemotherapy is not used to treat DCIS. […] Lumpectomy, also known as breast-conserving surgery, is the most common treatment for DCIS. A lumpectomy removes only the cancerous tissue and a small margin of normal tissue around it, rather than removing all of the breast tissue. […] A mastectomy is the surgical removal of the breast and breast issue. While a lumpectomy is now more common to treat DCIS, a mastectomy may be performed if the cancerous cells are widespread, occur in multiple areas of the breast, or a lumpectomy cannot remove the cancer completely.

• #8 Invasive Ductal Carcinoma (IDC) and Ductal Carcinoma in Situ (DCIS) Breast Cancer

  https://www.webmd.com/breast-cancer/ductal-carcinoma-invasive-in-situ

  DCIS usually has no symptoms. Most of the time, it’s found by a mammogram and appears as small white clusters (calcifications) in odd shapes and sizes. DCIS can sometimes cause these symptoms: A breast lump, Bloody nipple discharge, Itchy skin. […] If your mammogram suggests that you may have DCIS, your doctor should order a biopsy to analyze the cells and confirm the diagnosis. Biopsies for DCIS are typically done using needles to remove tissue samples from the breast. […] Your doctor will customize your treatment plan based on your test results and medical history. Among other things, your doctor will consider: Tumor location, Tumor size, Aggressiveness of the cancer cells, Your family history of breast cancer, Results of tests for a gene mutation that would increase the risk of breast cancer.

• #9 Invasive Ductal Carcinoma (IDC) and Ductal Carcinoma in Situ (DCIS) Breast Cancer

  https://www.webmd.com/breast-cancer/ductal-carcinoma-invasive-in-situ

  DCIS usually has no symptoms. Most of the time, it’s found by a mammogram and appears as small white clusters (calcifications) in odd shapes and sizes. DCIS can sometimes cause these symptoms: A breast lump, Bloody nipple discharge, Itchy skin. […] If your mammogram suggests that you may have DCIS, your doctor should order a biopsy to analyze the cells and confirm the diagnosis. Biopsies for DCIS are typically done using needles to remove tissue samples from the breast. […] Your doctor will customize your treatment plan based on your test results and medical history. Among other things, your doctor will consider: Tumor location, Tumor size, Aggressiveness of the cancer cells, Your family history of breast cancer, Results of tests for a gene mutation that would increase the risk of breast cancer.

• #10 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Ductal carcinoma in situ, also called DCIS, is most often discovered during a mammogram used to screen for breast cancer. A mammogram is an X-ray of the breast tissue. If your mammogram shows something concerning, you will likely have additional breast imaging and a biopsy. […] Ductal carcinoma in situ can often be cured. Treatment for this very early form of breast cancer often involves surgery to remove the cancer. Ductal carcinoma in situ, also called DCIS, also may be treated with radiation therapy and medicines. […] DCIS treatment has a high likelihood of success. In most instances, the cancer is removed and has a low chance of coming back after treatment. […] If you’re diagnosed with DCIS, one of the first decisions you’ll have to make is whether to treat the condition with lumpectomy or mastectomy.

• #11 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Ductal carcinoma in situ, also called DCIS, is most often discovered during a mammogram used to screen for breast cancer. A mammogram is an X-ray of the breast tissue. If your mammogram shows something concerning, you will likely have additional breast imaging and a biopsy. […] Ductal carcinoma in situ can often be cured. Treatment for this very early form of breast cancer often involves surgery to remove the cancer. Ductal carcinoma in situ, also called DCIS, also may be treated with radiation therapy and medicines. […] DCIS treatment has a high likelihood of success. In most instances, the cancer is removed and has a low chance of coming back after treatment. […] If you’re diagnosed with DCIS, one of the first decisions you’ll have to make is whether to treat the condition with lumpectomy or mastectomy.

• #12 Invasive Ductal Carcinoma (IDC) and Ductal Carcinoma in Situ (DCIS) Breast Cancer

  https://www.webmd.com/breast-cancer/ductal-carcinoma-invasive-in-situ

  DCIS usually has no symptoms. Most of the time, it’s found by a mammogram and appears as small white clusters (calcifications) in odd shapes and sizes. DCIS can sometimes cause these symptoms: A breast lump, Bloody nipple discharge, Itchy skin. […] If your mammogram suggests that you may have DCIS, your doctor should order a biopsy to analyze the cells and confirm the diagnosis. Biopsies for DCIS are typically done using needles to remove tissue samples from the breast. […] Your doctor will customize your treatment plan based on your test results and medical history. Among other things, your doctor will consider: Tumor location, Tumor size, Aggressiveness of the cancer cells, Your family history of breast cancer, Results of tests for a gene mutation that would increase the risk of breast cancer.

• #13 Ductal Carcinoma in Situ (DCIS)

  https://www.cancercenter.com/cancer-types/breast-cancer/types/common-breast-cancer-types/ductal-carcinoma-in-situ

  Ductal carcinoma in situ, or DCIS, occurs when cancer cells form in the milk duct cells in the breast. Is DCIS cancer? Yes, its the earliest possible stage of breast cancer, also known as intraductal carcinoma or stage 0 breast cancer. […] However, being diagnosed with DCIS means the cancer is noninvasive and hasnt spread through the duct cells into surrounding breast tissue. […] Early detection is important because DCIS sometimes progresses to an invasive form of breast cancer if left untreated. […] Any noticeable changes to a breast should be discussed with a doctor. […] DCIS diagnosis is made via a breast biopsy, a medical procedure that removes a sample of tissue from the area of the breast where doctors suspect DCIS may be located. […] If DCIS is detected, the cancer cells are examined and assigned a grade that assesses how fast the cancer is growing and its likelihood of progressing or returning after treatment.

• #14 Ductal carcinoma | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/breast/what-is-breast-cancer/cancerous-tumours/ductal-carcinoma

  Ductal carcinoma starts in gland cells in the breast ducts. It is the most common type of breast cancer. It may be non-invasive (called ductal carcinoma in situ) or invasive. […] DCIS may also be called intraductal carcinoma or non-invasive ductal carcinoma. It is the most common type of non-invasive breast cancer. The cancer cells are only in the lining of the breast duct. They have not spread outside the duct into nearby breast tissue or to other organs in the body. […] DCIS is usually too small to be felt in the breast, so it is most often found during a screening mammography. […] DCIS is given a grade, which describes how DCIS cells look and how quickly they grow compared to normal cells. The 3 grades of DCIS are low, intermediate and high. Knowing the grade is important as it can help doctors predict how likely DCIS will come back after treatment or turn into an invasive breast cancer.

• #15 Ductal Carcinoma in Situ (DCIS)

  https://www.cancercenter.com/cancer-types/breast-cancer/types/common-breast-cancer-types/ductal-carcinoma-in-situ

  A DCIS diagnosis may also include information on the cancers hormone-receptor status. […] DCIS treatment varies based on the specific type of cancer, but the most commonly used treatment options are: […] The two types of DCIS surgeries are breast-conserving surgery (BCS), also called a lumpectomy, and mastectomy. […] This treatment uses high-energy X-rays to specifically target DCIS cells. […] For patients who have hormone-receptor positive DCIS, hormone therapy is sometimes used for up to five years after treatment to reduce the risk of ductal carcinoma in situ returning or a new invasive cancer developing.

• #16 Data Points #15: Prognostic factor testing among older women with ductal carcinoma in situ and early invasive breast cancer | Effective Health Care (EHC) Program

  https://effectivehealthcare.ahrq.gov/products/dcis-prognostic-tests/research

  Current National Comprehensive Cancer Network (NCCN) guidelines recommend ER testing for patients newly diagnosed with DCIS. Further, these guidelines suggest that physicians „consider” tamoxifen for ER+ DCIS but note that use of tamoxifen is of unknown benefit for ER-DCIS. […] At present, groups such as NCCN consider HER2 testing a standard of care for women with early invasive cancer but do not recommend it for women with DCIS. […] Testing for BRCA (the „breast cancer gene”) helps to identify women with a hereditary risk of breast cancer. […] In the past decade, sentinel lymph node biopsy (SLNB) has replaced routine axillary lymph node dissection (ALND) for most patients with invasive breast cancer. ALND has not been recommended for patients with confirmed DCIS, because the preinvasive cells do not metastasize and thus are not associated with risk of lymph node involvement.

• #17 Ductal Carcinoma in Situ (DCIS)

  https://www.cancercenter.com/cancer-types/breast-cancer/types/common-breast-cancer-types/ductal-carcinoma-in-situ

  Ductal carcinoma in situ, or DCIS, occurs when cancer cells form in the milk duct cells in the breast. Is DCIS cancer? Yes, its the earliest possible stage of breast cancer, also known as intraductal carcinoma or stage 0 breast cancer. […] However, being diagnosed with DCIS means the cancer is noninvasive and hasnt spread through the duct cells into surrounding breast tissue. […] Early detection is important because DCIS sometimes progresses to an invasive form of breast cancer if left untreated. […] Any noticeable changes to a breast should be discussed with a doctor. […] DCIS diagnosis is made via a breast biopsy, a medical procedure that removes a sample of tissue from the area of the breast where doctors suspect DCIS may be located. […] If DCIS is detected, the cancer cells are examined and assigned a grade that assesses how fast the cancer is growing and its likelihood of progressing or returning after treatment.

• #18 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  DCIS does not usually present with any noticeable signs or symptoms and is often found as a result of an annual screening mammogram, making early detection the key to finding breast cancer in this early stage. […] Common treatments for DCIS include surgery, radiation, and hormonal therapy, or a combination of these. Chemotherapy is not used to treat DCIS. […] Lumpectomy, also known as breast-conserving surgery, is the most common treatment for DCIS. A lumpectomy removes only the cancerous tissue and a small margin of normal tissue around it, rather than removing all of the breast tissue. […] A mastectomy is the surgical removal of the breast and breast issue. While a lumpectomy is now more common to treat DCIS, a mastectomy may be performed if the cancerous cells are widespread, occur in multiple areas of the breast, or a lumpectomy cannot remove the cancer completely.

• #19 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #20 Ductal carcinoma in situ (DCIS) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889

  Ductal carcinoma in situ is a very early form of breast cancer. In ductal carcinoma in situ, the cancer cells are confined inside a milk duct in the breast. The cancer cells haven’t spread into the breast tissue. Ductal carcinoma in situ is often shortened to DCIS. It’s sometimes called noninvasive, preinvasive or stage 0 breast cancer. […] Treatment for DCIS often involves surgery. Other treatments may combine surgery with radiation therapy or hormone therapy. […] Making changes in your daily life may help lower your risk of ductal carcinoma in situ. This early form of breast cancer also is called DCIS. To lower your risk of breast cancer, try to: […] Talk with your doctor or other healthcare professional about when to begin breast cancer screening. Ask about the benefits and risks of screening. Together, you can decide what breast cancer screening tests are right for you.

• #21 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis/

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] If you have any questions or concerns about your diagnosis and treatment, talk to your treatment team. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #22 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #23 Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/about/types-of-breast-cancer/dcis.html

  Ductal carcinoma in situ (DCIS) is a non-invasive or pre-invasive breast cancer. Nearly all women with this early stage of breast cancer can be cured. […] DCIS is a non-invasive or pre-invasive breast cancer. This means the cells that line the ducts have changed to cancer cells but they have not spread through the walls of the ducts into the nearby breast tissue. […] Because DCIS hasn’t spread into the breast tissue around it, it can’t spread (metastasize) beyond the breast to other parts of the body. […] Right now, there’s no good way to know for sure which will become invasive cancer and which ones won’t, so almost all women with DCIS will be treated. […] In most cases, a woman with DCIS can choose between breast-conserving surgery (BCS) and simple mastectomy. Radiation is usually given after BCS. Tamoxifen or an aromatase inhibitor after surgery might also be an option if the DCIS is hormone-receptor positive.

• #24 Breast Ductal Carcinoma in Situ – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK567766/

  Ductal carcinoma in situ (DCIS) of the breast represents neoplastic lesions, typically localized to the breast ducts with no evidence of invasion into the surrounding tissue. […] Therapeutic approaches include surgery, radiation therapy, and adjuvant endocrine therapy. This activity reviews the evaluation and treatment of DCIS and highlights the healthcare team’s role in managing patients with DCIS. […] The treatment for DCIS is multidisciplinary and may include surgery, hormone therapy, and radiation therapy. […] Treatment for DCIS is multimodal and involves a combination of surgery, radiation therapy, and hormone therapy that is personalized to the patient’s specific diagnosis and preferences. […] Surgical treatment options for DCIS broadly include breast-conserving surgery followed by radiation or a simple mastectomy.

• #25 Ductal Carcinoma In Situ (DCIS) Treatment | Susan G. Komen®

  https://www.komen.org/breast-cancer/treatment/by-diagnosis/dcis/

  DCIS is treated to try to prevent the development of invasive breast cancer. […] Health care providers cannot predict which cases of DCIS will progress to invasive breast cancer and which will not. Because DCIS might progress to invasive breast cancer, almost all cases are treated. […] Surgery is recommended as the first step to treat DCIS. After surgery, some people will have radiation therapy, and some may take hormone therapy. […] Throughout your treatment and beyond, you’ll get care from many health care providers. Your health care team may include: Doctors involved in cancer treatment (medical oncologists, surgeons, radiation oncologists), Nurses, Genetic counselors, Patient navigators, Social workers, Mental health providers (counselors, clinical social workers, psychologists and others).

• #26 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis/

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] If you have any questions or concerns about your diagnosis and treatment, talk to your treatment team. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #27 What Is Ductal Carcinoma In Situ (DCIS), and How Do I Decide on the Right Treatment? | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/what-ductal-carcinoma-situ-dcis-and-how-do-decide-right-treatment

  MSK surgeon Andrea Barrio says that even though DCIS is noninvasive and not life-threatening, surgery is nearly always recommended to treat the disease. […] Surgery is typically the first treatment for DCIS, and it is very effective. […] We almost always recommend surgery. Even though DCIS is noninvasive and not life-threatening, it has the potential to turn into something more serious. […] For those who have a mastectomy for DCIS, there is usually no need for additional treatment because the risk of the cancer coming back (recurring) is very low. […] To reduce this risk, the two main treatments are radiation therapy and, if the DCIS cells have the estrogen receptor, hormone therapy. […] At MSK, we have a very thoughtful approach to personalizing treatment for each person with DCIS.

• #28 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  DCIS does not usually present with any noticeable signs or symptoms and is often found as a result of an annual screening mammogram, making early detection the key to finding breast cancer in this early stage. […] Common treatments for DCIS include surgery, radiation, and hormonal therapy, or a combination of these. Chemotherapy is not used to treat DCIS. […] Lumpectomy, also known as breast-conserving surgery, is the most common treatment for DCIS. A lumpectomy removes only the cancerous tissue and a small margin of normal tissue around it, rather than removing all of the breast tissue. […] A mastectomy is the surgical removal of the breast and breast issue. While a lumpectomy is now more common to treat DCIS, a mastectomy may be performed if the cancerous cells are widespread, occur in multiple areas of the breast, or a lumpectomy cannot remove the cancer completely.

• #29 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Ductal carcinoma in situ (DCIS) means the cells that line the milk ducts of the breast have become cancer, but they have not spread into surrounding breast tissue. […] DCIS is considered non-invasive or pre-invasive breast cancer. DCIS cant spread outside the breast, but it is often treated because if left alone, some DCIS cells can continue to undergo abnormal changes that cause it to become invasive breast cancer (which can spread). […] In most cases, a woman with DCIS can choose between breast-conserving surgery (BCS) and simple mastectomy. […] In breast-conserving surgery (BCS), the surgeon removes the tumor and a small amount of normal breast tissue around it. […] If BCS is done, it is usually followed by radiation therapy. This lowers the chance of the cancer coming back in the same breast (either as more DCIS or as an invasive cancer).

• #30 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  DCIS does not usually present with any noticeable signs or symptoms and is often found as a result of an annual screening mammogram, making early detection the key to finding breast cancer in this early stage. […] Common treatments for DCIS include surgery, radiation, and hormonal therapy, or a combination of these. Chemotherapy is not used to treat DCIS. […] Lumpectomy, also known as breast-conserving surgery, is the most common treatment for DCIS. A lumpectomy removes only the cancerous tissue and a small margin of normal tissue around it, rather than removing all of the breast tissue. […] A mastectomy is the surgical removal of the breast and breast issue. While a lumpectomy is now more common to treat DCIS, a mastectomy may be performed if the cancerous cells are widespread, occur in multiple areas of the breast, or a lumpectomy cannot remove the cancer completely.

• #31 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Many women with early-stage breast cancer, like DCIS, can choose between breast-conserving surgery (BCS) and mastectomy. […] Simple mastectomy (removal of the entire breast) may be needed if the area of DCIS is very large, if the breast has several separate areas of DCIS in different quadrants (multicentric), or if BCS cannot remove the DCIS completely. […] Women having a mastectomy for DCIS typically dont need radiation therapy and may choose to have breast reconstruction right away or later. […] If the DCIS is hormone receptor-positive (estrogen or progesterone), treatment with tamoxifen (for any woman) or an aromatase inhibitor, such as exemestane or anastrozole, (for women past menopause) for 5 years after surgery can lower the risk of another DCIS or invasive cancer developing in either breast.

• #32 Ductal carcinoma in situ (DCIS) | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/breast-cancer/types/ductal-carcinoma-in-situ-dcis

  DCIS is an early breast cancer. […] Surgery is the main treatment for DCIS. […] Your surgeon might recommend that you have a particular surgery or they might give you a choice of operations. […] It is important to discuss your options with your doctor or nurse. […] Many people have surgery to remove the area of DCIS and a border of healthy tissue (a margin) around it. This is called breast conserving surgery, or a wide local excision (WLE) or sometimes a lumpectomy. […] After this surgery, you might have radiotherapy to the rest of the breast tissue if the DCIS cells look very abnormal (high grade). […] You might have a mastectomy if: the area of the DCIS is large; there are several areas of DCIS; you have small breasts and too much of the breast is affected by DCIS to make breast conserving surgery possible.

• #33 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis/

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] If you have any questions or concerns about your diagnosis and treatment, talk to your treatment team. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #34 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Lumpectomy is a good option for most people with DCIS. But mastectomy may be recommended if: […] Because DCIS is noninvasive, surgery typically doesn’t involve the removal of lymph nodes from under your arm. The chance of finding cancer in the lymph nodes is extremely small. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. […] For DCIS treatment, the radiation is often external beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #35 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  http://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  Almost all women undergoing mastectomy for DCIS have the option of having breast reconstruction. There are a number of ways that the breast can be reconstructed following mastectomy. Options include reconstruction with a breast implant or a reconstruction with a flap (using your natural tissue from other areas of your body). […] Hormone-blocking therapies such as tamoxifen and aromatase inhibitors are tablets that are often used in the treatment of invasive breast cancer. They can also reduce the chances of DCIS recurring in those women who have breast conservation rather than a mastectomy. […] In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue or spread to the lymph. It is therefore not usually necessary to remove the glands. However, if there is a large area of DCIS or lots of small clusters of DCIS, the chances of finding invasive cancer in the DCIS is higher and your surgeon may recommend sentinel node biopsy of the lymph glands. […] DCIS is not an emergency. You have time to consider your options carefully and to make a decision in your own time. Ask for a second opinion if you are unsure about what to do. […] Please talk to your doctor, nurse or radiation therapist about anything that is worrying you.

• #36 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Ductal carcinoma in situ (DCIS) means the cells that line the milk ducts of the breast have become cancer, but they have not spread into surrounding breast tissue. […] DCIS is considered non-invasive or pre-invasive breast cancer. DCIS cant spread outside the breast, but it is often treated because if left alone, some DCIS cells can continue to undergo abnormal changes that cause it to become invasive breast cancer (which can spread). […] In most cases, a woman with DCIS can choose between breast-conserving surgery (BCS) and simple mastectomy. […] In breast-conserving surgery (BCS), the surgeon removes the tumor and a small amount of normal breast tissue around it. […] If BCS is done, it is usually followed by radiation therapy. This lowers the chance of the cancer coming back in the same breast (either as more DCIS or as an invasive cancer).

• #37 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Lumpectomy is a good option for most people with DCIS. But mastectomy may be recommended if: […] Because DCIS is noninvasive, surgery typically doesn’t involve the removal of lymph nodes from under your arm. The chance of finding cancer in the lymph nodes is extremely small. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. […] For DCIS treatment, the radiation is often external beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #38 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  http://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  There are several ways to treat DCIS. Each treatment has advantages and disadvantages. […] Under general anaesthetic, the surgeon removes the area of DCIS and a small area of healthy tissue around it (the surgical margin). […] After surgery, radiotherapy (radiation therapy) is given to the breast. This is X-ray treatment that kills cancer cells and significantly reduces the risk of DCIS or invasive breast cancer developing in the remaining breast tissue in the future. […] Wide excision alone may be suitable for some women with small areas of low risk DCIS. In most cases surgery is combined with a course of radiotherapy as it has been proven that radiotherapy significantly reduces the chances of DCIS or invasive cancer affecting the breast in the future. […] Under general anaesthetic, the surgeon removes the whole breast and usually the nipple. This is sometimes the only treatment option for large areas of DCIS or cases where small clusters of DCIS are scattered through the breast.

• #39 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  Radiation uses high-energy rays to destroy any remaining cancer cells after surgery to treat DCIS. Radiation reduces the chance of the cancer coming back. […] Hormonal therapy may be given to women with estrogen receptor-positive (ER+) DCIS after radiation and/or surgery to decrease the risk of recurrence. […] The prognosis for DCIS is excellent. More than 99% of patients diagnosed with DCIS will recover and live more than 5 years after their initial diagnosis. […] While some patients may experience a recurrence of DCIS, the recurrence rate for DCIS is generally low, around 15%, for patients who received both surgery and radiation as treatment. […] If left untreated or undetected, DCIS may spread out of the milk ducts and into the surrounding breast tissue. When DCIS spreads beyond the milk ducts and invades other areas of the breast, it becomes invasive ductal carcinoma (IDC) and advances in stage.

• #40 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Lumpectomy is a good option for most people with DCIS. But mastectomy may be recommended if: […] Because DCIS is noninvasive, surgery typically doesn’t involve the removal of lymph nodes from under your arm. The chance of finding cancer in the lymph nodes is extremely small. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. […] For DCIS treatment, the radiation is often external beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #41 Understanding ductal carcinoma in situ – Harvard Health

  https://www.health.harvard.edu/newsletter_article/understanding-ductal-carcinoma-in-situ

  Most women diagnosed with this noninvasive breast cancer are alive 10 years later, and better treatments are emerging. […] For the 62,000 women who will be diagnosed with ductal carcinoma in situ (DCIS) this year, the good news is far more important than the bad. […] Today, with standard treatment, 10-year survival rates for DCIS are approaching 100%, and the treatment is usually not too difficult to tolerate. […] DCIS is never an emergency, so you can take a few weeks to weigh your options, which include the following: […] Breast-conserving surgery (lumpectomy) is often recommended when DCIS is limited to one site and the tumor can be removed with a clear margin — several millimeters — of healthy tissue. […] Radiation therapy is recommended for all women who have had breast-conserving surgery, because it reduces the chance of recurrence after surgery from 30% to 15%.

• #42 Ductal carcinoma in situ (DCIS) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/ductal-carcinoma-in-situ-dcis

  Radiation therapy is often used after lumpectomy to reduce the chance that DCIS will come back or that it will progress to invasive cancer. But it might not be necessary if you have only a small area of DCIS that is considered slow-growing and was completely removed during surgery. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #43 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  Radiation uses high-energy rays to destroy any remaining cancer cells after surgery to treat DCIS. Radiation reduces the chance of the cancer coming back. […] Hormonal therapy may be given to women with estrogen receptor-positive (ER+) DCIS after radiation and/or surgery to decrease the risk of recurrence. […] The prognosis for DCIS is excellent. More than 99% of patients diagnosed with DCIS will recover and live more than 5 years after their initial diagnosis. […] While some patients may experience a recurrence of DCIS, the recurrence rate for DCIS is generally low, around 15%, for patients who received both surgery and radiation as treatment. […] If left untreated or undetected, DCIS may spread out of the milk ducts and into the surrounding breast tissue. When DCIS spreads beyond the milk ducts and invades other areas of the breast, it becomes invasive ductal carcinoma (IDC) and advances in stage.

• #44 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Lumpectomy is a good option for most people with DCIS. But mastectomy may be recommended if: […] Because DCIS is noninvasive, surgery typically doesn’t involve the removal of lymph nodes from under your arm. The chance of finding cancer in the lymph nodes is extremely small. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. […] For DCIS treatment, the radiation is often external beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #45 Ductal carcinoma in situ (DCIS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/diagnosis-treatment/drc-20371895

  Lumpectomy is a good option for most people with DCIS. But mastectomy may be recommended if: […] Because DCIS is noninvasive, surgery typically doesn’t involve the removal of lymph nodes from under your arm. The chance of finding cancer in the lymph nodes is extremely small. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. […] For DCIS treatment, the radiation is often external beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. […] Hormone therapy, also called endocrine therapy, uses medicines to block certain hormones in the body. It’s a treatment for breast cancers that are sensitive to the hormones estrogen and progesterone. […] For DCIS, hormone therapy is typically used after surgery or radiation. It lowers the risk that the cancer will come back. It also reduces the risk of developing another breast cancer.

• #46 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #47 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Many women with early-stage breast cancer, like DCIS, can choose between breast-conserving surgery (BCS) and mastectomy. […] Simple mastectomy (removal of the entire breast) may be needed if the area of DCIS is very large, if the breast has several separate areas of DCIS in different quadrants (multicentric), or if BCS cannot remove the DCIS completely. […] Women having a mastectomy for DCIS typically dont need radiation therapy and may choose to have breast reconstruction right away or later. […] If the DCIS is hormone receptor-positive (estrogen or progesterone), treatment with tamoxifen (for any woman) or an aromatase inhibitor, such as exemestane or anastrozole, (for women past menopause) for 5 years after surgery can lower the risk of another DCIS or invasive cancer developing in either breast.

• #48 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #49 Treatment of Ductal Carcinoma in Situ (DCIS) | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/treatment/treatment-of-breast-cancer-by-stage/treatment-of-ductal-carcinoma-in-situ-dcis.html

  Many women with early-stage breast cancer, like DCIS, can choose between breast-conserving surgery (BCS) and mastectomy. […] Simple mastectomy (removal of the entire breast) may be needed if the area of DCIS is very large, if the breast has several separate areas of DCIS in different quadrants (multicentric), or if BCS cannot remove the DCIS completely. […] Women having a mastectomy for DCIS typically dont need radiation therapy and may choose to have breast reconstruction right away or later. […] If the DCIS is hormone receptor-positive (estrogen or progesterone), treatment with tamoxifen (for any woman) or an aromatase inhibitor, such as exemestane or anastrozole, (for women past menopause) for 5 years after surgery can lower the risk of another DCIS or invasive cancer developing in either breast.

• #50 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #51 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  http://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  Almost all women undergoing mastectomy for DCIS have the option of having breast reconstruction. There are a number of ways that the breast can be reconstructed following mastectomy. Options include reconstruction with a breast implant or a reconstruction with a flap (using your natural tissue from other areas of your body). […] Hormone-blocking therapies such as tamoxifen and aromatase inhibitors are tablets that are often used in the treatment of invasive breast cancer. They can also reduce the chances of DCIS recurring in those women who have breast conservation rather than a mastectomy. […] In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue or spread to the lymph. It is therefore not usually necessary to remove the glands. However, if there is a large area of DCIS or lots of small clusters of DCIS, the chances of finding invasive cancer in the DCIS is higher and your surgeon may recommend sentinel node biopsy of the lymph glands. […] DCIS is not an emergency. You have time to consider your options carefully and to make a decision in your own time. Ask for a second opinion if you are unsure about what to do. […] Please talk to your doctor, nurse or radiation therapist about anything that is worrying you.

• #52 Ductal carcinoma in situ (DCIS) | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/breast-cancer/types/ductal-carcinoma-in-situ-dcis

  You may have surgery to your armpit called a sentinel lymph node biopsy if you have a mastectomy. […] Hormone therapy is recommended for 5 years if you have breast conserving surgery for DCIS and your cancer cells have oestrogen receptors (oestrogen positive) and you do not have radiotherapy. […] Research shows that taking hormone therapy after breast conserving surgery for DCIS reduces the risk of it coming back (recurrence). […] After treatment you usually have regular check ups. […] Its important to remember that you can contact your doctor or nurse between appointments if you are worried about a symptom or have questions. […] UK guidelines say that everyone who has had treatment for early breast cancer should have a copy of a written care plan. […] The chance of the DCIS coming back depends on various factors. […] Your doctor can give you more information about the chance of the DCIS coming back in your case. […] Coping with DCIS can be difficult. There is help and support available to you and your family.

• #53 Ductal Carcinoma In Situ (DCIS) Treatment | Susan G. Komen®

  https://www.komen.org/breast-cancer/treatment/by-diagnosis/dcis/

  DCIS is treated to try to prevent the development of invasive breast cancer. […] Health care providers cannot predict which cases of DCIS will progress to invasive breast cancer and which will not. Because DCIS might progress to invasive breast cancer, almost all cases are treated. […] Surgery is recommended as the first step to treat DCIS. After surgery, some people will have radiation therapy, and some may take hormone therapy. […] Throughout your treatment and beyond, you’ll get care from many health care providers. Your health care team may include: Doctors involved in cancer treatment (medical oncologists, surgeons, radiation oncologists), Nurses, Genetic counselors, Patient navigators, Social workers, Mental health providers (counselors, clinical social workers, psychologists and others).

• #54 Ductal carcinoma in situ treatment

  https://www.genesiscare.com/uk/condition/cancer/breast-cancer/ductal-carcinoma-in-situ-treatment-genesiscare-uk

  Ductal carcinoma in situ (DCIS) is considered the earliest form of breast cancer and is sometimes referred to as Stage 0, or pre-invasive or non-invasive cancer. Your consultant will oversee your treatment every step of the way. […] For non-invasive breast cancer (also known as ductal carcinoma in situ), your consultant will oversee your treatment every step of the way, including surgery which takes place at our partner hospitals. Theyll see you at appointments, monitor your progress and spend time with you to address concerns and answer your questions. […] Our highly experienced specialist breast nurses will support you throughout your DCIS journey, providing all the information you need. They are always available to give you advice and reassurance. […] Surgery is the most important treatment for DCIS. At GenesisCare we work closely with breast surgeons and partner hospitals so you can have your surgery close by and then complete your treatments at one of our centres.

• #55 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #56 Ductal Carcinoma In Situ (DCIS) Treatment | Susan G. Komen®

  https://www.komen.org/breast-cancer/treatment/by-diagnosis/dcis/

  DCIS is treated to try to prevent the development of invasive breast cancer. […] Health care providers cannot predict which cases of DCIS will progress to invasive breast cancer and which will not. Because DCIS might progress to invasive breast cancer, almost all cases are treated. […] Surgery is recommended as the first step to treat DCIS. After surgery, some people will have radiation therapy, and some may take hormone therapy. […] Throughout your treatment and beyond, you’ll get care from many health care providers. Your health care team may include: Doctors involved in cancer treatment (medical oncologists, surgeons, radiation oncologists), Nurses, Genetic counselors, Patient navigators, Social workers, Mental health providers (counselors, clinical social workers, psychologists and others).

• #57

  https://www.bcna.org.au/resources/about-breast-cancer/dcis/about-dcis/

  A diagnosis of DCIS (ductal carcinoma in situ) is not a diagnosis of invasive breast cancer. […] In itself, DCIS isnt life threatening. However, having DCIS can increase your risk of developing invasive breast cancer later in life. […] Treatment for DCIS is important. You might feel confused about why DCIS is treated like invasive breast cancer when it is not invasive. […] If DCIS is not treated, it can spread outside the ducts into surrounding breast tissue. From there, it can travel to other parts of the body. When this happens, it becomes invasive breast cancer. […] DCIS treatment aims to remove abnormal cells and prevent invasive breast cancer. Options include surgery, radiotherapy, and hormone therapy. […] DCIS treatments can cause side effects, some temporary and some lasting longer. Your doctor can help with managing symptoms and discomfort.

• #58 Ductal carcinoma in situ (DCIS): posttreatment follow-up care among Latina and non-Latina White women

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3627346/

  There is a lack of information about posttreatment care among patients with ductal carcinoma in situ (DCIS). This study compares posttreatment care by ethnicity language and physician specialty among Latina and White women with DCIS. Most women reported appropriate surveillance after DCIS treatment. However, our results suggest less adequate follow-up for Spanish-speaking Latinas, possibly due to language barriers or insurance access. Follow-up with a primary care provider in addition to a breast specialist increases receipt of appropriate follow-up for all women. Given the increased risk of recurrence and contralateral breast cancer, follow-up care and surveillance after treatment are essential. There are no clear data about the best follow-up procedures for DCIS; the American Society of Clinical Oncology does not address follow-up care for DCIS specifically but recommends that women receive a physical examination every 3 to 6 months during the first year after treatment for DCIS or invasive cancer and that screening after initial post-treatment mammogram should be obtained as indicated for surveillance of abnormalities. A task force of experts from the American College of Radiology, the American College of Surgeons, the College of American Pathology, and the Society of Surgical Oncology proposed a more specific set of recommendations for DCIS patients which can serve as guidelines for adequate posttreatment care. These recommendations propose that during the first year after surgery, patients with a mastectomy receive one clinical breast exam (CBE) and one mammogram of the contralateral breast, while patients with BCS are recommended two CBE and two mammograms. Thus, comprehensive follow-up care for DCIS should include counseling about these health-related behaviors. Our study aimed to address this knowledge gap by investigating the nature of posttreatment care for DCIS during the first years following treatment among a cohort of Latina and non-Latina White women. We examined utilization of CBE and mammographic screenings, follow-up with a physician, as well as whether women received counseling about lifestyle behaviors from their physicians. Our results suggest important differences in surveillance and counseling after treatment for DCIS according to specialist seen, age, and ethnicity language of the woman. Interventions aiming to reduce these disparities should involve partnerships between breast specialists and primary care physicians to develop comprehensive posttreatment care plans for all women with DCIS regardless of ethnicity and language. These plans should include breast surveillance for recurrence and new primary cancers and counseling about lifestyle behaviors.

• #59 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #60 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #61 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis/

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] If you have any questions or concerns about your diagnosis and treatment, talk to your treatment team. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #62

  https://www.bcna.org.au/resources/about-breast-cancer/dcis/about-dcis/

  A diagnosis of DCIS (ductal carcinoma in situ) is not a diagnosis of invasive breast cancer. […] In itself, DCIS isnt life threatening. However, having DCIS can increase your risk of developing invasive breast cancer later in life. […] Treatment for DCIS is important. You might feel confused about why DCIS is treated like invasive breast cancer when it is not invasive. […] If DCIS is not treated, it can spread outside the ducts into surrounding breast tissue. From there, it can travel to other parts of the body. When this happens, it becomes invasive breast cancer. […] DCIS treatment aims to remove abnormal cells and prevent invasive breast cancer. Options include surgery, radiotherapy, and hormone therapy. […] DCIS treatments can cause side effects, some temporary and some lasting longer. Your doctor can help with managing symptoms and discomfort.

• #63

  https://www.bcna.org.au/resources/about-breast-cancer/dcis/about-dcis/

  A diagnosis of DCIS (ductal carcinoma in situ) is not a diagnosis of invasive breast cancer. […] In itself, DCIS isnt life threatening. However, having DCIS can increase your risk of developing invasive breast cancer later in life. […] Treatment for DCIS is important. You might feel confused about why DCIS is treated like invasive breast cancer when it is not invasive. […] If DCIS is not treated, it can spread outside the ducts into surrounding breast tissue. From there, it can travel to other parts of the body. When this happens, it becomes invasive breast cancer. […] DCIS treatment aims to remove abnormal cells and prevent invasive breast cancer. Options include surgery, radiotherapy, and hormone therapy. […] DCIS treatments can cause side effects, some temporary and some lasting longer. Your doctor can help with managing symptoms and discomfort.

• #64 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  Ductal carcinoma in situ (DCIS) is cancer in your breasts milk ducts. It isnt aggressive and it typically doesnt spread. This early form of breast cancer is usually curable with appropriate treatment, which often includes lumpectomy and radiation therapy. DCIS is highly treatable, and the outlook is excellent. […] Healthcare providers may call DCIS noninvasive or pre-invasive breast cancer. This means that the cancer cells havent spread beyond the walls of your milk ducts. Ductal carcinoma in situ doesnt typically metastasize, or spread to other organs in your body, as aggressive or invasive cancers do. […] While DCIS cant spread outside of your breast, it can turn into invasive ductal carcinoma which can spread outside of your breast in some cases. Thats why talking to a healthcare provider is so important. They can discuss treatment options to help reduce this risk.

• #65 Ductal Carcinoma In Situ (DCIS) | OncoLink

  https://www.oncolink.org/cancers/breast/ductal-carcinoma-in-situ-dcis

  DCIS can become an invasive cancer, or one that spreads to other areas. Once it has spread outside of the duct and into nearby tissue, it can then spread to other parts of the body (metastasize) and can be harder to treat. There is no way to tell if DCIS will become an invasive cancer, so almost all cases of DCIS are treated. Some treatment options for DCIS are: […] Your care team will make sure you are included in choosing your treatment plan. This can be overwhelming as you may be given a few options to choose from. It feels like an emergency, but you can take a few weeks to meet with different providers and think about your options and what is best for you. This is a personal decision. Friends and family can help you talk through the options and the pros and cons of each, but they cannot make the decision for you. You need to be comfortable with your decision this will help you move on to the next steps. If you ever have any questions or concerns, be sure to call your team.

• #66 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #67 Ductal carcinoma in situ (DCIS): Symptoms, screening, and more

  https://www.medicalnewstoday.com/articles/ductal-carcinoma-in-situ

  After surgery a person will receive radiation therapy to destroy any remaining cells. […] If the DCIS is in many areas of the breast, or the tumor is large, a surgeon may remove the entire breast. […] If doctors know the cancer uses estrogen and progesterone to grow, they will likely suggest hormonal therapy. […] The survival rate of DCIS is high because people receive their breast cancer diagnosis early and begin treatment before the cancer progresses to a more invasive type. […] According to Cancer Research UK, it is rare for DCIS to return after a mastectomy. […] Because people with DCIS have a higher risk of developing invasive breast cancer in the future, they should remember to physically examine their breasts for lumps and speak with their doctor if they notice any changes in the breast, a lump, or discharge from the nipple. […] After recovering from DCIS, a person should continue to self-examine their breasts and speak with a doctor if they notice any changes.

• #68 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #69 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #70 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #71 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #72 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #73 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #74 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #75 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #76 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #77 Ductal carcinoma in situ (DCIS) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889

  If you choose to drink alcohol, limit the amount you drink to no more than one drink a day. For breast cancer prevention, there is no safe amount of alcohol. So if you’re very concerned about your breast cancer risk, you may choose to not drink alcohol. […] Aim for at least 30 minutes of exercise on most days of the week. If you haven’t been active lately, ask your healthcare professional whether exercising is OK and start slowly. […] Combination hormone therapy may increase the risk of breast cancer. Talk with a healthcare professional about the benefits and risks of hormone therapy. […] If your weight is healthy, work to maintain that weight. If you need to lose weight, ask a healthcare professional about healthy ways to lower your weight. Eat fewer calories and slowly increase the amount you exercise.

• #78 Ductal Carcinoma in Situ (DCIS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17869-ductal-carcinoma-in-situ-dcis

  After surgery, your healthcare provider may prescribe medications to prevent DCIS from recurring (coming back). The most common medicines are tamoxifen (Nolvadex) and aromatase inhibitors (like anastrozole). This treatment is called hormone therapy. The whole treatment course lasts for five years. […] Many of the risk factors for DCIS arent preventable. Still, you can improve your chance of curing DCIS by catching it early. Most women should start receiving yearly mammograms at age 40. […] DCIS survival rates are excellent. According to the American Cancer Society, nearly all people with ductal carcinoma in situ can be cured with treatment. […] With DCIS, expect to see your healthcare provider for a physical exam every six to 12 months for five years after treatment and then, annually. Youll also likely need to get annual mammograms.

• #79 Ductal Carcinoma in Situ | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/breast-cancer/ductal-carcinoma-in-situ.html

  Ductal carcinoma in situ (DCIS) is a very early form of breast cancer. […] Because DCIS is found at cancers earliest stage, it responds very well to treatment. The outlook for patients with DCIS is excellent, and the disease has a 10-year survival rate of more than 98%. […] Once a DCIS diagnosis is made at MD Anderson, patients will typically see both a surgeon and an oncologist, often on the same day. Theyll discuss whether surgery is necessary, as well as the pros and cons of it. Theyll also explore any possible adjuvant therapies. […] The standard of care for DCIS is to do surgery first. So, surgeons may offer you a lumpectomy or a mastectomy. If you have a lumpectomy, youll also need radiation therapy. […] Typically, you shouldnt need chemotherapy after a DCIS diagnosis, since surgery alone is usually enough to render someone cancer-free.

• #80 Ductal Carcinoma In Situ (DCIS) Treatment | Susan G. Komen®

  https://www.komen.org/breast-cancer/treatment/by-diagnosis/dcis/

  Although the exact treatment for DCIS varies from person to person, guidelines help make sure high-quality care is given. […] With treatment, the chances of survival for DCIS are usually excellent. […] Surgery is the first step to treat DCIS. It removes the abnormal tissue from the breast. It’s the main treatment for DCIS, but you may also have other treatments. […] A lumpectomy for DCIS is often followed by radiation therapy to lower the risk of DCIS recurrence (a return of DCIS) in the treated breast and invasive breast cancer in the treated breast. […] Most cases of DCIS are hormone receptor-positive. People with hormone receptor-positive DCIS may benefit from hormone therapy (tamoxifen or an aromatase inhibitor). […] After treatment for DCIS, there’s a small risk of DCIS recurrence (a return of DCIS) and invasive breast cancer. […] If you’ve been recently diagnosed with DCIS or feel too overwhelmed to know where to begin to gather information, it may be helpful to download and print some of Susan G. Komen’s resources.

• #81 Ductal carcinoma in situ (DCIS) | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/breast-cancer/types/ductal-carcinoma-in-situ-dcis

  You may have surgery to your armpit called a sentinel lymph node biopsy if you have a mastectomy. […] Hormone therapy is recommended for 5 years if you have breast conserving surgery for DCIS and your cancer cells have oestrogen receptors (oestrogen positive) and you do not have radiotherapy. […] Research shows that taking hormone therapy after breast conserving surgery for DCIS reduces the risk of it coming back (recurrence). […] After treatment you usually have regular check ups. […] Its important to remember that you can contact your doctor or nurse between appointments if you are worried about a symptom or have questions. […] UK guidelines say that everyone who has had treatment for early breast cancer should have a copy of a written care plan. […] The chance of the DCIS coming back depends on various factors. […] Your doctor can give you more information about the chance of the DCIS coming back in your case. […] Coping with DCIS can be difficult. There is help and support available to you and your family.

• #82 Ductal Carcinoma In Situ (DCIS) – National Breast Cancer Foundation

  https://www.nationalbreastcancer.org/dcis/

  Radiation uses high-energy rays to destroy any remaining cancer cells after surgery to treat DCIS. Radiation reduces the chance of the cancer coming back. […] Hormonal therapy may be given to women with estrogen receptor-positive (ER+) DCIS after radiation and/or surgery to decrease the risk of recurrence. […] The prognosis for DCIS is excellent. More than 99% of patients diagnosed with DCIS will recover and live more than 5 years after their initial diagnosis. […] While some patients may experience a recurrence of DCIS, the recurrence rate for DCIS is generally low, around 15%, for patients who received both surgery and radiation as treatment. […] If left untreated or undetected, DCIS may spread out of the milk ducts and into the surrounding breast tissue. When DCIS spreads beyond the milk ducts and invades other areas of the breast, it becomes invasive ductal carcinoma (IDC) and advances in stage.

• #83 Ductal Carcinoma In Situ (DCIS) Breast Cancer: Symptoms, Causes and Treatment

  https://gangabreastcare.com/ductal-carcinoma-in-situ.php

  When the cells lining the ducts have features of carcinoma, but havent crossed the basement membrane of the duct and is confined to the duct, it is called as ductal carcinoma in situ. […] Ductal Carcinoma in situ are precursors for breast cancers. They are not life-threatening. But they need to be treated so that they dont get converted to invasive breast cancers. […] If lumpectomy had been done, there is a 30% chance of recurrence. With radiotherapy, the chance of recurrence reduces by 15%. Most of the recurrences are within the first five years. A patient who had a DCIS before has a higher chance of getting breast cancer back compared to the normal population in the same side breast if lumpectomy had been performed and also in the opposite breast. Hence patients need to be followed up regularly by Monthly self-examination of the breast, Examination by the doctor every six months, Mammography screening once every year.

• #84 Ductal Carcinoma in Situ | Susan G. Komen®

  https://www.komen.org/breast-cancer/facts-statistics/what-is-breast-cancer/dcis/

  DCIS is treated to try to prevent the development of invasive breast cancer. […] Surgery is recommended as the first step to treat DCIS. After surgery, some people will have radiation therapy, and some may take hormone therapy. […] DCIS is non-invasive, but without treatment, the abnormal cells could progress to invasive cancer over time. […] Health care providers cannot predict which cases of DCIS will progress to invasive breast cancer and which will not. Because DCIS might progress to invasive breast cancer, almost all cases of DCIS are treated. […] After treatment for DCIS, there’s a small risk of invasive breast cancer. […] Higher grade DCIS appears more likely than lower grade DCIS to progress to invasive breast cancer after treatment. […] With close follow-up, invasive breast cancer is usually caught early and can be treated effectively.

• #85 Invasive Ductal Carcinoma (IDC) and Ductal Carcinoma in Situ (DCIS) Breast Cancer

  https://www.webmd.com/breast-cancer/ductal-carcinoma-invasive-in-situ

  You and your treatment team may also consider the use of hormone therapy if the cancer tests positive for hormone receptors (HR+ breast cancer). Hormone therapy is a treatment to block hormones from reaching cancer cells and can cut the chance of getting another breast cancer in either breast. […] Side effects of DCIS treatment may include: Blood clots, Infected surgical site, Buildup of fluid (seroma) at the surgical site, Buildup of blood (hematoma) at the surgical site, Pain, discomfort, numbness, or tingling, Stiffness, Swelling, Nerve pain, Fatigue (extreme tiredness), A change in sensation around the surgical site, Scar tissue at the surgical site, Bruising and other skin changes, Nausea. […] Your recovery time from treatment for ductal carcinoma in situ will depend on the procedures you had, your overall health and fitness level, and any side effects or complications you may have had. […] After breast surgery, you may feel tired and sore for several weeks. You may need to do arm and shoulder exercises to prevent stiffness and help with movement. Most people are able to get back to normal activities after a month.

• #86 “Stage Zero” Breast Cancer: What’s the Optimal Treatment for DCIS? | Columbia University Irving Medical Center

  https://www.cuimc.columbia.edu/news/stage-zero-breast-cancer-whats-optimal-treatment-dcis

  Since treatment of DCIS after surgery doesnt improve survival, there is a growing concern that DCIS may be overtreated if the benefit of these treatments is outweighed by their impact on quality of life. […] Our results are unique in that they suggest no role for hormone therapy, as we found that the side effects are likely to outweigh the therapeutic benefits. […] Most patients find the side effects of hormones to be very bothersome: hot flashes, fatigue, joint pain, and long-term cardiovascular and fracture risks that require routine monitoring. […] Our study is eye-opening but its not necessarily practice-changing on its own as its not level-one evidence (a phase III randomized trial). […] Many women experience mild acute side effects, such as skin irritation, pain, breast swelling, and fatigue, which generally resolve within several weeks of completing treatment. […] Shared decision making is important for any cancer treatment. Physicians and patients alike should consider personal preferences and tolerance for side effects versus the risk of recurrence.

• #87 “Stage Zero” Breast Cancer: What’s the Optimal Treatment for DCIS? | Columbia University Irving Medical Center

  https://www.cuimc.columbia.edu/news/stage-zero-breast-cancer-whats-optimal-treatment-dcis

  Since treatment of DCIS after surgery doesnt improve survival, there is a growing concern that DCIS may be overtreated if the benefit of these treatments is outweighed by their impact on quality of life. […] Our results are unique in that they suggest no role for hormone therapy, as we found that the side effects are likely to outweigh the therapeutic benefits. […] Most patients find the side effects of hormones to be very bothersome: hot flashes, fatigue, joint pain, and long-term cardiovascular and fracture risks that require routine monitoring. […] Our study is eye-opening but its not necessarily practice-changing on its own as its not level-one evidence (a phase III randomized trial). […] Many women experience mild acute side effects, such as skin irritation, pain, breast swelling, and fatigue, which generally resolve within several weeks of completing treatment. […] Shared decision making is important for any cancer treatment. Physicians and patients alike should consider personal preferences and tolerance for side effects versus the risk of recurrence.

• #88 DCIS breast cancer (Ductal carcinoma in situ) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/breast-cancer/ductal-carcinoma-in-situ-dcis

  After treatment, you will have yearly mammograms for 5 years. If you had a mastectomy, the mammogram will be of your other breast. […] Your treated breast will look and feel different. Your nurse can tell you what you to expect and what to check for. It is also important to be aware of what to look out for in your untreated breast. […] DCIS and its treatments and side effects may affect your sex life and how you feel about yourself (body image). […] Your cancer doctor or nurse will usually advise you not to use contraception that contains hormones. […] Even if you already have a healthy lifestyle, you may choose to make some positive lifestyle changes after treatment.

• #89 Ductal carcinoma in situ (DCIS) | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/diagnosis/types-of-breast-cancer/ductal-carcinoma-in-situ-dcis

  DCIS is an early form of breast cancer. […] If you have any concerns about breast cancer, or just want to talk, our specialist nurses are here for you. […] The aim of treatment is to remove all the DCIS from within the breast to reduce the chance of it becoming an invasive cancer. […] Surgery is nearly always the first treatment for DCIS. […] You may be offered a choice between these types of surgery, depending on the size and location of the area affected. Your breast surgeon will discuss this with you. […] After surgery, you may need other treatments. These are called adjuvant treatments and can include radiotherapy and, in some cases, hormone therapy. […] Being told you have DCIS can be a difficult and worrying time. Everyone reacts differently to their diagnosis and has their own way of coping. […] Some people find it helpful to discuss their feelings and concerns with their breast care nurse or specialist.

• #90 Progression from ductal carcinoma in situ to invasive breast cancer: molecular features and clinical significance | Signal Transduction and Targeted Therapy

  https://www.nature.com/articles/s41392-024-01779-3

  Ductal carcinoma in situ (DCIS) represents pre-invasive breast carcinoma. In untreated cases, 2560% DCIS progress to invasive ductal carcinoma (IDC). […] The challenge lies in distinguishing between non-progressive and progressive DCIS, often resulting in over- or under-treatment in many cases. […] A deeper understanding of the biological nature of DCIS and the molecular journey of the DCIS-IDC transition is crucial for more effective clinical management. […] Here, we reviewed the key signaling pathways in breast cancer that may contribute to DCIS initiation and progression. […] We also explored the molecular features of DCIS and IDC, shedding light on the progression of DCIS through both inherent changes within tumor cells and alterations in the tumor microenvironment. […] In addition, valuable research tools utilized in studying DCIS including preclinical models and newer advanced technologies such as single-cell sequencing, spatial transcriptomics and artificial intelligence, have been systematically summarized.

• #91 Progression from ductal carcinoma in situ to invasive breast cancer: molecular features and clinical significance | Signal Transduction and Targeted Therapy

  https://www.nature.com/articles/s41392-024-01779-3

  Ductal carcinoma in situ (DCIS) represents pre-invasive breast carcinoma. In untreated cases, 2560% DCIS progress to invasive ductal carcinoma (IDC). […] The challenge lies in distinguishing between non-progressive and progressive DCIS, often resulting in over- or under-treatment in many cases. […] A deeper understanding of the biological nature of DCIS and the molecular journey of the DCIS-IDC transition is crucial for more effective clinical management. […] Here, we reviewed the key signaling pathways in breast cancer that may contribute to DCIS initiation and progression. […] We also explored the molecular features of DCIS and IDC, shedding light on the progression of DCIS through both inherent changes within tumor cells and alterations in the tumor microenvironment. […] In addition, valuable research tools utilized in studying DCIS including preclinical models and newer advanced technologies such as single-cell sequencing, spatial transcriptomics and artificial intelligence, have been systematically summarized.

• #92 Comparing Two Treatment Approaches for Women with Ductal Carcinoma In Situ (DCIS) — The PORTAL Study | PCORI

  https://www.pcori.org/research-results/2015/comparing-two-treatment-approaches-women-ductal-carcinoma-situ-dcis-portal-study

  Ductal carcinoma in situ, or DCIS, is a condition where abnormal cells are present in the breast. DCIS may or may not turn into invasive cancer that spreads and causes illness. […] Doctors often treat DCIS like invasive cancer; standard treatment is surgery or radiation given right away. Another care approach is active monitoring with mammograms and physical exams. With active monitoring, during the year after diagnosis, women may have no treatment or their treatment may be delayed. […] Women and their doctors can use the results when considering treatment for DCIS.

• #93 Ductal carcinoma in situ (DCIS): 7 things to know | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/ductal-carcinoma-in-situ–dcis—7-things-to-know.h00-159616278.html

  The most compelling reason to come to MD Anderson, though, may be our clinical trials program. We offer patients treatment options through our clinical trials that they cant find anywhere else. […] This clinical trial which stands for Comparing an Operation to Monitoring, With or Without Endocrine Therapy is looking at whether patients with low-risk DCIS can delay or avoid surgery altogether with medication or endocrine therapy, plus closer observation.

• #94 Active Monitoring Promising for Women with Low-Risk Ductal

  https://www.esmo.org/oncology-news/active-monitoring-promising-for-women-with-low-risk-ductal-carcinoma-in-situ

  In an intention-to-treat (ITT) analysis of the prospective, randomised non-inferiority COMET study, the 2-year cumulative rate of invasive cancer was 5.9% for women with low-risk ductal carcinoma in situ (DCIS) randomised to guideline-concordant care and 4.2% for active monitoring. […] These results show that at 2 years, patients randomised to active monitoring have non-inferior invasive breast cancer risk in the affected breast compared with those randomised to guideline-concordant care. […] Longer follow-up will help determine whether active monitoring offers durable safety and acceptability for patients in the management of this low-risk disease according to Dr. E. Shelley Hwang of the Duke University in Durham, NC, US, and colleagues who presented the findings at San Antonio Breast Cancer Symposium along with a simultaneous publication in the JAMA on 12 December 2024.

• #95 Active Monitoring Promising for Women with Low-Risk Ductal

  https://www.esmo.org/oncology-news/active-monitoring-promising-for-women-with-low-risk-ductal-carcinoma-in-situ

  In an intention-to-treat (ITT) analysis of the prospective, randomised non-inferiority COMET study, the 2-year cumulative rate of invasive cancer was 5.9% for women with low-risk ductal carcinoma in situ (DCIS) randomised to guideline-concordant care and 4.2% for active monitoring. […] These results show that at 2 years, patients randomised to active monitoring have non-inferior invasive breast cancer risk in the affected breast compared with those randomised to guideline-concordant care. […] Longer follow-up will help determine whether active monitoring offers durable safety and acceptability for patients in the management of this low-risk disease according to Dr. E. Shelley Hwang of the Duke University in Durham, NC, US, and colleagues who presented the findings at San Antonio Breast Cancer Symposium along with a simultaneous publication in the JAMA on 12 December 2024.

• #96 Active Monitoring Promising for Women with Low-Risk Ductal

  https://www.esmo.org/oncology-news/active-monitoring-promising-for-women-with-low-risk-ductal-carcinoma-in-situ

  In an intention-to-treat (ITT) analysis of the prospective, randomised non-inferiority COMET study, the 2-year cumulative rate of invasive cancer was 5.9% for women with low-risk ductal carcinoma in situ (DCIS) randomised to guideline-concordant care and 4.2% for active monitoring. […] These results show that at 2 years, patients randomised to active monitoring have non-inferior invasive breast cancer risk in the affected breast compared with those randomised to guideline-concordant care. […] Longer follow-up will help determine whether active monitoring offers durable safety and acceptability for patients in the management of this low-risk disease according to Dr. E. Shelley Hwang of the Duke University in Durham, NC, US, and colleagues who presented the findings at San Antonio Breast Cancer Symposium along with a simultaneous publication in the JAMA on 12 December 2024.

• #97 Changing the narrative around ductal carcinoma in situ and breast cancer risk | Cancer Grand Challenges

  https://www.cancergrandchallenges.org/news/changing-the-narrative-around-ductal-carcinoma-in-situ-and-breast-cancer-risk

  New findings from the Cancer Grand Challenges PRECISION team this Breast Cancer Awareness Month show that breast cancer development from DCIS is a rare event and emphasise the urgent need for accurate prognostic markers to combat DCIS overtreatment. […] Despite the chances of progression to breast cancer being low, DCIS is often referred to as early breast cancer and therefore treated as such. […] Currently, treatment is generally recommended for all women with DCIS and may include surgery, radiation and hormone therapy. […] But in most cases, women will have undergone treatment for DCIS that would have not progressed to cancer. To reduce the burden of overtreatment, there is an urgent need to find ways to distinguish the cases of DCIS that are at high risk of developing into invasive breast cancer from those that are at low risk.

• #98 Changing the narrative around ductal carcinoma in situ and breast cancer risk | Cancer Grand Challenges

  https://www.cancergrandchallenges.org/news/changing-the-narrative-around-ductal-carcinoma-in-situ-and-breast-cancer-risk

  The findings underline the need for new prognostic markers, and PRECISION has been exploring several avenues with the aim of finding biological markers that can be used as tools to assess breast cancer risk following a DCIS diagnosis. […] In a multidisciplinary team, PRECISION tries to identify risk factors to predict whether a woman with DCIS needs treatment or not. Being able to tailor treatments to an individuals risk, with the aim to prevent overtreatment, fits very well with KWFs main goals to stimulate better treatment for every type of cancer and to aim for a better quality of life for patients.

• #99 Changing the narrative around ductal carcinoma in situ and breast cancer risk | Cancer Grand Challenges

  https://www.cancergrandchallenges.org/news/changing-the-narrative-around-ductal-carcinoma-in-situ-and-breast-cancer-risk

  The findings underline the need for new prognostic markers, and PRECISION has been exploring several avenues with the aim of finding biological markers that can be used as tools to assess breast cancer risk following a DCIS diagnosis. […] In a multidisciplinary team, PRECISION tries to identify risk factors to predict whether a woman with DCIS needs treatment or not. Being able to tailor treatments to an individuals risk, with the aim to prevent overtreatment, fits very well with KWFs main goals to stimulate better treatment for every type of cancer and to aim for a better quality of life for patients.

• #100 Breast Ductal Carcinoma in Situ – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK567766/

  For breast conservation, the first step is pre-surgical localization of the lesion, as many of these lesions are non-palpable and only seen on imaging. […] Post-operatively, the patient needs to undergo radiation therapy. […] After obtaining negative margins in partial mastectomy, radiation follows to eliminate any residual disease. […] Chemotherapy is not indicated in patients with DCIS after surgical treatment. However, medical endocrine therapy is a large component of the recommended treatment for DCIS. […] Given the noninvasive nature of DCIS, metastases or death in women with DCIS who are treated are rare. […] Understanding that increasing levels of exogenous estrogen increases the risk of breast cancer is important in patient education. […] DCIS treatment is multifaceted and should be tailored to the patient based on pathology, overall health, comorbidities, age, genetics, cosmetic concerns, hormone receptor status, medical access, social support, and patient preference.

• #101 Ductal Carcinoma In Situ (DCIS) | OncoLink

  https://www.oncolink.org/cancers/breast/ductal-carcinoma-in-situ-dcis

  DCIS can become an invasive cancer, or one that spreads to other areas. Once it has spread outside of the duct and into nearby tissue, it can then spread to other parts of the body (metastasize) and can be harder to treat. There is no way to tell if DCIS will become an invasive cancer, so almost all cases of DCIS are treated. Some treatment options for DCIS are: […] Your care team will make sure you are included in choosing your treatment plan. This can be overwhelming as you may be given a few options to choose from. It feels like an emergency, but you can take a few weeks to meet with different providers and think about your options and what is best for you. This is a personal decision. Friends and family can help you talk through the options and the pros and cons of each, but they cannot make the decision for you. You need to be comfortable with your decision this will help you move on to the next steps. If you ever have any questions or concerns, be sure to call your team.

• #102 “Stage Zero” Breast Cancer: What’s the Optimal Treatment for DCIS? | Columbia University Irving Medical Center

  https://www.cuimc.columbia.edu/news/stage-zero-breast-cancer-whats-optimal-treatment-dcis

  Since treatment of DCIS after surgery doesnt improve survival, there is a growing concern that DCIS may be overtreated if the benefit of these treatments is outweighed by their impact on quality of life. […] Our results are unique in that they suggest no role for hormone therapy, as we found that the side effects are likely to outweigh the therapeutic benefits. […] Most patients find the side effects of hormones to be very bothersome: hot flashes, fatigue, joint pain, and long-term cardiovascular and fracture risks that require routine monitoring. […] Our study is eye-opening but its not necessarily practice-changing on its own as its not level-one evidence (a phase III randomized trial). […] Many women experience mild acute side effects, such as skin irritation, pain, breast swelling, and fatigue, which generally resolve within several weeks of completing treatment. […] Shared decision making is important for any cancer treatment. Physicians and patients alike should consider personal preferences and tolerance for side effects versus the risk of recurrence.

• #103

  https://www.bcna.org.au/resources/about-breast-cancer/dcis/about-dcis/

  A diagnosis of DCIS (ductal carcinoma in situ) is not a diagnosis of invasive breast cancer. […] In itself, DCIS isnt life threatening. However, having DCIS can increase your risk of developing invasive breast cancer later in life. […] Treatment for DCIS is important. You might feel confused about why DCIS is treated like invasive breast cancer when it is not invasive. […] If DCIS is not treated, it can spread outside the ducts into surrounding breast tissue. From there, it can travel to other parts of the body. When this happens, it becomes invasive breast cancer. […] DCIS treatment aims to remove abnormal cells and prevent invasive breast cancer. Options include surgery, radiotherapy, and hormone therapy. […] DCIS treatments can cause side effects, some temporary and some lasting longer. Your doctor can help with managing symptoms and discomfort.

• #104

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg4920

  Ductal carcinoma in situ (DCIS) is the growth of abnormal cells in the milk ducts of the breast. It’s an early form of non-invasive breast cancer. Non-invasive means that the cells haven’t spread. […] The main treatment for DCIS is: Surgery. The choices are: Breast-conserving surgery. This removes just the cancer and a border of healthy tissue around it. Mastectomy. This removes the whole breast. Nearby tissue may also be removed and checked for cancer cells. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

• #105 Ductal carcinoma in situ (DCIS) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889

  If you choose to drink alcohol, limit the amount you drink to no more than one drink a day. For breast cancer prevention, there is no safe amount of alcohol. So if you’re very concerned about your breast cancer risk, you may choose to not drink alcohol. […] Aim for at least 30 minutes of exercise on most days of the week. If you haven’t been active lately, ask your healthcare professional whether exercising is OK and start slowly. […] Combination hormone therapy may increase the risk of breast cancer. Talk with a healthcare professional about the benefits and risks of hormone therapy. […] If your weight is healthy, work to maintain that weight. If you need to lose weight, ask a healthcare professional about healthy ways to lower your weight. Eat fewer calories and slowly increase the amount you exercise.

• #106 Ductal Carcinoma In Situ (DCIS) Treatment | Susan G. Komen®

  https://www.komen.org/breast-cancer/treatment/by-diagnosis/dcis/

  DCIS is treated to try to prevent the development of invasive breast cancer. […] Health care providers cannot predict which cases of DCIS will progress to invasive breast cancer and which will not. Because DCIS might progress to invasive breast cancer, almost all cases are treated. […] Surgery is recommended as the first step to treat DCIS. After surgery, some people will have radiation therapy, and some may take hormone therapy. […] Throughout your treatment and beyond, you’ll get care from many health care providers. Your health care team may include: Doctors involved in cancer treatment (medical oncologists, surgeons, radiation oncologists), Nurses, Genetic counselors, Patient navigators, Social workers, Mental health providers (counselors, clinical social workers, psychologists and others).

• #107 Ductal Carcinoma in Situ (DCIS): What to Know About | Banner

  https://www.bannerhealth.com/services/cancer/cancer-type/breast-cancer/symptoms-and-types/dcis

  When DCIS is detected and treated early, the prognosis is excellent. After treatment, care focuses on preventing DCIS from returning and possibly becoming invasive breast cancer in the future. […] Regular follow-up care is important. Your health care team will schedule mammograms and physical breast exams to check your breast health and spot any changes early. […] At Banner MD Anderson Cancer Center, our oncologists, radiologists, surgeons and breast health experts work together to provide care for people with DCIS and other breast conditions. Our team supports you every step of the way, so you feel informed and empowered as you consider your treatment options.

• #108 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  http://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  Almost all women undergoing mastectomy for DCIS have the option of having breast reconstruction. There are a number of ways that the breast can be reconstructed following mastectomy. Options include reconstruction with a breast implant or a reconstruction with a flap (using your natural tissue from other areas of your body). […] Hormone-blocking therapies such as tamoxifen and aromatase inhibitors are tablets that are often used in the treatment of invasive breast cancer. They can also reduce the chances of DCIS recurring in those women who have breast conservation rather than a mastectomy. […] In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue or spread to the lymph. It is therefore not usually necessary to remove the glands. However, if there is a large area of DCIS or lots of small clusters of DCIS, the chances of finding invasive cancer in the DCIS is higher and your surgeon may recommend sentinel node biopsy of the lymph glands. […] DCIS is not an emergency. You have time to consider your options carefully and to make a decision in your own time. Ask for a second opinion if you are unsure about what to do. […] Please talk to your doctor, nurse or radiation therapist about anything that is worrying you.

• #109 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  http://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  Almost all women undergoing mastectomy for DCIS have the option of having breast reconstruction. There are a number of ways that the breast can be reconstructed following mastectomy. Options include reconstruction with a breast implant or a reconstruction with a flap (using your natural tissue from other areas of your body). […] Hormone-blocking therapies such as tamoxifen and aromatase inhibitors are tablets that are often used in the treatment of invasive breast cancer. They can also reduce the chances of DCIS recurring in those women who have breast conservation rather than a mastectomy. […] In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue or spread to the lymph. It is therefore not usually necessary to remove the glands. However, if there is a large area of DCIS or lots of small clusters of DCIS, the chances of finding invasive cancer in the DCIS is higher and your surgeon may recommend sentinel node biopsy of the lymph glands. […] DCIS is not an emergency. You have time to consider your options carefully and to make a decision in your own time. Ask for a second opinion if you are unsure about what to do. […] Please talk to your doctor, nurse or radiation therapist about anything that is worrying you.

• #110 Ductal Carcinoma In Situ (DCIS) Fact Sheet | Westmead BCI

  https://www.bci.org.au/breast-cancer-information/fact-sheets/ductal-carcinoma-situ-dcis/

  Almost all women undergoing mastectomy for DCIS have the option of having breast reconstruction. […] Hormone-blocking therapies such as tamoxifen and aromatase inhibitors are tablets that are often used in the treatment of invasive breast cancer. They can also reduce the chances of DCIS recurring in those women who have breast conservation rather than a mastectomy. […] In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue or spread to the lymph. It is therefore not usually necessary to remove the glands. However, if there is a large area of DCIS or lots of small clusters of DCIS, the chances of finding invasive cancer in the DCIS is higher and your surgeon may recommend sentinel node biopsy of the lymph glands. […] DCIS is not an emergency. You have time to consider your options carefully and to make a decision in your own time. Ask for a second opinion if you are unsure about what to do. […] Please talk to your doctor, nurse or radiation therapist about anything that is worrying you.

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