{"id":579,"date":"2016-03-13T07:39:00","date_gmt":"2016-03-13T07:39:00","guid":{"rendered":"https:\/\/drmirkin.com\/2016\/03\/13\/ductal-carcinoma-in-situ-dcis\/"},"modified":"2024-10-01T03:23:09","modified_gmt":"2024-10-01T07:23:09","slug":"ductal-carcinoma-in-situ-dcis","status":"publish","type":"post","link":"https:\/\/drmirkin.com\/?p=579","title":{"rendered":"Ductal Carcinoma in Situ (DCIS)"},"content":{"rendered":"<div id=\"cke_pastebin\">Ductal Carcinoma In Situ (DCIS) is a non-invasive cancer in the end ducts of the breast. Each year 64,000 American women are diagnosed with DCIS, amounting to 30 percent of women diagnosed with breast cancer. \u00a0 \u00a0Almost always it shows up as tiny calcium spots on a mammogram in women with no lumps and no symptoms. \u00a0It is not an immediately life-threatening cancer, and some experts question whether it should be called a cancer.<\/div>\n<div id=\"cke_pastebin\"><\/div>\n<div id=\"cke_pastebin\">The 10-year overall survival rate is nearly 100 percent, but it is associated with increased risk of invasive breast cancer later on. \u00a0&#8220;Is it possible that some DCIS could be left alone or treated with a chemo preventive agent (one that prevents or delays invasive progression) instead of surgery? Given that the goal of cancer screening is to identify early treatable cancers, it is difficult to propose doing nothing when such cancers are found and difficult to mount clinical trials in which women would forego a known curative treatment.&#8221; \u00a0<mirkin>(<em>M.D. Anderson Hospital OncoLog,<\/em>\u00a0January 2010;55(1):)<\/mirkin>.<\/div>\n<div id=\"cke_pastebin\"><\/div>\n<div id=\"cke_pastebin\">Some DCIS lesions will progress to invasive cancer, and some will remain harmless. \u00a0Therefore today, doctors prefer to over-treat a woman with DCIS, rather than to do nothing and have the cancer spread. Women with DCIS almost always have surgery because nobody knows which DCIS will spread and which will not. \u00a0So doctors treat it as if it is an invasive carcinoma by removing the entire breast or breast-conserving lumpectomy with or without radiation therapy.<\/div>\n<div id=\"cke_pastebin\"><\/div>\n<div id=\"cke_pastebin\">Women treated with lumpectomy have higher recurrence rates than those treated with mastectomy, and women treated with lumpectomy alone have higher recurrence rates than those who receive lumpectomy with radiation. \u00a0At present doctors do not recommend radiation treatment following removal of the whole breast, but they often recommend radiation after removing just a lump. Radiation increases risk for heart attacks and heart failure years later on. \u00a0Some doctors now treat some cases of this condition with &#8220;watchful waiting&#8221; and close follow up.<\/div>\n<div><\/div>\n<div>Checked 11\/2\/16<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ductal Carcinoma In Situ (DCIS) is a non-invasive cancer in the end ducts of the breast. Each year 64,000 American women are diagnosed with DCIS, amounting to 30 percent of women diagnosed with breast cancer.    Almost always it shows up as tiny calcium spots on a mammogram in women with no lumps and no symptoms.  It is not an immediately life-threatening cancer, and some experts question whether it should be called a cancer. <\/p>\n","protected":false},"author":1,"featured_media":1028,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[23],"tags":[],"class_list":["post-579","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-women"],"_links":{"self":[{"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=579"}],"version-history":[{"count":1,"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/579\/revisions"}],"predecessor-version":[{"id":8196,"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/579\/revisions\/8196"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/media\/1028"}],"wp:attachment":[{"href":"https:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}