Doctor insights on:
How Do You Determine Or Detect Dcis With Palpable Mass
DCIS rt breast in 2011 removed. Now, solid mass in left breast has grown 1mm since 05/2014. Primary wants me to see a surgeon? Is this necessary?
Felt bead-like 2-3mm mass just outside areola so stopped vivelle. After 1 wk, shaped like a caplet <1mmx3mm, less tender. Could it be cancer or dcis?
See your doctor.: I have been a breast cancer surgeon for over 20 years and I am still fooled by some exams. With that said, there are some generalizations about which breast lumps are more concerning than others. Cancers tend to be rock-hard, fixed, and 3-dimensionally round or oval. Benign lumps tend to be rubbery, cigar-shaped or pancake-shaped. What you are describing sounds benign but you must be seen. ...Read moreSee 1 more doctor answer
How long is process of evaluating mass after mammogram including biopsy or lumpectomy? Then how long till radiation? Probable dcis or stage 1 ductal.
Depends? Sentinel LN: From mammo. To biopsy core 48 to 72 hours. Final pathology 2 to 3 days if positive and they run the hormone panel er / pr / her -2 oncogene. Definitive lumpectomy / sln biopsy +/_ axillary diss. In 1 to 2 weeks depending on md / hospital schedule. Healing 1 to 2 weeks. Then XRT unless not stage 1 or 0 (dcis) ie stage 2 with high oncotypedx rscore then chemotherapy first -same for her2 +. ...Read moreSee 1 more doctor answer
Rad Dr wants ductogram. L nipple d/c single pore. Is DCIS still possible on ductogram even though my mamo and sono were normal?
Not likely : You cannot see DCIS on a ductogram. These studies are rarely done these days. White, yellow, milky and green discharge are considered normal. Bloody discharge is usually caused by a noncancerous mass called a papilloma. I recommend you get examined by a breast specialist before proceeding the a ductogram. ...Read moreSee 2 more doctor answers
MRI biopsy was done and showed DCIS. Histopathology showed invasive ductal with 2.5 mm microinvasion (grade 2). ER-PR negative, HER +ve (+3). My ques?
I'm not sure: of the question. It is not unusual for an image-guided needle biopsy DCIS to be 'upgraded' to an invasive cancer at surgery. The needle biopsy randomly samples small areas of the lesion, whereas following surgery the pathologist has the whole mass to work with. It is relatively common to have elements of DCIS and invasive components existing in different parts of the same tumor. ...Read more
How do you treat estrogen-, progesterone-, and her2/neu receptors. "triple negative" dcis? Is a mastectomy all you need? Do you need chemo?
In light of the recent article in the ny times on breast cancer would you recommend surgery for a 90 year old woman recently diagnosed with DCIS?
No, but give choice: The most extensive study of 100,000 pts with DCIS followed over 20 years, the risk of dying , about 3.3 percent was very low, between the group that had lumpectomies with or without radiation and the group that had mastectomies.That said, a young 90 year old,wishing 110 span(OK?), need to be given a choice,since aggressive DCIS upped risk to just 7.8% in 20 yrs,so some opt for no tx,but close ffup ...Read moreSee 1 more doctor answer
Yes: Dcis may be classified into different types based upon the pattern of growth when viewed under a microscope. These include comedo, papillary, cribiform, and solid. The comedo form tends to have the highest potential for becoming invasive if left untreated. Dcis may also be classified by how rapidly the cancer cells are dividing; this is referred to as the grade of the cancer. ...Read moreSee 1 more doctor answer
Unknown: If we knew the answer to this question, women with dcis would not all need surgery! about 50% of dcis (ductal carcinoma in situ), if left untreated, will go on to become invasive cancer. Certain genes in the dcis cells get "turned on", making them invasive, but we don't know what makes this switch happen. ...Read moreSee 1 more doctor answer
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