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Doctor insights on: How Do You Determine Or Detect Dcis With Palpable Mass

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How do you determine or detect dcis with palpable mass?

How do you determine or detect dcis with palpable mass?

Biopsy: A needle biopsy may be performed under local anesthesia in an office setting without much pain. Dcis can only be diagnosed by direct tissue examination. ...Read more

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Dr. Jan Lei Iwata
56 doctors shared insights

Intraductal Carcinoma (Definition)

Intraductal carcinoma is a noninvasive condition in which abnormal cells are found in the lining of a breast duct. The abnormal cells have not spread outside the duct to other ...Read more


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How long is process of evaluating mass after mammogram including biopsy or lumpectomy? Then how long till radiation? Probable dcis or stage 1 ductal.

How long is process of evaluating mass after mammogram including biopsy or lumpectomy? Then how long till radiation? Probable dcis or stage 1 ductal.

3-5 weeks: Biopsy should be done soon after a suspicious lump is detected either by physical examination or mammogram. If it is cancer or dcis, a lumpectomy should follow anywhere from a few days to a few weeks later. The start of radiation depends on healing after lumpectomy, but radiation generally starts about 4 weeks later. Radiation generally takes 6-7 weeks to complete. ...Read more

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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?

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?

Further workup: It sounds l like you should have further evaluation. This would usually be done with either an ultrasound-guided biopsy if the lesion is seen on US, or stereotactic biopsy if not. Depending on results, you might need to see a surgeon or oncologist ...Read more

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Felt bead-like 2-3mm mass just outside areola so stopped vivelle (estradiol). After 1 wk, shaped like a caplet <1mmx3mm, less tender. Could it be cancer or dcis?

Felt bead-like 2-3mm mass just outside areola so stopped vivelle (estradiol). 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 more

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How fast does dcis spread?

How fast does dcis spread?

Quite slowly: It is difficult to define. But it does not spread all that fast. You have a few months before you need to worry about that. ...Read more

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Why does dcis become invasive?

Why does dcis become invasive?

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 more

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How does dcis become harmfully invasive?

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 more

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Can you tell me what hg-dcis stands for?

High-grade DCIS: This designation refers to high-grade ductal carcinoma in situ. The adhesion molecules cd31 and cd44 are increasing expressed in very malignant breast ca. Such expression correlates well with tumor cells spreading within the ductal system of said breast. ...Read more

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How is dcis typically detected and diagnosed?

How is dcis typically detected and diagnosed?

Biopsy: Ductal carcinoma in situ (dcis) is initially seen on mammogram as a cluster of abnormal microscopic calcifications in the breast. A biopsy is then done to obtain a sample of the area of breast tissue in question. When the biopsy tissue is examined under a microscope it will definitively diagnose the dcis cells. ...Read more

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How is lcis is different from dcis?

Risk factor v cancer: Dcis is a pre-cancerous condition that, if left untreated, could turn into a cancer. It is often detected by mammography. Lcis is not pre-cancerous, however, women who are found to have lcis are at an increased risk of developing breast cancer (in either breast). It is usually not detectable by mammography and is often found incidentally at the time of biopsy. ...Read more

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Does taking tamoxifen really benefit dcis?

Yes, for ER+ DCIS: The addition of tamoxifen to surgery and radiation therapy for dcis significantly reduced the risk of invasive cancer on the same beast by 40 % and risk for in situ breast cancer on the other breast by 60 percent. ...Read more

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My mum just been told that she has dcis , can i get a test to see if am going to get it?

My mum just been told that she has dcis , can i get a test to see if am going to get it?

No such test: Ductal carcinoma in situ is very common and usually quite manageable. And if there was such a test, what would you do? Have both your breasts amputated? That would be so wrong. Most women who die of breast cancer have lesions that could have been spotted and cured with the usual surveillance. I'm still a proponent of self-exam, and of course report any new dominant mass right away. Best wishes. ...Read more

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What are the treatment options for treating dcis?

What are the treatment options for treating dcis?

Depends: Dcis can have a wide range of presentations and therefore has a wide range of treatment options - every case is different. Some cases may be observed or treated with surgery alone; more often, surgery followed by radiation therapy and possibly anti-estrogen therapy may be needed. Dcis may be very widespread throughout the breast, and mastectomy may be required. ...Read more

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Is radiation treatment necessary or required for dcis?

Is radiation treatment necessary or required for dcis?

Sometimes.: The primary treatment for dcis is surgical: either a lumpectomy or a mastectomy. Following a lumpectomy, radiation therapy is often recommended, depending on the type of dcis, the size, and the age of the patient. ...Read more

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What causes dcis breast cancer?

What causes dcis breast cancer?

In one word unknown : Ductal carcinoma in situ dcis is simply the sleeping cancer cells inside the breast ducts, like a garden hose loaded with cancer cells safe if they are inside the duct , once they are out side then is invasive cancer, ready to spread, cause is unknown at this time, from genetic mutations, braca i & ii age, hormonal uses.Environment , late age pregnancy life style etc are all attributed. ...Read more

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How can I tell if I have dcis?

Cannot: Lcis and dcis are both conditions are variants of changes in the breast that can only be determined by biopsy. ...Read more

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Are there different types of dcis?

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 more

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What is the definition or description of: intraductal carcinoma?

What is the definition or description of: intraductal carcinoma?

Noninvasive: Intraductal carcinoma is a noninvasive condition in which abnormal cells are found in the lining of a breast duct. The abnormal cells have not spread outside the duct to other tissues in the breast. ...Read more

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