“How can we get this treated?”
My wife has a lump in the right breast and a biopsy was done and send to a lab. The results are as follows: The breast cores show ducts distended by intermediate and high nuclear grade solid DCIS with comedonecrosis and cancerisation of breast lobules. There is no evidence of invasive malignancy in this biopsy.
Female | 46 years old
Complaint duration: Months
Medications: not on medication yet
Conditions: She is fine , no complains
3 Answers
Hello. Your history is very common. DCIS (ductile carcinoma in situ) is a relatively uncommon way for invasive breast cancer to present. I would recommend the guidelines published by the NCCN (National Comprehensive Cancer Network, www.nccn.org) which is a cooperative group of cancer institutions in the US that publish and update guidelines for cancer treatment. Your wife needs surgery to treat this lesion. The guidelines have four surgical options. The primary option is lumpectomy followed by radiation. This is a category 1 option. Other possibilities include mastectomy (removal of the entire breast with or without radiation. Post operative treatment depends on the menopausal status of your wife. It also depends on the pathology of the tissue removed surgically. She should also be evaluated for familial types of breast cancer which are more uncommon. Her oncologist should be familiar with all of these options and it is reasonable to ask for their opinion and recommendations. Good luck to you and your wife.
She has ductal carcinoma in situ which means the disease is confined to the duct based on current knowledge i.e. the path report. She needs to have it surgically removed and tested to make sure there is no invasive disease that would require different therapy. DCIS is not really cancer it is a pre-cancer that left alone can become invasive disease, It still needs to be treated appropriately-surgery,+/- radiation depending on pathology. Is it estrogen positive:?
DCIS is a stage 0 breast cancer. It is not invasive so by nature typically does not spread; however, it needs to be treated. I recommend your wife see a breast surgeon to discuss treatment options for this lump.
