SSO – ASTRO – ASCO DCIS Margin Guidelines

15 August 2016 A consensus statement was released today by the Society of Surgical Oncology,the American Society for Radiation Oncology, and the American Society of Clinical Oncology. It addresses the issue of surgical margins for patients undergoing breast conserving surgery (lumpectomy) for ductal carcinoma in-situ (DCIS).The press release provides a summary of the important findings. We know from many years of…

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Did a 3D Mammogram Save Her Life?

An Oklahoma mayor underwent a 3D mammogram (tomosynthesis) as part of a hospital promotion. She was diagnosed with ductal carcinoma in-situ (DCIS, also known as Stage 0 breast cancer) and she stated that the study “…saved my life.” She also recommended that women make sure to obtain a 3D mammogram. The story noted that tomosynthesis “virtually eliminates” the need for…

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DCIS, continued…

14 October 2015 The discussion on whether or not DCIS is cancer, and how best to treat it, continues. A study published recently in the Journal of Clinical Oncology by Dr. Lawrence Solin and colleagues evaluated the risk of developing an invasive cancer if radiation therapy was not performed after lumpectomy for DCIS. This was a prospective non-randomized trial. Patients were enrolled from…

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DCIS Treatment and Survival Rates

24 August 2015 A study published in JAMA Oncology raises more questions regarding appropriate treatments for ductal carcinoma in-situ (DCIS). I wrote about surgery for DCIS about a month ago. The controversy continues. The JAMA Oncology study by Dr. Steven Narod and colleagues used the SEER Database to try to determine if treatment for DCIS improves the death rate. They found that breast cancer-specific mortality was…

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Do I Need Surgery for DCIS?

9 June 2015 Surgery doesn’t help women with early-stage breast cancer. That’s certainly a headline that will get attention! The recent NPR article referred to a study published in JAMA Surgery: Survival Benefit of Breast Surgery for Low Risk Ductal Carcinoma In Situ – A Population-Based Cohort Study(1). The study raises some very interesting points, but the NPR headline is misleading.…

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Breast Cancer Overdiagnosis and Overtreatment

3 August 2013 What’s in a name? In the case of cancer, there are myths, fears, and misinformation – more than perhaps any other illness. Cancer encompasses hundreds of different diseases and each one is complex. Even women diagnosed with exactly the same “type” of breast cancer and who undergo the same treatment can have very different outcomes. Not all…

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