What is (DCIS) Ductal Carcinoma In Situ:
DCIS is known as intraductal carcinoma which is a non-invasive cancerous or pre-cancerous lesion of breast. In this disease, abnormal cells are found in the milk duct in the breast. Ductal means the start of cancer in the milk duct, carcinoma referred to any kind of cancer which is related to skin or tissues and in Situ means “in place”. It does not have any specific symptom or specific cause.
In few cases, Ductal Carcinoma In Situ may become invasive cancer as well as disperse to tissues. This condition has been classified in accordance with the absence or presence of comedo histology, architectural pattern (micropapillary, papillary, cribriform, and solid), and tumor grade (low, medium, as well as high grade). It may be identified on Mammogram (it is known as process of utilizing X-rays in order to examine human breast) by checking microcalcifications. DCIS is the term used to refer to the group of cancerous epithelial cells, which stay in their original place in the ducts, and lobules of the mammary glands.
In accordance with the American Cancer Society, in US every year, approximately sixty thousand DCIS cases are diagnosed, accounting for around one out of five new cases of cancer in breast.
Symptoms of Ductal Carcinoma In Situ Disease:
- Presence of lump in breast or under your arm
- Change in shape or size of breast
- Any bloody discharge from nipples
- Change in the texture of the breast skin
- Change in the skin of breast nipples in terms of looks and feels
Who are at risk?
- Woman who have cancer in their family history
- Woman who got her periods early
- Woman who got their menopause late
- Woman who never had children
- Woman who had children at late age
Hormonal replacement therapy for more than 5 years after menopause, exposures to radiation also cause Ductal Carcinoma in Situ.
When to visit doctor?
If you find any lump in your breast or any shape or size change in your breast you must visit doctor. They will ask you go to for test like biopsy, mammography. Always remember to have second opinion before you decide what has to be done. Before you visit any doctor you must do your homework in a better way.
What you should do?
- Collect all your test report. Write down your medical history from the very first day you found lump in your breast. Do tell the doctor if you have wen through any hormonal replacement therapy, as it can be one of the cause for the disease.
- Try to fond put your family history in this regard. Only your immediate family members like your mother or sister.
- Write down all the medications you have gone through. Your current medications if you are taking any and also mention your previous medications. Be it Ayurveda or allopathic do note down and tell the doctor about it.
- Write down your question, which you are wiling to ask to the doctor.
- Don’t go alone for the checkups take someone with you. They can be your friends or family but make sure you are not alone.
Your question list may include-
- Do I have breast cancer?
- Test I should undergo to the type and stage of cancer?
- Which kind of treatment should I opt for according to you?
- What are the side effects of this treatment?
- How effective is this treatment for the disease?
- Can this condition reoccur after treatment?
- Do I need a second opinion?
- How often should I consult doctor after the treatment is finished?
- What is ductal carcinoma in situ?
- What is invasive ductal carcinoma?
Questions that you have to answer or are expected from your doctor-
- Have you gone through menopause?
- If yes then what medications and supplements you were prescribed at that time?
- Does anyone your family have breast cancer?
- Any other breast biopsies or operation you have gone through?
- What is your daily diet?
- Are you physically active?
- Have you ever gone through Radiation therapy?
Test that you have to go through-
- Core needle Biopsy
- Stereotactic Biopsy
- Surgical Biopsy
Pathologist will test your tissue and then the result will declare.
Treatments for Ductal Carcinoma in Situ Disease:
Few treatment alternatives for Ductal Carcinoma in Situ include:
- Lumpectomy with the use of radiation therapy:This standard treatment is the very common for this condition. It is also known as breast-conserving treatment as most of the breast is protected.
- Mastectomy:- Mastectomy is the simple process of removing the breast, nipple and underarm lump nodes. You can go for breast reconstruction if you wish. This is opted when
- If DCIS is in large area
- If someone has multiple DCIS area
- You are not a candidate for radiation therapy
- If you wish to opt for mastectomy in place of lumpectomy.
- Lumpectomy and drug tamoxifen:- Lumpectomy is the process in which the DCIS is removed and even the health tissue, which surrounds it.
Ductal Carcinoma In Situ Disease (DISU) Survival Rate:
DCIS also is referred to as stage 0 breast cancer. Women diagnosed with DCIS have very good prognoses. Ten years after DCIS diagnosis, 98% to 99% of women will be alive. Based on this good prognosis, DCIS usually is treated by lumpectomy followed by radiation therapy.
This is what DCIS is all about its symptoms, causes, tests and treatments.