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NCCN Guidelines for Patients

®

Breast Cancer - Carcinoma in Situ

(Stage 0)

, Version 1.2016

NCCN Guidelines

for Patients

®

Page Number

NCCN.org - For Clinicians

|

NCCN.org/patients - For Patients

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PAT-N-0914-0616

What are treatment options for DCIS?

Some women can have the breast tumor removed (lumpectomy) and no radiation.

26

Many women can be treated with lumpectomy and breast radiation (AKA breast-conserving

therapy).

28

Most women have the option of having their whole breast removed (total mastectomy). The

first lymph nodes to which breast cancer spreads may also be removed. No radiation is

needed.

29

How can I stop a second breast cancer after DCIS?

Make changes in your lifestyle

30

Take treatment that stops cancer growth caused by hormones (endocrine therapy)

30

Have your whole breast removed (total mastectomy)

31

What are options for breast reconstruction?

After lumpectomy, breast tissue can be shifted to re-shape your breast.

32

After mastectomy, your breast can be rebuilt with implants or tissue flaps.

What does follow-up care involve?

An update on your health history

34

Breast exams by your doctor

Breast exams by yourself

Pictures of the insides of your breasts by a mammogram and maybe MRI

How do I decide between options?

Ask your doctors many questions. Also, you could get a second opinion, use decision aids,

attend support groups, and compare pros and cons.

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