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NCCN Guidelines for Patients
Breast Cancer - Carcinoma in Situ
, Version 1.2016
Page NumberNCCN.org - For Clinicians
|NCCN.org/patients - For Patients
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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
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
How can I stop a second breast cancer after DCIS?
Make changes in your lifestyle30
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 history34
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.40