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34

NCCN Guidelines for Patients

®

Breast Cancer - Carcinoma in Situ

(stage 0)

, Version 1.2016

3

DCIS

Follow-up care

Follow-up care

Follow-up care is important. It is done to assess your

general health, find new breast tumors early, and

check for side effects of treatment. The follow-up care

for after DCIS treatment is discussed next.

Medical history and physical exam

After DCIS treatment, a medical history and physical

exam should be done every 6 to 12 months for 5

years. If test results are normal for 5 years, you

should then have these tests every year. During your

visit with your doctor, tell him or her about any new or

worse symptoms you have. There may be ways to get

relief. As part of your physical exam, your doctor may

look inside your vagina for bleeding or other signs of

disease if you are taking endocrine therapy.

Breast awareness

A self-exam is advised for all women who’ve been

treated for DCIS. Examining your own breasts is

important. You should know the feel and look of your

breasts so that you can tell if major changes have

occurred. If you get menstrual periods, an exam at

the end of your period is best.

See your doctor if you find changes that last for more

than a month. He or she can decide if you need

more tests. Changes in breasts are often not cancer.

However, if there’s a problem, you will get treated

faster the sooner you see your doctor.

Mammogram

Most new breast tumors after DCIS treatment occur

within the breast tissue near to the DCIS site. Thus,

the first mammogram should be done within 6 to

12 months after lumpectomy or breast-conserving

therapy and every year after that. After mastectomy,

a mammogram is recommended every year on the

breast that didn’t have DCIS. If you had a mastectomy

on both breasts, mammograms aren’t needed.

Breast MRI

Your doctor may want you to get a breast MRI every

year. It is advised if your family has a strong history of

breast cancer. Breast MRI may also be done if you’ve

had radiation near your breast that didn’t have DCIS.