NCCN Guidelines for Patients
Breast Cancer - Carcinoma in Situ
, Version 1.2016
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.
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.
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.
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.