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maryleigh's avatar
maryleigh
Member
12 years ago

How many out there are being treated for DCIS?

This has been a challenging year to say the least with a call back to Breastscreen in March after finding suspicious calcium deposits. A series of tests, hook wire biopsy, and wide local excision later, and the diagnosis was low grade DCIS and a papilloma. A massive haematoma later (one week before due to go overseas) and I decided to let it heal naturally, rather than go through more surgery. Seven months later went overseas as planned, and returned to clear the margins of DCIS and to remove two papillomas (another papilloma was found in MRI, but nothing else. Went to post operative appointment to find out when I begin radiotherapy. Told margins all clear, BUT, pathology found two more areas of intermediate DCIS where the papillomas were removed. As this has not shown up on mammogram or MRI, now told I need a mastectomy! Gone into shock. Have been led to believe that DCIS is pre cancer (non invasive) so struggle to understand why they treat it like invasive cancer. There is a school of thought (mainly American breast surgeons) that have a wait and see approach. But as this can't be monitored in my case, it is like living with a ticking time bomb. I would love to hear from anyone out there in a similar situation. Am I the only person resisting this recommendation? Is there a DCIS support group in Victoria? Told I have time to make a decision, but within a month or so would be good! Now spending all my time researching DCIS and getting a second opinion. Any feedback would be appreciated. Thank goodness for sites such as this as there is nothing quite like talking to someone `who has been there' to help you in a crisis.

32 Replies

  • Hi Louise,

    thanks for listening to my story. I had read that article about calls for a rethink of DCIS, and Dr Esserman's comments, so it is difficult to make an informed decision. Some doctors (mainly US doctors) say it is not cancer, and may never progress further while others, (including two specialists I have seen) say it is a pre-cursor for invasive cancer. It could take 10-20 years to arrive, (low to intermediate grade) no-one knows.  In my case it is the multifocal nature of the DCIS that is concerning, and things have been popping up (four papillomas) over the past 10 years. There is obviously a lot of stuff going on in that breast. I have an appointment for a second opinion in two weeks.

    What is IDC? I fully understand your path considering it was high grade DCIS, thank you for sharing your journey. I am so glad you are happy with your choice. I guess it is that sense of peace that I am searching for.

    I'll keep you posted,

    XXXMaryleigh

  • Hi Mary, I agree with you and it does seem strange that ofton the recommendation for DCIS is mastectomy which seems radical when some dont consider it cancer. Perhaps it is because of the nature of the ductal in that it appears differently, not as a lump as such.

    For the record, BCNA follow the Cancer Australia line of thinking in their information calling it pre cancer or early stage cancer, but some surgeons appose this and are trying to 'put the brakes on' mastectomy for this diagnosis.

    You might be interested in this article from NBCF.....

    http://www.nbcf.org.au/Stories/Research/Time-to-‘rethink’-DCIS.aspx

    I had multifocal IDC and high grade DCIS throughout so am happy with my choice of bilateral mastectomy after a couple of attempted lumpectomies that did not clear margins.

    This is a great topic for discussion, good luck with your outcome, perhaps a second or third opinion would help.

    XXXLouie