Diagnosed with DCIS: How do I decide on treatment?
I was diagnosed with DCIS. I have to go in for a breast MRI with contrast tomorrow to see how active the cancer is. If it’s contained and not very active, do I have to have a lumpectomy?
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Hi,
I was diagnosed with DCIS ( stage 0) and did a lumpectomy and 5 radiations only to clean up.
I am in the same situation where I do not want to take the Aromatase inhibitors due to the side effects. I am researching other holistic ways since I am healthy and don't want other problems in my body.
I would not assume you are going to have serious side effects from aromatase inhibitors. It might be worth it to try. Many of us tolerate them well.
The other thing is that if a natural alternative is effective in shutting down adrenal estrogen, you will most likely have the same side effects since side effects are mainly, presumably, from estrogen deprivation.
As for DCIS, some cases are not being treated aggressively since it is a "precancer" technically, but every case is different. If you are not happy with a doc's recommendation, it is always reassuring to get another opinion (I got 4!).
Hi,
I am in your situation regarding the AI pills. I had DCIS stage 0 and a low grade. I did the lumpectomy and radiation 5 times which was cleaning up. The doctors suggest AI pills and I am not able to decide. I talked with my 2 daughters who are cancer researchers and a pharmacist. I have to decide within a month. I am researching natural ways to lower the estrogen since I am ER/PR+.
I too have DCIS and ER positive. I was a grade 3 and had lumpectomy that removed all stage 0 cancer. I am waiting to go for radiation consultation on December 16th. I am also waiting for genetic test results. I am curious how to get approved for Oncotype DCIS DX test. My oncologist said it was only an option for invasive or Her2 cancer? When I look on their website it says ER positive and high grade should be qualifying. Anyone have info on this?
@hfoster41 it sounds like either your MD is misinformed, misspoke or you heard wrong 🙂 There is an Oncotype for DCIS and it is only for those who are HER2 negative, not positive- and ER+.
@nambu, as I wrote before, don't you think that if a "natural" method of reducing or eliminating estrogen is effective, that the side effects will be the same as the aromatase inhibitors. Why not give the AI a try? I would not assume horrific side effects. Many of us do fine on them. That said, you could also get a second opinion with your stage 0, low grade DCIS, which may be a precancer.
Good morning. I saw this conversation and thought I'd try to inject what little knowledge I have gained being a stage 4 Invasive Ductal Carcinoma patient. My cancer was diagnosed after it had already spread to my bones/lungs/skin 3 1/2 yrs. ago. I never had radiation as early-stage do, in order to catch any residual cells that might have remained after surgery. I am, and have been on since day 1, an estrogen blocker due to E+ cancer which feeds off the estrogen in our bodies. They put early stage on the blockers to reduce the chance of a recurrence. I know most AI's (aromatase inhibitors/estrogen blockers) cause joint pains. For me it was about 7 months of aching here and there before it started to let up and I no longer notice them. Of course i have cancer in my bones so they ache separately at times. I can't recommend a txt to you but I believe it's worth trying to see if the side-effects are manageable. If not, there are other AI's that can be tried. Not every one will cause the same effects in everyone and some may be minor
On the Cancer Antigen test, that tests the cancer burden and your oncologist may have done it to have what we call a "baseline number". You are well within the normal range currently but they can watch, if you begin treatment, to see if the numbers go up or down to determine if a txt is working. I hope this helps. Glad to answer any other questions you might have.
Peggie
Any side effects from Tamixofen?
Thank you Peggie for all the helpful information. I really appreciate it.
At this point I don’t know about radiation but I am open to the estrogen blockers - hopefully they’ll agree with me.
Take care (and I probably will be asking you more questions!). Theresa
Call DCISION RT
They were approved to test my DCIS ER+
They were extremely helpful.
https://preludedx.com/patients/
DCISion RT