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Diagnosed with DCIS: How do I decide on treatment?

Breast Cancer | Last Active: Mar 20 10:00am | Replies (345)
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@mmichele

Good morning,
I have just been diagnosed with Extensive Low Grade DCIS with a small Invasive component after a biopsy (echo and mammography done). The ultrasound scan of abdomen and pelvis is clear as well as my chest X-ray. What would be the treatment? Would you recommend a mastectomy or lumpectomy? My surgeon is recommending a mastectomy of the breast and removal of the lympth node.

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Replies to "Good morning, I have just been diagnosed with Extensive Low Grade DCIS with a small Invasive..."
Colleen Young, Connect Director | @colleenyoung | Nov 29, 2023

@mmichele and @mandyc, welcome. Deciding on treatment is a very personal decision that is hard to make on your own. It helps to talk with others, but ultimately the factors that contribute to your decision will differ from other women. It sounds like you might have additional questions for your surgeon and cancer team. I would consider asking things like:
- In Michelle's case: Why do you recommend mastectomy over lumpectomy? In Mandy's case: Why do you recommend a lumpectomy over mastectomy?
- What are the risks and benefits of each option?
- Are you recommending removal of the sentinel node(s) or will more nodes be removed?
- What else should I know to help me make the right decision for me?

I also encourage you to read these 5 related discussions where members talk about lumpectomy vs mastectomy. https://connect.mayoclinic.org/search/discussions/?search=mastectomy+vs+lumpectomy

When will you talk with your surgeon again?

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