Diagnosed with DCIS: How do I decide on treatment?

Posted by tctredwell1 @tctredwell1, Aug 23, 2022

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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I have DCIS stage 0 and am having lumpectimy Wednesday. How long should I expect to recover and have any of you decided not to do radiation or hormone therapy?

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Update - October 8, 2023
Yes, I did choose radiation (20 sessions) after being told the odds of recurrence were so much lower with radiation. And this week I had my first mammo screening and the result was “no malignancy indicated”. So far so good.

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Profile picture for flowergal @flowergal

That injection was so painful, I screamed, burst into tears and jumped off the table.
That breast was already sensitive after two rough biopsies, black and blue breast and large hematoma.
I thought it was barbaric to give such a painful shot with no anesthetic at all.

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It was shocking but fortunately very short lived… and it allowed my breast surgeon to trace the path to two positive sentinel nodes. An additional 5 nodes ( next in line) were negative. It was reassuring to hear that.

Before these tracers were possible radical surgery of nodal environment was done. This very painful but also very quick experience has the potential to save us unnecessary harm.

So, we brace ourselves and do it ! Breast Cancer treatment is not for the faint of heart .

Best to all of us on this unwanted journey. 🌸

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Profile picture for pradalane @pradalane

Oh, I had one BIG shot in the nipple, and it was definitely an open mouth scream! I was not expecting that, and I too do not see a reason why it can't be done when you are already under anesthesia. Crazy. If it was men, they would never be expected to deal with that pain.

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Ty that is exactly what I think too. This would never be tolerated by men.
I also was not expecting the pain to be so acute. I took screamed and jumped off the table. Then burst into tears
It definitely should be done with an anesthetic.
I complained through a follow up survey and a representative called me. I told her it was barbaric to give such a painful shot to a sensitive area. It started the day off terribly.

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Profile picture for kathyomaha55 @kathyomaha55

Yes - I had more than 1 MRI guided biopsy. It's kinda like "Battleship" the game - they put a grid up next to your breast - then go to the location like: A5 using the MRI. I thought it was more painful than the ultrasound biopsy. A robot did the actual needle stick - I assume the robot got the "depth" correct as well.

Mine turned out to be IDC - so it was invasive. I did a lumpectomy With 21 rounds of radiation, My OncoDX test was 22, so I did not need chemo. I had no lymph node involvement. Wishing you all the best.

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I’m sure you’re probably feeling a little terrified and overwhelmed by all the tests, scans, and information being literally thrown at you from all directions. My advice like the others have said, sit down, be still and breathe. Then start writing down the questions you have about what’s next, your greatest ally will be learning about your cancer, look up words you don’t understand, familiarize yourself with procedures, what they’re for and how they will help give you the best outcome. I was diagnosed with stage II IDC which had spread to my lymph nodes on the right breast and LCIS in the left breast. I knew during the biopsy that something was very bad just by the change in the doctor and the nurses demeanor. This was back in Aug 2017, at the time I wasn’t able to process everything, I only felt sick and empty. I thank god for my sister, she was my rock. One person on here had a great idea, ask the doctors if they mind if you record the consultations so that you will be able to understand at your, get definitions of words that sound like they’re made up, when you understand what’s going to happen and why you’ll hopefully get to have a say in your treatment plan. This will give you back a feeling of control of your destiny. In Feb2023 I finished all therapies and was officially declared in remission. My heart and prayers are with you, may your surgery, treatment, and recovery be the best outcomes possible for you. Also, this is a very good site to come back for support, information, and wisdom from those who have intimate knowledge of what you’re going through each and every step of the way. Find peace…

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Profile picture for dlmdinia @dlmdinia

The shots have nothing to do with radiation. I had mine before surgery to inject a dye to try to see the path of the cancer cells towards
the lymph nodes. I survived the first three, but the fourth was a closed mouth scream.

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Oh, I had one BIG shot in the nipple, and it was definitely an open mouth scream! I was not expecting that, and I too do not see a reason why it can't be done when you are already under anesthesia. Crazy. If it was men, they would never be expected to deal with that pain.

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Profile picture for dlmdinia @dlmdinia

The shots have nothing to do with radiation. I had mine before surgery to inject a dye to try to see the path of the cancer cells towards
the lymph nodes. I survived the first three, but the fourth was a closed mouth scream.

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Ouch sorry to hear that happens. At the Massey cancer center they do that while I was in surgery so they can make sure they get clear margins and check all lymphs with the dye. Maybe that should talked about before checking the lymphs system,

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Profile picture for chickenmom10 @chickenmom10

Excuse for not understanding what pain from shot?
I radiation and didn’t have shots?

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The shots have nothing to do with radiation. I had mine before surgery to inject a dye to try to see the path of the cancer cells towards
the lymph nodes. I survived the first three, but the fourth was a closed mouth scream.

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Profile picture for mchler73 @mchler73

I believe they are talking about having the sentinel node biopsy surgery. I had that done and they gave me 4 shots of blue dye in the nipple so they could detect my sentinel nodes. It definitely hurt! I thought they would have at least given some type of medication to relax me beforehand but they didn’t. It was not fun that is for sure!!

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Okay. They check my lymphs while I was in surgery. My oncologist check 4 of them and only 2 had cancer. So while in surgery for my lump and lymph nodes to make sure she got clear margins. So why don’t they do in surgery. It would make more sense to me. I went to a teaching school. VCU Massey Cancer Center in Virginia. To me they are the best.

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Profile picture for chickenmom10 @chickenmom10

Excuse for not understanding what pain from shot?
I radiation and didn’t have shots?

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I believe they are talking about having the sentinel node biopsy surgery. I had that done and they gave me 4 shots of blue dye in the nipple so they could detect my sentinel nodes. It definitely hurt! I thought they would have at least given some type of medication to relax me beforehand but they didn’t. It was not fun that is for sure!!

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