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DCIS treatment readiness

DCIS treatment readiness: Preparing for your appointment

DCIS treatment readiness

DCIS treatment readiness is very essential. For timely treatment of ductal carcinoma in situ (DCIS) patients must seek timely solutions

Like with all other cancer, DCIS treatment readiness is very essential. For timely treatment of ductal carcinoma in situ (DCIS) patients need to schedule an appointment with their specialist immediately they notice a lump or any other unusual changes on the breast. Speaking to doctor Dalal Akoury MD, President and founder of AWAREmed health and wellness resource center, it is important that if you’re seeking for second opinion, you must submit to your new doctor all the tests results of all the previous tests done. Submit all the original diagnostic mammogram images and biopsy results to your new appointment. These should include your mammography images, ultrasound CD and glass slides from your breast biopsy. As you make that move, the following pieces of information will prepare you for your new appointment including what to expect from your doctor:

DCIS treatment readiness: What you can do

Document your medical history, be honest and detailed stating any benign breast conditions you may have been diagnosed with and any radiotherapy you may have received before.

Family history of breast cancer, especially among the nuclear and very close members of the family.

List of both current and past medications. This should include all prescription, over-the-counter medications, vitamins, supplements and herbal remedies. Never forget to mention hormonal replacement therapy where applicable.

Be in company of a family member or friend during the appointment. The pain that come with cancer diagnosis can make you lose focus. A second ear is important for accuracy of information.

Write down questions to ask your doctor. In your state of mind it may be easy to forget what you wanted to ask. Listing prior questions is going to help you benefit fully. The following are some questions you may want to ask your doctor about DCIS:

  • What treatment approach is appropriate?
  • What tests would reveal the type and stage of cancer?
  • Do I need to change my lifestyle to help reduce my risk of a DCIS recurrence?
  • Are there any side effects or complications during treatment?
  • Is seeing a genetic counselor necessary?
  • How effective is this treatment approach effective in women with a similar diagnosis?
  • How will recurrence of DCIS be handled?
  • For how long will I need follow-up visits upon completing treatment?
  • Is a second opinion necessary?
  • Do I have breast cancer?

These are just guide lines. You can use to make your own. Always remember to ask without holding. It is very important for you and the doctor.

DCIS treatment readiness: What to expect from your doctor

Besides your own question, the doctor will also have some questions for you. Such will be to help him/her give an informed professional opinion. It is likely that your doctor will ask some of the following:

  • What is your daily diet like, do you take alcohol?
  • Have you in the past or your close female relatives been tested for the BRCA gene mutations?
  • Have you had other breast biopsies or operations?
  • Have you gone through menopause?
  • Have you ever had radiation therapy?
  • Besides this, have you been diagnosed with any breast conditions?
  • Have you been diagnosed with any other medical conditions?
  • In your family history, has anyone had breast cancer?
  • Are you using or have you used any medications or supplements to relieve the symptoms of menopause?
  • How active are you physically?

Try your best to give honest responses and feel free to explain all you can. This is not a very good time for anyone but as experts at AWAREmed health center, we will always be there for you to help you go through this. You can call us for any further professional advice.

DCIS treatment readiness: Preparing for your appointment

 

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DCIS treatment

DCIS treatment: Lumpectomy and radiation

DCIS treatment

DCIS treatment is one with high hopes of giving positive outcome

Treatment of ductal carcinoma in situ (DCIS) is one with high hopes of giving positive outcome. The success rate of removing the tumor and preventing any reoccurrence is almost guaranteed says doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center. In most cases, DCIS treatment options includes lumpectomy and radiation therapy as well as a simple mastectomy.

DCIS treatment: Surgery

Any patient diagnose with DCIS will have to make a decision between treating the disease using breast-conserving surgery (lumpectomy) or breast-removing surgery (mastectomy).

Lumpectomy this type of surgery is essential in removing the area of DCIS alongside a margin of healthy tissue that surrounds it. The advantage of the procedure is that it allows the patient to sparingly remove portions of the affected breast thereby limiting the need for breast reconstruction

Mastectomy – a simple mastectomy is essential for treating DCIS by removing the breast tissue, skin, areola and nipple, and possibly the underarm lymph nodes (sentinel node biopsy) is one option. In most instance, this treatment will be followed by breast reconstruction if the patient wishes to do so. Doctor Akoury reiterates that, most women with DCIS are direct candidates for lumpectomy. However, mastectomy may be recommended if:

You have a large area of DCIS – In the event that the area is big compared with the size of the breast, a lumpectomy may not produce acceptable cosmetic results.

There’s more than one area of DCIS (multifocal or multicentric disease). It’s difficult to remove multiple areas of DCIS with a lumpectomy. This is true if DCIS is found in different sections of the breast.

Tissue samples taken for biopsy show abnormal cells at or near the edge of the tissue specimen – where the DCIS is more than what was anticipated, in that case a lumpectomy may be inadequate to remove all areas of DCIS. Therefore, additional tissue may be excised. This may require removing the breast (mastectomy) if the area of DCIS involvement is larger relative to the size of the breast.

You’re not a candidate for radiation therapy. Radiation is usually given after a lumpectomy. You may not be a candidate if you’re diagnosed in the first trimester of pregnancy, you’ve received prior radiation to your chest or breast, or you have a condition that makes you more sensitive to the side effects of radiation therapy, such as systemic lupus erythematosus.

DCIS treatment: Radiation therapy

Radiation therapy uses high-energy beams, such as X-rays, to kill abnormal cells. Radiation therapy after lumpectomy reduces the chance that DCIS will come back (recur) or that it will progress to invasive cancer.

A type of radiation therapy called external beam radiation is most commonly used to treat DCIS.

Radiation is typically used after lumpectomy. But for some women, radiation may not be necessary. This might include those with only a small area of DCIS that is considered low grade and was completely removed during surgery.

DCIS treatment: Tamoxifen

The drug tamoxifen blocks the action of estrogen — a hormone that fuels some breast cancer cells and promotes tumor growth — to reduce your risk of developing invasive breast cancer.

Tamoxifen is effective only against cancers that grow in response to hormones Tamoxifen isn’t a treatment for DCIS in and of itself, but it can be considered as additional (adjuvant) therapy after surgery or radiation in an attempt to decrease your chance of developing a recurrence of DCIS or invasive breast cancer in either breast in the future.

DCIS treatment: Lumpectomy and radiation

 

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