What is the best treatment for intermediate grade DCIS?

What is the best treatment for intermediate grade DCIS?

Radiation therapy Treatment of DCIS has a high likelihood of success, in most instances removing the tumor and preventing any recurrence. In most people, treatment options for DCIS include: Breast-conserving surgery (lumpectomy) and radiation therapy. Breast-removing surgery (mastectomy)

What does intermediate to high grade DCIS mean?

DCIS is graded as: Low grade – the cancer cells look most like normal breast cells and are usually slow growing. Intermediate grade – the cancer cells look less like normal breast cells and are growing faster. High grade – the cancer cells look different to normal breast cells and may be fast growing.

How long does it take for intermediate grade DCIS to become invasive?

It assumes that all breast carcinomas begin as DCIS and take 9 years to go from a single cell to an invasive lesion for the slowest growing lesions, 6 years for intermediate growing DCIS lesions, and 3 years for fast-growing DCIS lesions.

Should lymph nodes be removed with DCIS?

In DCIS, the cancer cells are contained in the milk ducts and do not invade into the breast tissue and spread to the lymph glands. It is therefore not usually necessary to remove the glands.

What stage is high grade DCIS?

DCIS that is high grade, is nuclear grade 3, or has a high mitotic rate is more likely to come back (recur) after it is removed with surgery. DCIS that is low grade, is nuclear grade 1, or has a low mitotic rate is less likely to come back after surgery.

What happens after breast lumpectomy and sentinel lymph node biopsy?

Your Recovery After a sentinel node biopsy, many people have no side effects. Some people have pain or bruising at the cut (incision) and feel tired. Your breast and underarm area may be slightly swollen. This may last a few days.

Is high grade DCIS curable?

In spite of the unknown, the overall prognosis for DCIS is excellent with appropriate surgical and oncologic management (approximately 98% long-term survival). DCIS is typically treated with wide surgical resection with or without radiation therapy; there is an evolving role for hormonal therapy.

Do all breast cancers start as DCIS?

So DCIS can present in numerous different ways. About 20 percent of all breast cancer, 1 in 5 breast cancers will be a DCIS. And a majority of the time these are what are picked up on a mammogram because it’s the earliest signs of a breast cancer.