Follow up for patients with DCIS
After surgery and radiation therapy the patient and doctor should work together to develop a plan for follow-up care.
A typical plan might include the following:
New trends in follow up
Discussion is ongoing concerning over treatment of DCIS. Some advocate for increased surveillance through MRIs and mammograms and less surgical interventions, chemotherapy and radiation. There is discussion about eliminating the word, cancer, from the definition of DCIS since women with DCIS have the same 3% incidence of invasive breast cancer as women without the diagnosis.
Women who acquire DCIS below the age of 40, are African American, are HER2 positive, have estrogen receptor negativity, have higher grade cells, particularly comedo type, and/or have large amounts of DCIS receive more treatment and screening.
Recent studies have also shown women with highly dense breasts had a 2.8 times the risk of subsequent breast cancer compared with women with less than 25% of their breasts containing dense tissue (Habel, 2004).
Researchers from MD Anderson, the Mayo Clinic and Memorial Sloan Kettering, the three top cancer hospitals in the US, still advocate for treatment with surgery and radiation until more conclusive research is available (Bramlet, 2015).
This content will be reviewed or retired by 12/2019