Up to Date Management of DCIS and Future Directions

Arrangoiz, Rodrigo and Cordera, Fernando and Moreno, Eduardo and Luque-de-Leon, Enrique and Muñoz, Manuel (2020) Up to Date Management of DCIS and Future Directions. Advances in Breast Cancer Research, 09 (03). pp. 78-100. ISSN 2168-1589

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Abstract

Ductal carcinoma in situ (DCIS) is a non-invasive malignancy confined within the basement membrane of the breast ductal system. There is a lot of disparity in the natural history of DCIS with an estimated incidence of progression to invasive ductal carcinoma between 20% to 53% over ten or more years after initial diagnosis. The surgical and adjuvant management of DCIS has advanced significantly in the last couple of decades. Nonetheless, surgeons, medical oncologists, and radiation oncologists, along with their patients, still depend on conventional clinical and pathologic risk factors to make management decisions. Irrespective of the management strategy, long-term survival is excellent. The debate around DCIS relates to preventing either under-treatment or over-treatment. In this paper, we will review the incidence and management options of DCIS. Additionally, we will focus on several current disputes related to the management of DCIS, including breast conserving surgery, the role of radiation in breast conservation surgery, sentinel node biopsy in DCIS, hormonal therapy, various risk stratification schemes, and the option of active surveillance for low-risk DCIS.

Item Type: Article
Subjects: Open Archive Press > Medical Science
Depositing User: Unnamed user with email support@openarchivepress.com
Date Deposited: 11 Jul 2023 04:06
Last Modified: 28 Mar 2024 04:03
URI: http://library.2pressrelease.co.in/id/eprint/1735

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