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Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

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Family Support
Questions about breast cancer & family support.
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AskedPublicly Submitted Question
10/30/2006You have been so kind to answer two previous questions I have submitted for my sister. What a wonderful site this has been during a hard time. Thank you so much. My sister was diagnosed with stage 0, grade 1 dcis cribiform 12 o'clock too close to the nipple to save it. She has run full circle from "cut everything off" to "but I've got to have my hrt" to today's query, "STATISTICALLY, WHAT ARE THE CHANCES OF IT RECURRING IF I DO NOTHING MORE THAN THE EXCISIONAL BIOPSY?" I told her I would ask. She's processing everything at her own rate, I'm certain she will make a wise choice. Information does let you feel more in control, however, and your answers are heping. A lot. Thank you so much. Little sister.
RepliedJHU's Breast Center Reply
10/30/2006its critical to have clear margins. biopsy isn't intended to achieve clear margins but just to make a diagnosis of what the cells are. second, some form of treatment is needed to prevent it from recurring once it is surgically removed. radiation reduces the risk of recurrence dramatically. without radiation 40% of women have disease back within 2 years and commonly is returns as invasive cancer- not dcis. if it is hormone receptor positive then hormonal therapy is recommended to further reduce risk. the opposite of hormone replacement therapy. tell her she has been fortunate to have this be noninvasive breast cancer. playing russian roulet now would be a big mistake.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


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