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.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
| Forum | Questions | Ask a Question | |
|---|---|---|---|
 |
LCIS - Lobular Carcinoma In Situ Questions about lobular carcinoma in situ. |
142 |  |
| Asked | Publicly Submitted Question | ||
|---|---|---|---|
| 9/6/2011 | I was recently diagnosed with low grade small DCIS in the left breast as a result of a stereotactic biopsy. Following an MRI, two low suspicious spots in a different quadrant of the same breast were observed and bioposied through an MRI guided These two spots were LCIS. What would be the recommended course of treatment? | ||
| Replied | JHU's Breast Center Reply | ||
| 9/7/2011 | Well, LCIS is not considered a breast cancer, despite it's name (lobular carcinoma in situ), but certainly puts a woman at a higher risk for developing breast cancer. In turn, you have documented breast cancer (ductal carcinoma in situ)in another quadrant of your breast. You would need to 'jump through a few hoops' so to speak, if you are committed to breast preservation: You could have 2 lumpectomies: a lumpectomy in one quadrant for the DCIS; and a second lumpectomy in the other quadrant for the LCIS. However, there is a 15 to 20% chance that more than LCIS will be found. If that is the case, you may need more surgery to that site. Also, consider if your breast is large enough to undergo 2 lumpectomies and still resemble a breast when done. In addition, most likely then would undergo whole breast radiaiton. But to me, your breast seems to be telling you something. A mastectomy may be preferable. Talk with your multidisciplinary breast team, your breast surgical oncologist, breast radiation oncologist, breast medical oncologisrt and a breast plastic reconstructive surgeon before making the decision that is right for you. Hope this helps and best wishes. If we can help at all, please call Sheila @ 443-287-BRST (2887). | ||
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.