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|LCIS - Lobular Carcinoma In Situ
Questions about lobular carcinoma in situ.
|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).|
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