DCIS Breast Cancer: Learn What You Need To Know

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  • Опубликовано: 19 май 2024
  • We teach you about DCIS and how it is treated. This pre-cancerous problem is also a risk factor for developing invasive cancer and is linked to the BRCA genetic mutation.
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    Questions for your Breast Surgeon and Medical Oncologist:
    1. Is DCIS a cancer or a pre-cancerous growth?
    2. What exactly is the threat to my health from DCIS?
    3. Are both surgery and radiation always needed for DCIS?
    4. May I have a copy of my pathology reports?
    5. Do I qualify for genetic testing if I have DCIS?
    6. Will DCIS turn into an invasive cancer if not treated?
    Ductal Carcinoma In-Situ (DCIS) refers to breast cells that are growing abnormally in an area of the breast, but have not yet evolved to the point where they are considered “invasive breast cancer” and can spread beyond the breast to other parts of the body. Even the medical field is unsure whether to call it “non-invasive” breast cancer or a “pre-cancerous” problem. By definition, DCIS is considered a Stage O breast cancer.
    Important facts if you have DCIS:
    *If left untreated, it can evolve into an invasive breast cancer
    *You have a slightly higher lifetime risk of forming a new cancer in either breast in the future
    *You may now qualify for BRCA genetic testing.
    How is DCIS different from invasive cancer?
    Invasive Breast Cancer can threaten your life because it mau have the capacity to spread (metastasize) to other organs of the body. DCIS does not yet have this ability to spread, but it might if it evolves into an invasive breast cancer in the future. So we treat DCIS very seriously in order to lessen the risk of it developing into an invasive, life-threatening problem. Learn more about “Invasive Breast Cancer“ with our video lesson (here).
    What is the chance I will die of my DCIS?
    The risk is very low. The most comprehensive study (here) on the subject in 2015 showed that the risk of dying from any type of breast cancer 20 years after having your DCIS treated with a lumpectomy and radiation is about 1%. One take home message from this study is that you have plenty of time to make decisions with your breast specialists about how to best treat your DCIS.
    Lumpectomy or Mastectomy for DCIS?
    Removal of the area of DCIS with surgery is usually the first treatment. A lumpectomy removes the area with a surrounding margin of normal tissue. It is a great surgery if the area of DCIS is small. Radiation is generally recommended after surgery to further lessen the risk of the DCIS or an invasive cancer growing back in that area of the lumpectomy. Some women who are older or have a lower-risk type of DCIS sometimes can avoid radiation after a lumpectomy.
    A mastectomy is generally recommended only if DCIS involves a large area of the breast and thus would not be a good candidate for a lumpectomy and radiation. A mastectomy for DCIS does not make you live longer, but it does reduce the chance of cancer growing back in that breast. Radiation is generally not needed after a mastectomy for DCIS. Take our video lesson on “Lumpectomy or Mastectomy“ (here) to learn more. You and your breast surgeon must work closely together to decide what surgery is best for your unique cancer situation.
    Should I take “anti-estrogen” medicines for DCIS?
    When someone is diagnosed with DCIS, the pathologists will run special studies on the tumor cells to determine if Estrogen receptors and Progesterone receptors are present. If your DCIS is “Estrogen receptor positive,” taking anti-estrogen medications for 5 years can lessen the chance of developing a new breast cancer (either DCIS or invasive cancer) over the next 5 to 10 years if you had a lumpectomy. Taking “tamoxifen” or an “aromatase inhibitor” medication for this purpose is called “chemoprevention.” If a woman has bilateral mastectomies there is no need for chemoprevention because the breast tissue has been removed.
    Women with DCIS are felt to have an increased risk for developing new cancers in both breasts in the future. Taking these medications can reduce the risk of new breast cancers in these higher risk women, but these drugs are not without potential side effects and risks. That is why a “risk vs benefit” discussion with a medical oncologist is important.
    You may qualify for genetic testing if you have DCIS.
    DCIS is now known to be associated with the BRCA gene mutation in as similar way as women with invasive breast cancer. The BRCA (Breast Cancer) gene is commonly referred to as “The Breast Cancer Gene.” If someone inherits a broken version (mutation) of this gene at conception, they carry a very high lifetime risk of breast cancer and ovarian cancer.

Комментарии • 165

  • @mookperry3987
    @mookperry3987 2 года назад +53

    First let me say God bless you Dr. and all who have been diagnosed with DCIS or any other type of cancer! I was just diagnosed a couple of weeks ago for 2 weeks I was totally lost and felt alone I just saw my surgeon on yesterday who was great and cleared up a lot of questions Me and my family had! I will need to have my breast removed because one of the masses is very large still emotional but I’m so grateful and blessed with God on our side and prayers we can get through this prayer is much needed pray for me and I will be praying for you may God bless, heal and deliver us all is my prayer ❤️❤️🙏🏾🙏🏾🙏🏾

    • @griselda5131
      @griselda5131 2 года назад +4

      🙏 sending prayers for you. I also got diagnosed with dcis unfortunately its to large of an area and will be requiring a mastectomy. Still trying to decide if i want both or just mastectomy on one.😪

    • @mookperry3987
      @mookperry3987 2 года назад +4

      Gris Orozco God Bless you! I still have not had my surgery yet I’m still waiting on my surgery date! I’m still trying to process it all as well it’s a hard decision to make but I’ve been praying and asking God for direction and to give me peace about the whole thing! From my MRI there are some smaller DCIS in the right side that but not was as large as the left so I’m still in 🥲 as well! Praying for your peace and healing! And that God will continued see us through 🙏🏾

    • @d.r.3304
      @d.r.3304 2 года назад +12

      I was diagnosed with DCIS couples days ago , And now that I see this video instead to be depressed and grateful to God that I can catch up very early stage, bc could be worse . God have plans for each of us , only him knows why things happen to us.! 🙏🏻🙏🏻 God blessed you ! We gonna be fine 🙌🏻🙌🏻

  • @sheliasims5786
    @sheliasims5786 2 года назад +44

    I found out yesturday I have breast cancer in left one.i iknw God it with me.but I still fill num. Prayers for every woman on have.Just remember God is with you.

    • @prettypuppy6752
      @prettypuppy6752 Год назад +8

      Amen and Amen! Your faith is so strong! You have inspired me and helped me to accept my recent diagnosis of high grade multi focal DCIS requiring full mastectomy plus SLNB soon. To The Most High LORD God of Israel in the Mighty name of Jesus I give all the glory for our early diagnosis and excellent expected outcome. Jesus is our Divine Physician and He. Is all we need. HalleluYAH!! 🙌🏼🙌🏼🙌🏼🙌🏼🙏🏼✝️👑🕊
      Shalom to you and may you continue to be highly Blessed, fully healed and a wonderful example to us all! 🙏🏼✝️👑🕊💖💖💖💖

    • @Tsovxach
      @Tsovxach Год назад +2

      Please if you like research about water fasting and cancer

    • @mulamoney4022
      @mulamoney4022 Год назад +3

      Me too I was just diagnosed this week in my left breast as well, a lump appeared after getting Covid-19, I’m still numb I can’t believe it still.

    • @olivesoondar1165
      @olivesoondar1165 Год назад +1

      Try using Wheatgrass or the dry powder mix 1 teaspoon in water & drink on an empty stomach on mornings & at nite before bedtime to help build your imune system & fight cancer as well , l wish you speedy recovery God bless you

    • @barbarahowell5492
      @barbarahowell5492 Год назад +1

      Hi Shelia I hope you are doing well .I found out that I have it too and they did a lumpectomy fast going to do radiation I don't know about the gene test yet.

  • @cathy7562
    @cathy7562 8 месяцев назад +7

    Overdiagnosis and overtreatment of DCIS is becoming a huge issue. With the advent of more and more performant imaging techniques, the incidence of DCIS increased by 500% in the past few decades. At the same time, the incidence of invasive cancer still increased by 35%. If DCIS diagnosis and treatment would be efficient and lifesaving, then why don’t we see a reduction in the incidence of invasive cancer? Another point is that "previous biopsies" are considered risk factor for DCIS becoming invasive. Medical professionals are very quick to dismiss the reasonable concern many patients with micro calcifications who are pushed to do biopsies about the risk of seeding cancer cells outside ducts as a result of the procedure. It is common sense that biopsy causes strong local inflammation, bleeding, and dislocation of tumor cells into the bloodstream, which, without biopsy would stay inside ducts, eventually die inside the ducts, and turn into the microcalcifications seen in mammographies. So why not leave those non-invasive tumor cells alone INSIDE the ducts? The justification is that they may break away and become invasive cancer who knows when, perhaps never in the lifespan of the patients. DCIS is known to evolve very slowly and many women die of old age WITH DCIS which never bothered them. But wouldn’t piercing of the ducts help those cells break away faster, leading to an urgency of subsequent surgery, radiation, chemo, with all the detrimental effects on the overall health, that will ultimately lead to shortening the patient’s life? Of course, going through all these procedures is also very costly and it is exactly what doctors want.
    To sum up, DCIS is stage 0 cancer (pre cancer), inside ducts. It does not metastasize. 10-50 % of women with microcalcificatios may, over many decades, develop invasive cancer if DCIS is left untreated. However, clinical studies show that 54% of women who were treated for DCIS by lumpectomy develop tumor recurrence. So, the odds seem to be better if DCIS is left alone, without all the deleterious effects on the human body from what seems to be unnecessary treatment.

    • @reneeharrison2950
      @reneeharrison2950 2 месяца назад +2

      What you are saying here is exactly what came to my mind. After having the mammogram and ultrasound, I was called to do a biopsy. I told my sisters and anyone who would listen that this is all about an insurance grab and they would rather risk the life of someone for money. They make you feel like you are doing something wrong and jeopardizing your life if you don't go through with the biopsy. Now, I am faced with the decision whether to go through with surgery because of all this. I am mad at myself. I was tested at least seven years ago because I was having discharge from my breast. They say they found nothing. Even if they missed DCIS at the time, that would be seven years to-date where the DCIS was still lying dormat. Now that everything has been disturbed by doing the biopsy what chance am I taking to do surgery or not? Maybe I am a conspiracy theorist, but really, what you explained is exactly what came to mind instantly. SHEESH!!

    • @cherylbrash
      @cherylbrash Месяц назад

      same here. did you have the discharge during the six years ?

    • @taxmaamtaxmaam6107
      @taxmaamtaxmaam6107 Месяц назад +1

      @@reneeharrison2950 I disagree entirely. I live in Canada where all medical is free and we have the same treatment for DCIS.

    • @marianna7930
      @marianna7930 19 дней назад

      What if the patient waited a whole year to be checked out and there's a lot of pain and noticable lumps? Stage 3 DCIS

  • @traceymanzano4015
    @traceymanzano4015 Год назад +11

    Diagnosed last year only after a breast reduction,never through mamogram! I had decided to have a double mastectomy after reading many stories of how the other treatments weren't enough in the long run and I wasnt going to die over trying to keep breast that could possibly KILL me! I didnt trust that it wouldnt come back in the same breast or the other breast!
    No one could guarantee that it wouldnt,so I wasnt going to play around and risk a more serious cancer later down the line.I've read too many stories where they didnt get enough of the DCIS out with the lumpectomy and had to go back under the knife,and I felt that the radiation was way too time consuming to go everyday for 5 weeks and risk burning my skin in the process. The One and done worked very well for me! Wearing my prosthetic bra when I choose, is a plus as well.

    • @ingridgriffin1751
      @ingridgriffin1751 7 месяцев назад +1

      I did the same and had double mastectomy and didn’t want to take the risk coming back . Everything you said is how I felt. I had my surgery July 2023 couple months ago. I choose delayed reconstructive wearing my prosthetics .

    • @patriciacaringella6595
      @patriciacaringella6595 9 дней назад

      It come back because the Dr.'s don't tell you how & what to eat, plus vitamins. They know Cancer is curable but there's just too much money to be made by not tell you the cures. They have it all along.

  • @sydneynguyen8064
    @sydneynguyen8064 3 года назад +34

    Thank you so much, doctor. Your explanation is so clear , and easy to understand. I am just diagnosed with DCIS, your video is going to help me in my next appointment with my surgeon.
    Thank you so much, and God bless you

  • @Nancyjean24
    @Nancyjean24 3 года назад +40

    Thank you for this video. I feel a little calmer,since being dianosed today. Your explanations made me understand that there is more than one option for DCIS STAGE 0. Your info was explained quietly and slowly, so I could grasp it.

  • @solisperla97
    @solisperla97 2 года назад +4

    Thank you for explaining so clear. Everything is so confusing and overwhelming when you first get diagnosed. 🙏

  • @meritabuff741
    @meritabuff741 5 месяцев назад +1

    I was diagnosed with breast cancer needing 16 radation starting soon no chemo I will rememberevdfy one in my Prayers Much Blessings to All

  • @leigh4551
    @leigh4551 Год назад +2

    I just had my Mastectomy on my right side a couple weeks ago, Had a lumpectomy and radiotherapy a year ago and it returned 8.5cm along with invasive breast cancer. I have my silicone breast and have reconstruction in a years time. I though I was going to have a heart attack when walking to theatre but all went fine , this vid was great source of information.

  • @juanitz6965
    @juanitz6965 2 года назад +5

    Thank you so much for sharing this very informative video, this lessens our anxiety in fighting our battle of cancer.

  • @sindeekaye2223
    @sindeekaye2223 2 года назад +4

    Amazing! Every single question I had was answered! I soooo wish he was my doctor!!! 👌🏽💯

  • @d.r.3304
    @d.r.3304 2 года назад +10

    I just been diagnosed with DCIS , I was getting crazy when I hear the word “ cancer” thanks to this videos I feel release and now I have my mind clear to take the right decision. 🙏🏻🙏🏻🙏🏻🙏🏻

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +1

      I tried to reply to your comment but think I sent it incorrectly.please look for my comment.who know who I sent it to.lol

    • @d.r.3304
      @d.r.3304 2 года назад +1

      @@sheilacarter4741 oh wow, thanks for the comments , even I Never get it 🤣🤣

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +2

      @@d.r.3304 Let me try this again
      I had said that I was diagnosed Sept 9,2121and had my surgery for DCIS on Nov 2.It went great and I am on Anastozole hormone blockers for 5 years.I had the BRCA gene tests especially since my mom had metastatic breast cancer which ended up turning into 5 more different cancers.She lived for 28 yrs with it.you and I are so blessed to have the kind of cancer we have.Im 73.good luck with everything and as I said, we are so lucky to just have DCIS and nothing more serious

    • @d.r.3304
      @d.r.3304 2 года назад +3

      @@sheilacarter4741 oh Wow , God is great! You are right we are lucky that is only DCIS , you know when I get the diagnosis I was very sad about it, then I started thinking That could be worse, and Now im very grateful to God that I find out early, because there are at lot people that suffering and maybe have no hope. I’m glad you’re fine and you have your mother for many years.! 🙏🏻🙏🏻

    • @Unicorn100757
      @Unicorn100757 Год назад

      Hi I was just diagnosed with a DCIS O stage breast cancer, to tell you the truth I never heard of this cancer thank you for these videos so I can know what to do next and want to look for I do have to go in for surgery and possibly radiation and the doctor said something about having to take a pill for the next 5 years.

  • @olgafernandez4957
    @olgafernandez4957 Год назад +2

    That was the best information that I have received from anyone. Thank you so much for the information.

  • @reshmakiran7063
    @reshmakiran7063 3 года назад +6

    Very well explained. Thank you so much for the video

  • @blancaalvarez743
    @blancaalvarez743 20 дней назад

    Loved the way he explained it without the biology and science terminology. Plain black n white. Love him.

    • @blancaalvarez743
      @blancaalvarez743 20 дней назад

      I had surgery last week, DCIS removal. Going to see my post op on radiation n the pill. Going to request a BRCA genetic test

  • @suzanneturley4433
    @suzanneturley4433 2 года назад +20

    Thank you for this very explanatory video. I was diagnosed back in October 2021 with DCIS and also LCIS in the same breast. After seeing the Consultant a few times, I opted for a Uni-mastectomy; because at my age (68) I had no time for vanity....although had I been younger I probably would have gone down the lumpectomy/radiotherapy treatment route.
    Instead my operation took place in mid-November and I am so relieved it’s gone and although I am on hormonal treatment for about five years; it feels that life has begun again.

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +4

      I was diagnosed in Sept 2121 with DCIS.I had my surgery Nov 2.i also got tested for the BRCA gene and I do not have it.thank God.My precious mother died of metastatic breast cancer.she lived 28 yrs with it and ended up with 5 more cancers.you and I are so lucky that DCIS is what we have.my wonderful surgeon gave me a partial mastectomy on my right breast.I am on Anastozole for 5 yrs.Absolutely no side effects at all.I hope you do great which I,'m sure you will!!! I am 73

    • @suzanneturley4433
      @suzanneturley4433 2 года назад +4

      @@sheilacarter4741 Hi...I am 68, and I’ve had a couple of side effects, the first one was Hot Flushes, but they came and went in a short space of but ironically the first was 9 days after starting Anastrozole, then a second one 9 days later and a third, 9 days after that. I was all set waiting for a fourth but nothing happened. How are you getting on with the change of diet....I have to admit that I am finding it hard?
      My samples were sent off to America for further analysis as apparently their in-depth examination is second to none. Following the results, I was put straight onto Anastrozole without any chemo or radiotherapy allowed due to other medication that I am on. C & R would have wiped out my life saving other medication so it was too great a risk.
      My mantra following my diagnosis was ‘When life throws you a curved ball, you just grab hold of it and sling it straight back’. x

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +4

      @@suzanneturley4433 I am also on Anastrozole.I had 2 nights I woke up hot and sweating.I started this medication Dec 9.(my partial mastectomy was this past Nov 2).I did not have and hot flashes or night sweats or any other symptoms for menopause so the Oncologist said I probably would not have hot flashes because of this.That is the only symptom I've had so hopefully I can stay on this medication since they want me on it for 5 years.Thank you for sending me a message.I really need someone to talk to about this.I don't know anyone to talk to about it.Seems like I'm going thru it alone sometimes.I am 73 and have felt anxious for yrs because of what my Mom went thru.I am blessed!!! It could have been so much worse and I am grateful for my outcome.no radiation or chemo!!!

    • @suzanneturley4433
      @suzanneturley4433 2 года назад +1

      @@sheilacarter4741 , it is lovely to talk to you as well. How are you getting on with the restriction of certain foods? It seems that my favourite everyday ones are no longer allowed. No apples/oranges/tangerines, nor lemons. No red meat at all, Nothing grilled, bbq, or smoked. No wheat and that’s just to name a few. Apart from milk puddings, hot or cold, I’ve always been a ‘foodie’, and going out for a meal is a nightmare.
      Always looking for any ideas if you have some?

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +2

      I'm so glad to hear from you again.No one has said a word to me about not eating certain foods.I am really disappointed that no one gave me that info. I read on RUclips or Google, can't remember which but it said if you are overweight and lose some weight it will help keep the cancer from coming back I think it said by 30%. I have been on a diet and lost 42 LB since the middle of December. I weighed 274 and I'm down to 232.still have a long way to go but my A1C is great now and I am no longer pre-diabetic and my B/P is excellent. I have been on blood pressure medicine since I was 26 years old so I have known all along I should get my act together but this cancer really scared me to death so finally maybe I'll stay in control of my weight and still keep trying to lose more. There is so much out there informing us of what to do and what not to do but I'm disappointed as I said before that no one has said a thing to me about what not to eat. I guess I'll have to learn everything on RUclips LOL. But who knows what is or isn't good info on there. Thank you for telling me that. I get my 3 months blood work at the oncologist on April 12th and she is supposed to call me on April 27th so I guess I'll ask her about what to eat and what not to eat. Please keep me informed on anything you might find out about this disease we have. The oncologist said I am stage zero and considered cured and a survivor but if that's true then why would it ever come back?? I'm confused. So many people and doctors saying different things you don't know what to believe or I'm scared I'll do something wrong and make things worse. I sure don't want this to come back. My mother had metastatic breast cancer for 28 years and passed away at age 74. They gave me all the BRCA gene testing and thank God I do not carry the gene from my mother. My daughter is getting ready to turn 50 and she is also thrilled to find this out. The doctor said she doesn't have to worry about that at least. Please let me know how you are doing. Thanks again for sending me another message. It is so nice to chat with someone who understands and is in the same boat I'm in. People that don't have this do not have a clue or understand at all how serious this is.

  • @marrelita80
    @marrelita80 4 года назад +8

    Thank you so much for explaining it so clearly in a way that anyone can understand. This was very helpful and exactly what I needed to know. I live in Sweden and I haven’t been able to find videos in Swedish explaining my diagnosis, or any other information about bc. 👍

    • @BreastCancerSchoolforPatients
      @BreastCancerSchoolforPatients  4 года назад +3

      Thank you for the feedback. Make sure you visit the complete Breast Cancer School for Patients. Same video lessons, but organized in the order of topics you will experience them. www.breastcancercourse.org/

  • @0308Springbaby
    @0308Springbaby 2 года назад +11

    Thank you so much doctor, your video is very informative. I am learning so much. Now I feel calmer and less anxious.

  • @MeredithLeighCentrella
    @MeredithLeighCentrella 26 дней назад

    What an amazing doctor. Great info. Thank you for walking us through this!

  • @user-yy3nk6fw6j
    @user-yy3nk6fw6j 2 месяца назад

    Thanks a lot Dr., that was very helpful to know this things before any decision. God bless you...

  • @MissBurr1
    @MissBurr1 3 года назад +4

    Thank you so much for this .....Bless you.......It was very helpfull, and you said exactly what the surgeon said today......Guess the dna test is important too....thank you Doctor, so much

  • @Angie-ci1lp
    @Angie-ci1lp 6 месяцев назад

    Thank you for clearly explaining this subject 🙏🏽❤️🙏🏽

  • @mulianah
    @mulianah Год назад +2

    Thank you for making this video.

  • @Pharmasis125
    @Pharmasis125 3 года назад +4

    Wow. You made such a complex topic so simple and easy to understand ! Many Thanks

  • @insnoutcarwash6917
    @insnoutcarwash6917 6 месяцев назад +1

    If the doc that done my mom biopsy done this with her dcis she would hv been alive today. But they sent her home an told her its not cancer . Now she's no longer with us. That's why I've started a podcast in honoring her by helping ppl understand cancer and symptoms. Deep sigh

  • @ameliaparantar9766
    @ameliaparantar9766 Год назад

    Thanks for a clear explanation 🙏

  • @answermetvanalyzingallangl2047
    @answermetvanalyzingallangl2047 2 года назад +2

    Thanks for the wealth of information.

  • @christianetouma3462
    @christianetouma3462 Год назад +2

    God bless you a million times

  • @beverlypearson5332
    @beverlypearson5332 3 года назад +3

    Very reassuring. Thanks.

  • @amymocan2666
    @amymocan2666 Год назад +1

    Thank you for explaining, I'm 31, diagnosed with high grade DCIS 8cm wide, I've just had a mastectomy on my right breast, I have read as much as I can but this has explained it so much more. Thank you results soon fingers 🤞

    • @lindadoran6062
      @lindadoran6062 Год назад +3

      I'm going in for a mastectomy in 2 weeks, rt breast, my tumor is 10x4 cm. I'm very scared. Getting silicone implant immediately. What did you do? I hope you are doing good..

    • @amymocan2666
      @amymocan2666 Год назад +2

      @@lindadoran6062 what I will say I can't take away the fear. I still have the fear and I've had mine done, that fear is a good thing, you will never get bored of checking yourself and that's a life saver. I was scared, I thought I was gonna die on the table. I thought they would miss some cancerous tissues. I went through all scenarios on how this would play out. One thing is I thought I'd look a freak afterwards.
      I was OK!! Not going to lie the pain starts creeping in the next day but they give you pain killers, (they do make you sleepy) so take naps. Like I said above I can show you pictures. I had mixed emotions about what my right boob looked like (don't forget its a journey). When I first saw it waking up I was still under the anaesthetic so I saw my boob so I was happy. When I was home and I looked the next day. I was sad. The compression bra made it all wrinkley and I also thought that this was it... the final product. IT ISNT.. . !!!
      I found myself that I was just doing what I was told. Going with a very strong, fast current and my head was bearly above the water. You have your surgery, then you worry about the drains you've got in. You can't pull it out so don't worry too much on that but you will have that on your mind too. After 7days (which you will countdown, your drain will come out. It doesn't hurt, i can't explain it really, just feels like someone pulling at your skin. Even them removing the dressings you think it will rip of your skin hair. It doesn't.
      I donr want to over load you with too much information but I'll be as honest as I can. You do feel a sense of abandonment after the surgery but thats a recovery time .
      I tried to join macmillan chat groups. It didn't help me. I saw people going through so much worse than me and it made me shut up about how I felt. Please don't feel your less important. My surgeon said ( and she has been absolutely amazing plus she listened to me other than the nurses) just because it's cancerous doesn't make it less important. Its still cancer, had it been left, you would've been one of those stories.
      I hope I've helped. Be scared be angry sad, it's hard to be happy, you will feel a loss but I promise you it will start to get better just take one step at a time. Or one day at a time xx
      Like I said I've got pictures before and after and recovery pictures. My boob looks better than my other one and it's not even been filled up yet xx

    • @lindadoran6062
      @lindadoran6062 Год назад +1

      Thank you for replying. I'll take your advice and I appreciate it. First thing get the surgery, then one day at a time. Take care.

  • @nollywoodhair7514
    @nollywoodhair7514 3 года назад +6

    This doctor is heavenly! Explanation is superbly educational

  • @luluraven1938
    @luluraven1938 3 года назад +2

    Thank you so much

  • @michellesmith8565
    @michellesmith8565 4 года назад +13

    This was just what I needed to hear. Thank you!

    • @BreastCancerSchoolforPatients
      @BreastCancerSchoolforPatients  4 года назад +3

      You are too kind. Make sure to visit the Breast Cancer School for Patients for more information. www.breastcancercourse.org. Good luck.

  • @maryjanelin
    @maryjanelin 2 года назад +2

    Thanks doctor it’s very informative

  • @bellagalstyan5100
    @bellagalstyan5100 4 года назад +2

    Thank you dr.

  • @juliannaaccius5004
    @juliannaaccius5004 2 года назад +1

    Thank you

  • @siciliangypsy4758
    @siciliangypsy4758 2 года назад +1

    Thank you 🙏

  • @kchdalmain4002
    @kchdalmain4002 3 года назад +5

    I had DCIS and had a lumpectomy. Now I have been told that I have developed Fat Necrosis. I would like some information on this and what can be done.

  • @zozansinde7796
    @zozansinde7796 2 года назад +1

    Thank u so much

  • @marcodeluca4068
    @marcodeluca4068 3 года назад +3

    Can DCIS be also Her2 stage 1 do you have video explaining and how can we be sure?

  • @ronhechst8729
    @ronhechst8729 2 года назад +1

    what is the size (length) of incision? how long appox is surgery?

  • @catherinesutter2528
    @catherinesutter2528 2 года назад +9

    It would be helpful to include a photo of the skin of the breast if there is a pre-cancerous or cancerous situation. I don't know why it is so difficult to find photos of what we might be seeing if we don't feel a lump but there are changes to the skin of the breast.

    • @sheilacarter4741
      @sheilacarter4741 2 года назад +1

      Ask to see your mammogram results.It shows everything.They showed it to me the day they called me in to give me my diagnosis and explained be every detail.They should have done this for you

    • @debbiedaniel1979
      @debbiedaniel1979 Год назад +1

      I never had any changes to my skin on the breast. The change in my breast was bloody discharge from the nipple. I never felt any lumps or bumps and as I said the skin never changed at all. I had 3 lumpectomies but my breast surgeon eventually said that the area of DCIS was so large that it went from the nipple to the chest wall. My surgeon told me that I would be having a single mastectomy. It would be helpful to show some pics of skin changes but just to advise that not all changes that show DCIS or even cancer are changes we can immediately see.

    • @debbiedaniel1979
      @debbiedaniel1979 Год назад

      @@ailenecaluttung3955 How are you? I'm doing ok now. I've finally had my reconstruction almost 3 years to the day after my mastectomy. My breast consultant came to me mere hours after my 3rd lumpectomy to say that it would either be radiation therapy or a mastectomy but they would have to wait until the results from the biopsy came back. I returned to the hospital a week later to be told I would be getting a mastectomy and the plastic surgeon consultant was there to tell me what his role would be once the mastectomy was done. So in all I waited a week to find out if it would be a mastectomy or radiotherapy, but it was around 3 months until I got the actual operation with sentinel node removal too. They took 3 or 4 lymph nodes as these would be the ones that would be affected if the DCIS had managed to spread. I hope this helps. If you have any other questions please don't hesitate to ask.

    • @debbiedaniel1979
      @debbiedaniel1979 Год назад

      @@ailenecaluttung3955 I have just sent you a private message via fb I hope you don't mind and I hope it's the right profile but only one profile came up when I entered your name into fb

  • @nicolesepesie8953
    @nicolesepesie8953 10 месяцев назад

    They found lump in my left breast with distortion while i was going to get a lump that popped up (said to be a cyst). My biopsy came back today, Radiologist told me they use to automatically remove it with surgery asbyour stating but no longer due? Even though there is distortion and twisting and pre cancerous cells he is telling me that they are going to keep a close eye on it. And i will get another mammogram in 6 months to check it? Should i get a second opinion? Thank you for this amazing informational channel♡

  • @user-bx8cr9wc6p
    @user-bx8cr9wc6p 2 месяца назад

    It’s very good to know doctor 🥰🥰🙏🙏♥️♥️😔😔

  • @TravelsofAngel
    @TravelsofAngel 7 месяцев назад

    I had lumpectomy for ALH but it turns out I have ALH, but also DCIS grade 2. Margins were poor so I need another lumpectomy. Is risk double since I have both? How often do patients get both DCIS and ALH? I don't have Brca. I already had uterine cancer too. 60

  • @sematmehsen7925
    @sematmehsen7925 2 года назад +1

    Please can you till what is non-specific dcis meaning

  • @lunasun6160
    @lunasun6160 2 года назад +3

    Thank you for the info .DCIS STAGE O . I’m choosing a double mastectomy and breast reconstruction

    • @lisyasmin
      @lisyasmin 2 года назад

      I Luna. How you feel ? Do you need radiation? Or Chemo? Where do you live?

    • @lunasun6160
      @lunasun6160 2 года назад +3

      @@lisyasmin hi . I live in Illinois . I do not need chemo nor radiation . I already had my mastectomy two weeks ago . My lymph nodes came back clear.

    • @hannahh1691
      @hannahh1691 Год назад +1

      @@lunasun6160 - Hi, what type of implant do you choose? Silicone gel or saline?

    • @lunasun6160
      @lunasun6160 Год назад

      @@hannahh1691 hi Im still with my expander getting fill in . I have a few more week with fill in before we start looking at implant . I’m thinking silicone.

    • @hannahh1691
      @hannahh1691 Год назад +1

      @@lunasun6160 - thank you for sharing this with me. We are very much alike. I have DCIS and I also opted for double mastectomy. I’m now 1.5 mos with the tissue expander. I might also go for silicon implant!

  • @lorib5398
    @lorib5398 9 месяцев назад

    If dcis is in one breast, is it also in the other one?

  • @roser462
    @roser462 4 года назад +4

    I have a papiloma in my duct that showed atypia hyperplasia with at least dcis at first the biopsy result was benign then it was changed in November to malignant proven by biopsy. Im honestly confused but i will have an excisional biopsy/lumpectomy later this month. But this video helped me understand a lot more then when my oncologist explained it, thank you.

  • @foziahramli3001
    @foziahramli3001 3 года назад +6

    He has such a sexy voice !
    Very simply and efficiently explained.
    Lay people like me can understand very well.
    Thank you.

  • @donniedarko4688
    @donniedarko4688 Год назад +1

    what if you test positive for brca1 and have dcis

  • @r5ndom551
    @r5ndom551 3 месяца назад

    I was diagnosed with 2 types of breast cancer. Lcis & DCIs... I had genetic screening,the brca or something like that & another one. The brca gene is not growing but,the other one is... So,i have 2 problems,the growing genetics test results and 2 breast cancer diagnosis. Both dcis lcis are stage 0. Is surgery necessary NOW? Or watch & wait. Im premenopausal.

  • @hopebeauty847
    @hopebeauty847 4 года назад +3

    Amaging!

  • @betsypetro1207
    @betsypetro1207 5 месяцев назад

    I just found out today that I have DCIS. But when I message my doctor with questions, she never answers. I don't know anything about it. Plus, it isn't history in my family they don't have or ever have breast cancer. I am 47 years old and re-entered into college, now I am done with fall semester, taking a break for winter semester I am taking a break and start back spring semester will radioactive therapy effect me and my studies? I am planning to take 3 course classes in the spring. Hopefully in the summer I will graduate in the summer 2024.

  • @joyceweber4299
    @joyceweber4299 Год назад

    I was just diagnosed with breast cancer for the 3rd time in 1999 I had chemo and radiation and a lumpectomy in 2011 had a double mastectomy and reconstruction now in 2023 cancer again in the same breast.I have had cancer every 12 years apart.

    • @jadahayes4411
      @jadahayes4411 6 месяцев назад

      You had breast cancer in the same breast area that you had removed? Was it on the chest wall??

    • @joyceweber4299
      @joyceweber4299 6 месяцев назад +1

      @@jadahayes4411 no the tumor was not in the chest wall,who knew you could get cancer even after a double mastectomy and reconstruction.

    • @jadahayes4411
      @jadahayes4411 6 месяцев назад

      @@joyceweber4299 Ok. Thank you for responding! I’m just learning about all of this as I begin my journey. So I’m assuming that means there was still some breast tissue there then right? At first I thought it was all removed when you said mastectomy. Do they leave tissue?

    • @joyceweber4299
      @joyceweber4299 6 месяцев назад

      @@jadahayes4411 yes I found out you always have some breast tissue left.I was shocked because I thought with the double mastectomy I wouldn’t get cancer again.I wish that would be explained at the time of surgery.MY CANCER CAME BACK EXACTLY 12 YEARS APART AND IN THE SAME MONTH.

  • @mommycath9588
    @mommycath9588 4 года назад +2

    Hello Doctor Jhon my Mom is already have Poorly Differentiated infiltrating Ductal carcinoma what should I do Doctor

  • @julietomire8736
    @julietomire8736 Год назад +1

    Is it possible to have two different cancers at the same time.
    Cancer of the breast stage 2 and Cancer of the Cervix stage one.Doctors say they are separate cancers.How can we treat this?

    • @PrettyKitty_210
      @PrettyKitty_210 Год назад

      I think the other one is the primary cancer..and the other one is the metastasis..But, i don’t know which is which..You can kearn from your doctor..

  • @lisaiverypinsan
    @lisaiverypinsan 3 года назад +3

    I was diagnosed with DCIS with small foci 0.2cm/invasive ductal carcinoma, I had undergone mastectomy but I refused for chemo due to pandemic. I have triple negative and grade 3/ 8cm in size. Is it worth to stick with my choices not to have chemotheraphy or there's a big chances for recurrence? Thank you so much

    • @wandalanders8700
      @wandalanders8700 3 года назад +3

      How have you been doing? I have just been to get a biopsy that turned out to be cancer and, I don't want chemo either. But, what do you do? Scared not to and afraid of it, also. I hope everything is good for you ! We are all different and it's hard to tell someone else what to do. The medical people can not legally tell you on a place like this. But, I would love to hear from others, that have been through this. I am not sure what will happen with me, maybe know more tomorrow after doctor tells me about my biopsy ! I meant he called and said it's cancer but, will tell me more tomorrow.

    • @nikhilmallavarapu4121
      @nikhilmallavarapu4121 3 года назад +2

      No yu should go for chemo

    • @nikhilmallavarapu4121
      @nikhilmallavarapu4121 3 года назад +2

      Yu should go for chemo matter what

    • @mariconangolluan8814
      @mariconangolluan8814 2 года назад +1

      Hi doctor I have concerns,I.was Diagnosed DCIS and I finished surgery ,my surgeon doctor asked me to do next training for radiation therapy is this a rigth treatment?

    • @mariconangolluan8814
      @mariconangolluan8814 2 года назад +1

      Next treatment is radiation therapy?

  • @biology109
    @biology109 4 года назад +4

    My mother was diagnosed with triple negative ductal carcinoma with Ki>14 in her biopsy ...she is having her chemo right now and will have surgery next mnth after her 4th cyvle of chemo and then followed by next 4 chemo and radiations ...will she be fime. .how can i keep her away from recurrenve....doctors have stated that she is having early stage and will be fine

    • @nikhilmallavarapu4121
      @nikhilmallavarapu4121 3 года назад +1

      Yu must be go for pathological report
      After surgery go through with
      Receptor status like er/pr/her2,new.
      If above mentioned receptors were positive we have drugs it will reduce recurrence.
      If above mentioned receptors are negative only chemotherapy is given and prognosis is poor recurrence is higher.
      Make sure surgeon should be good.

    • @nikhilmallavarapu4121
      @nikhilmallavarapu4121 3 года назад

      Don't worry now every thing will be considered after surgery only not much as trucut biopsy

  • @kathrinedrake8732
    @kathrinedrake8732 2 года назад +3

    What is so wrong with radiation? Why can't they do radiation first then surgery for dcis

  • @frankiemiller8222
    @frankiemiller8222 Год назад

    what is a lesion found in your breast mean?

  • @olivesoondar1165
    @olivesoondar1165 Год назад +2

    I found out recently l have a benign legion , from my last yr October mamogram & my doc failed to tell or explain it to me , l didnt understand the result untill l went recently for a cjeck up as l had an uncomfortable itching & little rash under my breast ,, it painful in my breast & under arm as well , l repeated my ultrasound & awaiting the result by next week ,
    l am not please the doctor didnt tell me early enough , he looked at the report last yr & told me if am having any problems just go to cadualty department ,,,, l could have paid a little more attention to it before 1 whole year passed & then began to have problems now

  • @sorayamiller9356
    @sorayamiller9356 11 месяцев назад

    I have just been diagnosed with DCIS. The doctor wants me to have an MRI, but I have no desire to stay in this world. Even though I have a lovely six-year-old daughter and an eight-year-old son, I am an Asian living in the United States for fifteen years, i don’t belong here.I refuse all doctor appointments and I don't want to see anyone.I am ok.
    I will happily spend each day with my children as long as the damn nightmares stop haunting my body.

    • @danluo888
      @danluo888 10 месяцев назад

      Not end of the world, I’m same situation with you now I struggle to go flat or reconstruction

    • @sorayamiller9356
      @sorayamiller9356 10 месяцев назад

      @@danluo888 🫂

  • @nenitapis-an6869
    @nenitapis-an6869 5 лет назад +2

    hi sir,help me ,i have a ductal breast cancer my lift breast already big and its painful

    • @allesharif7876
      @allesharif7876 5 лет назад +3

      You should see a doctor as fast as possible. It's not good to wait when you're feeling pain in your breast and if there is swelling.

    • @foziahramli3001
      @foziahramli3001 3 года назад +1

      Nenita pis-an.....it has been a year passed.
      How are you doing now?
      Did you get your problem treated?
      Would like to know more ...
      I pray that God Almighty makes it easier for you....amen.

  • @caterpillargb7162
    @caterpillargb7162 3 года назад +2

    Hi I am from Bangladesh. My mom’s USG report says: Irregular marginated hypoechoic area in outer and mid quadrant of right breast suggestive of neoplasm.
    Right axillary multiple lymphadenopathy.
    Cytology Report says : Right breast lump (FNAC) ---Duct cell Carcinoma.
    Pls tell me what I should do now in this case. I will be very glad to hear from you.

  • @MMacAttack
    @MMacAttack 4 года назад +11

    Is active surveillance ok for dcis ? Radiation or mastectomy seems very aggressive for something that may Never turn into invasive cancer

    • @traceymanzano4015
      @traceymanzano4015 2 года назад +3

      True,but if you gamble and lose ,then what? Are breast worth dying for?

    • @ailenecaluttung3955
      @ailenecaluttung3955 Год назад

      @@traceymanzano4015 how r u?how can i reach u,bcuz i just want to ask some question if u don’t mind.do u have a fb.thanks

  • @PrettyKitty_210
    @PrettyKitty_210 Год назад +3

    I had dcis stage I in 2002.. I was lying down on the bed and the puppies were playing and one bumped my breast that’s the time I felt the lump..So the puppies saved my life..I had lumpectomy chemotherapy radiation..21 yrs. ca. free..Thank God.🙏

  • @funmineokodua5056
    @funmineokodua5056 7 месяцев назад

    I will appreciate to read about cure not surgery

  • @jennychoong7764
    @jennychoong7764 3 года назад +9

    I was diagnose with DCIS. I opted to have mastectomy. My doctor did a biopsy on the breast tissue. And says i am estrogen receptor positive. She recommend me to take tamoxifen. Hormone pills. I am already 68 years old. I dont want to have the side effects cos my body already so weak. Can i opt out and watch my diet. I use to take a lot of soy bean, now i cut down on all the high estrogen food. Can doctor pls advise.

    • @nikhilmallavarapu4121
      @nikhilmallavarapu4121 3 года назад +2

      Jenny choong make sure post menopausal women go for aromatose inhibitiors which it proved for lesser side effects

    • @mariamanalastas560
      @mariamanalastas560 3 года назад +1

      Thank u so much Doc..this vedio

    • @mariamanalastas560
      @mariamanalastas560 3 года назад +2

      I diagnosed breast cancer 2018..I have maintenance medecine letara tablet 2.5mg

  • @nancybarber5816
    @nancybarber5816 5 месяцев назад +1

    PLEASE stop adding background music, especially to videos in which EVERY WORD IS IMPORTANT & needs to be clearly understood!!!!

  • @Gatyamadzag01
    @Gatyamadzag01 2 года назад

    Is mastectomy necessary for low and intermediate DCIS?

    • @kristyb5821
      @kristyb5821 2 года назад

      I want to know the same thing. My surgeon said mastectomy was my only option due to the size. I refuse a mastectomy. I’m not ready for it and I don’t want it.

    • @ailenecaluttung3955
      @ailenecaluttung3955 Год назад

      @@kristyb5821 hi kristel,how are u?

    • @mulamoney4022
      @mulamoney4022 Год назад

      No,

    • @mulamoney4022
      @mulamoney4022 Год назад

      @@kristyb5821 me too, she the surgeon was telling me that too, but I don’t want a mastectomy. Lumpectomy and lil radiation is as far as I’m going. She wanted me to do chemotherapy to try to shrink it but after seeing the effects of chemotherapy it’s a hard pass for me. With GOD anything is possible!

  • @cwhite1662
    @cwhite1662 3 года назад +3

    Does radiation cause cancer?

    • @compactedponderer
      @compactedponderer 2 года назад +2

      Hi C White, I am reading a book called 'The Patient Paradox'. It says that yes, the radiation you receive when undergoing a mammogram does cause cancer in a very small percentage of women. Great book, highly recommend it.

  • @r5ndom551
    @r5ndom551 3 месяца назад

    The music is annoying,but,i can hear most of what you said

  • @vvlog7112
    @vvlog7112 4 года назад +9

    I have dcis and it remove last Nov 11 2019

    • @dianalara6525
      @dianalara6525 4 года назад

      Hi. Do you Spock spanish

    • @lisandravargas6482
      @lisandravargas6482 4 года назад +1

      I have dcis was the procedure painful?

    • @Jessica-xc9cm
      @Jessica-xc9cm 3 года назад +3

      @@lisandravargas6482 no its not well to me it wasn't

    • @lisandravargas6482
      @lisandravargas6482 3 года назад +2

      @@Jessica-xc9cm thanks for the feed back, I have Surgery on the 9th I'm a little nervous.

    • @Jessica-xc9cm
      @Jessica-xc9cm 3 года назад +3

      @@lisandravargas6482 I'm sure you will be okay but I'm praying for you as well

  • @48pattyo
    @48pattyo Год назад

    a