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.
also after lumpectamy doctors doint tell you that you get scar tissue and necrosis from surgery that can mimic breast cancer and when mention they ignore you and bully you into having a mammogram instead of discussing the patients concerns I their are meaningful doctors out there but the system has to change and show more concern for the patients fear and questions instead of rushing them into things that may be harmful its like a routine and to say ok who's next
😮 this is me right now… I wa así heated a biopsy and then diagnosed with DCIS, booked for lumpectomy, they fill you with fear and say they’ll help you, now there pushing for mastectomy cause they found more DCIS and I was thinking not to go forward with it. Where can I get more information to make a decision.? Im upset 😢 Thanks for this comments, make me feel I was not “crazy” when I was having second thoughts about the biopsy and then lumpectomy.
Thank you this was very helpful and easy to understand. I have just finished 2 lumpectomys with DCIS ER+ invasive carcinoma stage 1. The drawings really help comprehend the procedures.
Yes this was very helpful. I am going through this process now and having my third surgery and just what was stated is just how it has been so far. Thank you
So well explained, I now understand why my surgeon did what he did for me - masactory with sentinel lymph nodes (4) removal for biopsy. Thank you doctor.
This was very helpful, easy to understand. What I would like to know is why are the choices either lumpectomies or mastectomy? Why is oncoplasty hardly offered as an option?
My micro calcification was biopsied and confirmed pre-cancer. Its high grade stage 0. I had mastectomy and reconstruction followed by chemo 3 years ago.l for srage 1 cancer for the other breast. This time I plan to do lumpectomy as i do not want to have mastectomy again. I am scared it will come again if i only do removal of micro calcification. Sigh... 😢 i dont know what to do.
Sorry I have microcalcification too I have to biopsy but I am afraid the procedure can worse my calcifications and spread all over the body. Please can you give me your opinion?
@cecygamvela435 my experience wasn't bad as mine was DCIS and localised and not many. I guess u need to trust the radiologist(?) who does the biopsy sampling
They doint know different doctors say different things about it some say it is some say no its not and leave it alone but money talks more than the concern of scared women.😢
I don’t undestaind carcinoma in situ invasive grade 1 with CDis is the diagnostic I have and I have to wait one month for Mri and surgery is cancer or not is danger in my case ?? Can sprait to another place !? Ai don’t have under arm is clear.
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.
also after lumpectamy doctors doint tell you that you get scar tissue and necrosis from surgery that can mimic breast cancer and when mention they ignore you and bully you into having a mammogram instead of discussing the patients concerns I their are meaningful doctors out there but the system has to change and show more concern for the patients fear and questions instead of rushing them into things that may be harmful its like a routine and to say ok who's next
😮 this is me right now… I wa así heated a biopsy and then diagnosed with DCIS, booked for lumpectomy, they fill you with fear and say they’ll help you, now there pushing for mastectomy cause they found more DCIS and I was thinking not to go forward with it. Where can I get more information to make a decision.? Im upset 😢
Thanks for this comments, make me feel I was not “crazy” when I was having second thoughts about the biopsy and then lumpectomy.
This is crazy, thank you for this information ❤
Thank you this was very helpful and easy to understand. I have just finished 2 lumpectomys with DCIS ER+ invasive carcinoma stage 1. The drawings really help comprehend the procedures.
This video is well done and very informative.
Yes this was very helpful. I am going through this process now and having my third surgery and just what was stated is just how it has been so far. Thank you
So well explained, I now understand why my surgeon did what he did for me - masactory with sentinel lymph nodes (4) removal for biopsy. Thank you doctor.
Best video I have seen explaining this.. Thank you.
Its tragic that a non invasive low grade cancer is treated the exact same as if you had invasive
They just wanna sell your breast tissue
Well explain without complicated science. Thank you so much. The information was important and clear to understand. 👍👍
Thank you. It was a very educational video.
This was fantastic. Thanks so much
This was very helpful, easy to understand. What I would like to know is why are the choices either lumpectomies or mastectomy? Why is oncoplasty hardly offered as an option?
Thank you so much very well explained !!
Nicely explained ⭐⭐⭐⭐⭐
Thank you! My Husband will be having mastectomy soon and this helped
Thank you very helpful to me
Thank you very much 🙏
My micro calcification was biopsied and confirmed pre-cancer. Its high grade stage 0. I had mastectomy and reconstruction followed by chemo 3 years ago.l for srage 1 cancer for the other breast. This time I plan to do lumpectomy as i do not want to have mastectomy again. I am scared it will come again if i only do removal of micro calcification. Sigh... 😢 i dont know what to do.
Did the biopsy is dangerous? Please let me know
@@cecygamvela435 no. But it was high grade. I did the mastectomy last week. No radiation or chemo required.
Sorry I have microcalcification too I have to biopsy but I am afraid the procedure can worse my calcifications and spread all over the body. Please can you give me your opinion?
@cecygamvela435 my experience wasn't bad as mine was DCIS and localised and not many. I guess u need to trust the radiologist(?) who does the biopsy sampling
Thank so much have a wonderful day and I hope so your doing good
If DCIS isn’t cancer, why are you saying over and over the word cancer?
It can be invasive cancer if untreated or poorly treated
They doint know different doctors say different things about it some say it is some say no its not and leave it alone but money talks more than the concern of scared women.😢
WHY this music??!! Makes it impossible to listen.
Are Cancer Dr's paid a salary and get a kickback?
They are cancer cells. Not a “general surgery” topic as stated in the bio. Stay in your lane.
I don’t undestaind carcinoma in situ invasive grade 1 with CDis is the diagnostic I have and I have to wait one month for Mri and surgery is cancer or not is danger in my case ?? Can sprait to another place !? Ai don’t have under arm is clear.
Then why did I have a mastectomy?
Me to I was have Dcis 3
Thank you