• Surgeon recommends mastectomy for DCIS. Should 2nd opinion be from another surgeon or oncologist?

    Asked by Abumpintheroad on Tuesday, June 19, 2012

    Surgeon recommends mastectomy for DCIS. Should 2nd opinion be from another surgeon or oncologist?

    6 Answers from the Community

    6 answers
    • Jackie's Avatar

      My experience is that surgeons will recommend surgery, radiologists will recommend radiation, etc.

      Bottom line: You should get as many opinions and information from as many people, books, etc as you can because ultimately YOU need to make the decision you are comfortable with. It is your body and you need to be at peach with how you treat it.
      Best of luck.

      almost 9 years ago
    • leepenn's Avatar

      Make sure you fully understand WHY the surgeon is recommending mx. Is it size? Location? The expected amount of tissue removed might not give you a good result with respect to breast shape and so on....

      Definitely get a second opinion! Perhaps from both an oncologist and a surgeon! Guess that would be second and third opinions....

      almost 9 years ago
    • nancyjac's Avatar

      It never hurts to get a second opinion, but ultimately, the only opinion that is going to count is yours.

      DCIS is non-invasive cancer that is wholly contained within a milk duct and not in any surrounding tissue. DCIS is non life threatening, but it is an indicator of increased risk of invasive breast cancer down the road. A lumpectomy removes the DCIS but does not reduce the risk of invasive breast cancer in the future. Radiation following the lumpectomy reduces the risk of recurrence somewhat, but the downside is that if it does recur, you may not be able to have radiation again, when you need it more with a recurrence of invasive breast cancer. A mastectomy removes the entire breast which results in elliminating the risk of breast cancer since the breast is no longer there. In otherwords, the mastectomy becomes a preventative measure. Also, in some cases where there are multiple DCIS tumors throughout the breast, a mastectomy may be the only feasible option.

      So it pretty much boils down to a risk vs benefit analysis on your part. Do you keep the breast and keep the risk, or remove the breast and remove the risk?

      almost 9 years ago
    • laurie's Avatar

      I loved Nancy's answer! I had DCIS and went with the mastectomy because the DCIS was in three different areas of the breast. I did get several opinions and all were the same.

      almost 9 years ago
    • dp4peace's Avatar
      dp4peace (Best Answer!)

      I think a 2nd pathology opinion is very important...please see my story/blog: www.dcis411.com

      almost 9 years ago
    • hikerchick's Avatar

      I love these responses. I can tell you that the DCIS that showed up in 1 area in 1 breast on my body ended up being in a couple areas in that breast and had progressed to Stage 1 in 2 locations, and only pathology could confirm that, not just a biopsy. In addition, a huge DCIS area in the other breast showed up almost touching the chest wall, which is risky. My decision for a double mastectomy was very easy, even though I didn't know it had progressed to Stage 1; I have 2 kids and felt certain that what would remain of my breast after lumpectomies would not feel "normal" or "natural" to me, and would be at risk the rest of my life. Plus, I would have needed a lot of radiation if I had had lumpectomies. I didn't need any further treatment after the dmx.
      Wonderful that you are inquiring early. :-)

      almost 9 years ago

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