After finding a lump in my breast I have been diagnosed with DCIS. Could you tell me more about this condition please and what course of treatments are available?
Mr Philip Turton, Consultant Breast Surgeon, Spire Leeds Hospital
I am sorry to hear you have DCIS, but the good news is that it is usually very treatable. DCIS is a very early form of breast cancer and stands for "Ductal Carcinoma In Situ" as it describes the growth of cancer cells in the lining layer of the breast ducts before it has invaded the surrounding breast tissue. It is most commonly found on breast screening mammograms before a lump has ever formed, as there are often tiny speckles of calcium that are produced which show on the x-ray as irregular white dots.
The growth can be very small and is commonly removed by widely excising the lesion, but sometimes there can be too much of it and a mastectomy is required. DCIS can recur and some cases are more prone to this (larger lesions and higher grade lesions, as determined by the pathologist), such that radiotherapy is offered after surgery to lower the risk. If a mastectomy is required, you may be able to choose an immediate breast reconstruction, examples of which are viewable on my web site: www.cosmeticbreastsurgeon.co.uk.