Breast cancer is the most common cancer among women, other than skin cancer. It is the second leading cause of cancer death in women after lung cancer. The American Cancer Society predicts that there will be about 182,000 new cases of invasive breast cancer in the year 2000. Fortunately, deaths from breast cancer have declined significantly, which is though to be due to better detection and improved treatment.
Ductal carcinoma in situ (DCIS), also called intraductal carcinoma, is early breast cancer that is confined to the ducts. Best diagnosed by a mammogram, DCIS carries a nearly 100% cure rate.
Screening by breast exam and regular mammogram as recommended greatly increases the chance of early diagnosis and is important for women of all ages.
Once a breast cancer is diagnosed, the focus of care depends on the stage of disease and the personal goals of the individual. An elderly woman with a less aggressive type of cancer may wish to avoid aggressive treatments and pursue palliative treatments, while for a younger woman, aggressive therapy targeted at achieving remission is usually desired.
Treatment strategy depends on the stage of disease and the goals of care for the individual. Treatment usually consists of a combination of surgery, medication, radiation, and/or chemotherapy.
This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:
The diagnosis and management of ductal carcinoma in-situ of the breast. Ca: a Cancer Journal for Clinicians. 2000
Ductal carcinoma in situ (DCIS) of the breast: evolving perspectives. Cancer Treatment Reviews. 2000
Detection of stromal invasion in breast cancer: the myoepithelial markers. Advances in Anatomic Pathology. 2000
Intraductal papillary-mucinous tumors: an entity which is infrequent and difficult to diagnose. Hepato-Gastroenterology. 2000
Consensus Conference on the Treatment of In Situ Ductal Carcinoma of the Breast, April 22-25, 1999. Cancer. 2000
Treatment of early-stage breast cancer. Current Problems in Cancer. 1999
The management of ductal and lobular breast cancer. Surgical Oncology. 1999
Ductal carcinoma in situ of the breast. BMJ. 1998
Standards for diagnosis and management of ductal carcinoma in situ (DCIS) of the breast. American College of Radiology. American College of Surgeons. College of American Pathologists. Society of Surgical Oncology. Ca: a Cancer Journal for Clinicians. 1998
The management of ductal carcinoma in situ (DCIS). The Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer. Canadian Association of Radiation Oncologists. CMAJ. 1998
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