Low to intermediate DCIS - is mastectomy really necessary?

I have just been told by my consultant that I have low to intermediate DCIS and that he recommends a lumpectomy or a mastectomy, possibly followed by radio therapy. My initial research seems to indicate that doctors are beginning to investigate the necessity of this very drastic operation (let alone the gruelling side effects).  The LORIS clinical trial which is currently recruiting compares monitoring i.e. not operating with the efficacy of surgery which further suggests that medical thinking goes that way. My understanding is that the statistics say that low to intermediary DCIS in a woman puts her at double the risk to the general population.  

I would like to hear from other women who are diagnosed with low to intermediate DCIS who are considering NOT having surgery. 

And has anyone got any recommendations for clinics/ hospitals/ research centres who are investigating other approaches?
 

  • Hi Juliana

    I have had the same diagnosis as you.

    A cancer nurse told me about the Loris trial, I have now found out that there are 3 other trials going on, Loretta - Japan, Comet - USA and Lord - Europe.  They all indicate that there is a risk of over treating this condition and giving people masectomies that they might not need.

    I have decided to have surveillance rather than surgery, I am 60 and the chances are that if there was anything there, it would grow very slowly.

    It is a very difficult decision to make, my surgeon went from saying masectomy to lumpectomy to wait and see, to it might regress - how on earth can you make an informed decision when faced with those options.

    The fact that there are so many trials going on all over the world seems to be likely that in the future, DCIS may be treated differently.

    A health professional also told me that they are terrified of being sued and losing their licences, maybe this affects the decision to operate?? Also that it is harder for intelligent people as they want to ask questions - make of that what you will!!!