You will usually have surgery to remove the cancer – you may also have other treatments to reduce the risk of it coming back.

About treatment for DCIS

The main treatment is surgery to remove the DCIS. Not all DCIS will develop into an invasive cancer. The aim of treatment is to remove it and reduce the risk of it developing into an invasive breast cancer.

Some women may also have other treatments such as radiotherapy and hormonal therapy.

Surgery

Your surgeon may talk to you about having one of these operations:

Most women have breast-conserving surgery. Breast-conserving surgery aims to keep as much of the breast and its shape as possible.

Sometimes, you are advised to have the whole breast removed (mastectomy). If you have a mastectomy, you will also have a sentinel lymph node biopsy. This is a way of checking a few lymph nodes in the armpit for cancer cells.

Some women also have surgery to make a new breast shape (breast reconstruction) during the operation. Others choose to have this done at a later time.

Radiotherapy

After breast-conserving surgery, your cancer doctor will usually advise you to have radiotherapy to the rest of the breast. This is to reduce the risk of DCIS coming back and to reduce the risk of an invasive breast cancer developing.

Hormonal therapy

If you have DCIS that is oestrogen-receptor (ER) positive, your doctor may talk to you about having hormonal therapy. Some ER positive women may have hormone therapy before their operation. This shrinks the cancer so that you can have breast conserving surgery instead of a mastectomy.

It is important that the possible benefits are weighed up against the side effects of the hormonal therapy drugs. Your cancer doctor can explain the possible benefits and side effects in your situation.

Doctors are researching whether it is possible for women with low grade DCIS to have less treatment. Your cancer doctor or specialist nurse can give you more information about research trials that may be suitable for you.

How we can help

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