Onkologie. 2010:4(6):353-356

Current perspective on surgical treatment of DCIS

Jiří Gatěk

Chirurgické oddělení nemocnice Atlas, Univerzita Tomáše Bati ve Zlíně

Breast screening results in an ever-increasing proportion of ductal carcinoma in situ (DCIS) in the spectrum of newly detected breast cancers.

It is a heterogeneous group of tumours. DCIS without microinvasion does not extend beyond the basal membrane and metastasize.

Although it accounts for up to 20 % of breast cancers in countries with advanced screening programmes, there is a lot of controversy over

its classification and treatment. Breast conservative procedures that are an alternative to mastectomy in early breast cancer have been

included in the treatment of DCIS as well. There is still no consensus on the width of the resection margin. Sentinel lymph node biopsy

(SLNB) is indicated in mastectomy. The indication of SLNB in conservative procedures is controversial. SLNB is performed in cases when

there is a risk of DCIS with foci of microinvasion and/or a risk of invasive carcinoma.

Keywords: DCIS, breast cancer, surgical treatment of DCIS

Published: January 1, 2011  Show citation