Raloxifene dcis
Common Questions and Answers about Raloxifene dcis
evista
Aside from radiation, you can ask your doctor about other breast cancer risk reduction strategies such as that of hormonal treatment with tamoxifen or raloxifene. Other breast conditions that may increase the risk of invasive cancer would include DCIS (ductal carcinoma in situ).
Regards.
The results of my recent breast biopsy showed Atypical ductal hyperplasia bordering on DCIS. The tissue that was taken had a margin of only a millimeter of normal tissue at one edge. The pathologist suggested another surgery. The surgeon said that another surgery would increase my odds of not getting cancer, but that I did not have to have the second surgery. He also suggested that I might try Evista.
I am concerned about the fact that the margin was very small.
My mom 50 yrs old underwent mastectomy in the right breast for 0.7cm DCIS In-Situ. The lymph nodes tested negative and they said lucily the cancer has not spread to any part of the body. (We were scared of lumpectomy because of the radiation follow-ups and also thinking the cancer might return)
She has tested ER+ though. Is this something to be very worried of? Is there a chance of the cancer occuring in the other breast?
I believe that you are a candidate for risk lowering strategies such as taking hormonal agents (raloxifene or tamoxifen), or surgery (mastectomy). All of these should be discussed with an oncologist or surgeon.
Regards.
Lymphnodes clear and had five weeks of radiation treatment. Tried Tomxifene but made me ill. Dr, recommended Raloxifene. does Raloxifene prevent the recurrance of my type of breast cancer? Marian
This discussion is related to <a href='/posts/show/261381'>Aromatase vs. Raloxifene</a>.
Radiation will indeed decrease the chance of the DCIS progressing to invasive cancer. Also ask her doctor regarding other preventive measures such as intake of Tamoxifen or Raloxifene.
Regards and God bless.
I am supposed to start Raloxifene. This may cause hot flashes. If severe enough, dr will rx Effexor to treat flashes. I have been reading such negative information about the side effects of Effexor, and even worse, the are withdrawal symptoms if you have to get off of it. Is there anyone reading this that actually had to take effexor along with Raloxifene? If so, could you tell me please if you had a good, or bad experience? Thank you for any input.
The medications currently FDA approved as chemoprevention for breast cancer are tamoxifen and raloxifene. Decisions to use a medication as chemoprevention would be made based on weighing the risks and benefits to the individual patient.
Definition From Mayo Clinic
In ductal carcinoma in situ (DCIS), abnormal cells multiply and form a growth within a milk duct of your breast. Although DCIS is an early form of breast cancer, it's noninvasive, meaning it hasn't spread out of the milk duct to invade other parts of the breast. Some experts consider DCIS to be a "preinvasive" condition. DCIS is the most common type of noninvasive breast cancer.
Treatment depends on what size and where the dcis is located. If dcis is in one location, there is a fairly new option of an internal "balloon" type of radiation which only takes about 5 days. This treatment was not an option for me because I had dcis in more than one region of my breast. If your mother is receiving a lumpectomy, radiation does improve her chances of the cancer not returning, as well as treatment with tomoxifan if she is ER positive.
1.3cm. The surgeon suggested I should do a mastectomy because the size of DCIS is large relative to my small and densed breast. Is it too aggressive to have a mastectomy for stage 0 breast cancer?
only one area of abnormality is found on exam or on a mammogram, the area of abnormality is very small, the surgeon is able to remove the DCIS completely and no DCIS is left behind in the breast, the mammogram of the breast shows no more suspicious findings after the lumpectomy, the woman is elderly or has other serious illnesses and would not be able to tolerate more extensive surgery or breast radiation therapy, the type of DCIS is a less aggressive, or non-comedo, type and most importantly,
When is it appropriate to treat DCIS with wide excision alone, as opposed to wide excision followed by radiation? Is it to do with the size of the affected area and/or the grade of the DCIS as shown from the biopsy? Or, are there are other factors at play?
Thank you.
Had stereotactic biopsy which found DCIS and lobular neoplasia in left breast. Had lumpectomy and surgical pathological report indicated only the lobular neoplasia and atypical ductal hyperplasia, but no residual DCIS. All margins were clear from 1cm up to 4 cm and 4 sentinel lymph nodes were also clear. Surgeon took out a large specimen (6cm x 4cm) to make sure he got it all and that margins were clear.
I have just been diagnosied with DCIS in the left breast, and am about ready to have surgery, when The Dr. did a pre-op MRI of both breasts and saw something suspicious and now is having me have a biopsy of the right breast. The screening and diagnostic mammo and ultrasound did not show anything suspicious. Is it possible to have DCIS in both breasts?
This discussion is related to <a href='http://www.medhelp.
Comedo type DCIS tends to be more aggressive than the non-comedo types of DCIS. Pathologists are able to easily distinguish between comedo type DCIS and other non-comedo types when examining the cells under a microscope because comedo type DCIS tends to plug the center of the breast ducts with necrosis (dead cells). When necrosis is associated with cancer, it often means that the cancer is able to grow quickly.
Hi
My name is Tina, I am 47 years old and I was recently diagnosed with extensive High Grade DCIS in my left breast along with a small amount of LCIS in my right breast. The left breast was so extensive 12 cm in lower quadrant and more DCIS in the upper quadrant. I had a double mastectomy with immediate reconstruction (implants) on June 12th with sentinal node removed from the left side only. My pathology report came back with no nodes infected and high grade DCIS (comdeo carcinoma type).
Use of Raloxifene is intended to decrease the risk of osteoporosis and to decrease the risk of invasise breast cancer or to prevent invasive breast cancer from retuning in women who have had invasive BC.
If you have questions or concerns about using it, it would be best to discuss them with the physician who prescribed it.
Best wishes...
Simple mastectomy is usually considered appropriate management for all kinds of DCIS. It is the only recommended treatment for multifocal DCIS, extensive DCIS, or DCIS that has recurred after lumpectomy and radiation therapy. This procedure is a relatively short surgery, requires general anesthesia, with a short hospital stay followed by a quick recovery. Reconstructive surgery to recreate the breast can be done immediately at the time of mastectomy or at a later date.
My mammogram showed microscopic calcifications , it was positive for DCIS , I have no lumps or anything . But my doctor said she is going to do a lumpectomy -the size of a ' golf ball ' that seems huge -considering I don't even have a lump - just micro calcifications - should I be concerned that she is taking out way too much , or get a second opinion ? They don't give reconstructive surgery with lumpectomies .
Adjacent to the previous biopsy site, there is a 3mm focus of residual DCIS. The closest margin to the DCIS is inferior margin by 2mm and all other margins are clear by greater than 1cm.
My surgeon said that surgical part of treatment is all done, no excision needed, but I have to take 6-week of radiation therapy. I will start it probably in two weeks. Then, maybe Tamoxifen. But my oncologist doesn't seem pushing me for Tamoxifen as much as my surgeon does.
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