Do you need a mastectomy with DCIS?

Most women with DCIS or breast cancer can choose to have breast-sparing surgery, usually followed by radiation therapy. Most women with DCIS or breast cancer can choose to have a mastectomy. A mastectomy may be a better choice for you if: You have small breasts and a large area of DCIS or cancer.

Should you get a double mastectomy with DCIS?

If the DCIS is large, a mastectomy may be recommended. Removing the opposite breast usually isn’t recommended; chemotherapy usually isn’t recommended either. Hormonal therapy may be recommended if the DCIS is hormone-receptor-positive. DCIS is NOT invasive cancer.

Does DCIS come back after mastectomy?

Recurrence is rare following mastectomy for DCIS. Nevertheless, there remains a need to follow patients for in-breast, nodal, or contralateral breast events, which can occur long after the index DCIS has been treated.

Is it better to have a mastectomy rather than a lumpectomy?

Lumpectomy and mastectomy procedures are both effective treatments for breast cancer. Research shows there is no difference in survival rate from either procedure, though lumpectomy has a slightly higher risk of recurrent cancer.

Is Tamoxifen necessary for DCIS?

Do I still need to take tamoxifen? Since your ductal carcinoma in situ (DCIS) was treated with a mastectomy, tamoxifen wouldn’t be used to reduce your chance of a local recurrence. Rather, it would be used to reduce your risk of developing a breast cancer in the opposite breast—in other words, for risk reduction.

Do I need radiotherapy after DCIS?

After a wide local excision (WLE), your cancer doctor will usually recommend you have radiotherapy to the breast if your DCIS is high grade. If your DCIS is low or intermediate grade, your cancer doctor may not recommend that you have radiotherapy. You usually start radiotherapy about 4 to 6 weeks after surgery.

Why would you need a mastectomy?

Why it’s done. A mastectomy is used to remove all breast tissue if you have breast cancer or are at very high risk of developing it. You may have a mastectomy to remove one breast (unilateral mastectomy) or both breasts (bilateral mastectomy).

Does mastectomy increase survival?

Single mastectomy: 79.9% 10-year survival rate. Double mastectomy: 81.2% 10-year survival rate.

Do you always have chemo after a mastectomy?

You usually have chemotherapy as cycles of treatment. This means that you have one chemotherapy drug or a combination of drugs then a rest to allow your body to recover. Each cycle of treatment varies depending on what you are having. But usually, it’s every 2 or 4 weeks.

Is a mastectomy painful?

You will have some pain after breast surgery (lumpectomy, mastectomy or breast reconstruction). For most people, this pain is temporary and goes away after you heal from the surgery. About 20 percent of people have pain that lasts longer [240]. Pain right after surgery is usually due to injury to the skin or muscles.

How long are you in hospital after a mastectomy?

After surgery

Mastectomies are very safe procedures, with minimal complications. Most people make a good recovery and only need to stay in hospital for one night. However, some people will need to spend a few days in hospital. Generally, it takes 3 to 6 weeks to fully recover.

How painful is mastectomy surgery?

Right after the surgery, you will probably feel weak, and you may feel sore for 2 to 3 days. You may feel pulling or stretching near or under your arm. You may also have itching, tingling, and throbbing in the area. This will get better in a few days.

Can you walk after mastectomy?

Activity. Avoid strenuous activity, heavy lifting and vigorous exercise until the stitches are removed. Tell your caregiver what you do and he or she will help you make a personal plan for “what you can do when” after surgery. Walking is a normal activity that can be restarted right away.

Can you go home same day after mastectomy?

A Total Mastectomy without immediate reconstruction can be performed on an outpatient or go home the same day basis. A mastectomy with immediate reconstruction by a plastic surgeon usually consists of a 48 hour inpatient stay at the hospital.

What do you say to someone after a mastectomy?

“[You can say] ‘Well, I understand what you are going through, and if you want to talk through my experience, I’m here for you,’” Muradian says. “You don’t know what stage [of grief] they’re in, so it’s all about being compassionate and mindful.”