RADIATION FOR DCIS AFTER A LUMPECTOMY: Why Radiation May Be Needed

Рет қаралды 41,538

4 жыл бұрын

Dr. Deming explains the importance of whole breast radiation after a lumpectomy for DCIS (ductal carcinoma in situ). Watch this video to better understand DCIS and why you might need radiation as part of your treatment.
Please like this video and let us know in the comments if this information was helpful to you. Comment any other questions you'd like Dr. Deming to answer!
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THANK YOU!
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DISCLAIMER:
The information in this video is subject to Dr. Katie Deming’s professional experience. Dr. Deming is a board certified radiation oncologist who specializes in breast cancer radiation, and was trained at Duke University School of Medicine. It is important to always consult with your doctor before making any medical decisions, as each person’s diagnosis and body is different. Medical information is constantly updating. The information in this video is accurate as of 12/1/19.
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Пікірлер: 150

@scanety Жыл бұрын

In 2019 I underwent a lumpectomy and radiation for DCIS, grade 3, ER+PR+; I continue to suffer from fat necrosis (severe) as a result from the surgery/and/or radiation. I currently have some type of breast infection (open and draining!) on the same breast-2 weeks of oral steroids and antibiotics have not helped. Culture being done today, probable IV abx once culture is back (?) So when people say "oh, you 'only' had DCIS, lucky you" I cringe. Thank you for your informative video..some of the information was NEW to me...and I have numerous doctors. Knowledge is power!! Update: I had a midline IV placed, 6 weeks of mulitple-times-a -day IV antibiotics and then ended up having a mastectomy. Still doing reconstructive surgery--two surgeries this past year, another 2-3 scheduled for 2024. Again, there's no such thing as "easy" breast cancer--for me anyway.

@j.p.hernandez.1326 3 жыл бұрын

Please get rid of the background music.

@Ladymeme415 Жыл бұрын

You've explained this perfectly. Thank you

@ethelortez6016 2 жыл бұрын

Very helpful! Thank you!

@sharonfoster7674 2 жыл бұрын

Thank you Dr. Deming for your thorough explanation. Very, very helpful!

@jonniemaemiddletonlotte6747 3 жыл бұрын

Thank you.

@MT-fr4ld Жыл бұрын

Very informative. Thank you!

@heguzusanli8168 Жыл бұрын

Thank you! So helpful

@myratraney 2 жыл бұрын

Thank you so much for sharing 😊❤

@felishahutcherson5945 2 ай бұрын

Thank you for sharing, I'm dealing with this issue right now.

@Nic-kx5dn 2 жыл бұрын

Thankyou for all info.🌸🌼🌸🌼🌸

@carmenmonroe432 3 жыл бұрын

Extremely helpful...thanks

@queenplease9468 3 жыл бұрын

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@claudiagodin7840 2 жыл бұрын

Very helpful information

@Annie7970 3 жыл бұрын

That was very helpful.

@workout439 3 жыл бұрын

OMG I wish I'd found you months ago! This makes things so clear to me, and yes, I'm prime for radiation now. But at least I understand why now. My onc is good but not good at explaining things, hence my need to find this info on the internet. Thank you so much!

@katiedemingmd2226 3 жыл бұрын

I am so glad you found the video helpful!

@rosereed5618 2 жыл бұрын

I was diagnosed with DCIS in September 2019, medium grade. Had lumpectomy in October 2019, re-exision in November that year. Hot clear margins. 20 rads in January 2020. I was also 95% ES+ so therefore I am on Letrozole. Doing great! Your video was very informative & at terms we can understand! Thank you

@katiedemingmd2226 2 жыл бұрын

I am glad that you are doing great and that this info was helpful for you!

@rosereed5618 2 жыл бұрын

@@katiedemingmd2226 thank you!!

@Mark_L 11 ай бұрын

Good info. Now I need to go back and review my wife’s pathology. She is just one week post surgery. I want to be prepared for our upcoming oncologist appointment. Thanks.

@teresamalinowska7110 6 ай бұрын

Agree with comments referring to background music ... Please get rid of it, very irritating

@umaravikrishnan Жыл бұрын

I was recently diagnosed with DCIS stage 0 ( size was 11 mm or 1.1 cm and Low grade 1 Margin 5mm from DCIS ). The doctor did a lumpectomy on Sep 15 and recommended radiation for 5 days for 5 mins. I have to take the antihormone pill Armidex (which I am paranoid about due to side effects). Starting radiation on Mon Oct 31st.

@carolinemccormick8602 2 жыл бұрын

Thank you Dr Deming. You have just provided more valuable information to me than two breast surgeons combined. One surgeon didn't even mention radiation, the other acted like i must have it without giving any reasons to support it. I like the facts and figures you shared to support your information.

@katiedemingmd2226 2 жыл бұрын

I am so glad the information was helpful for you.

@mapnic 3 жыл бұрын

Very clear explanation. I am about to start radiation and this has been very helpful.

@katiedemingmd2226 3 жыл бұрын

I am so glad it was helpful. Wishing you the best with your treatment.

@FanDebronco97 3 жыл бұрын

@@katiedemingmd2226 when having DCIS is the breast painful to touch? I have a cyst in my nipple and is painful for some reason i have been having a feeling that i have this.

@katiedemingmd2226 3 жыл бұрын

@@FanDebronco97 DCIS or breast cancer does not usually cause pain. Cysts are more commonly painful. Of course, you definitely want to check with your doctor or have a mammogram or ultrasound if there is a concern.

@Cabbage90 4 ай бұрын

This video is so so helpful. Thank you so much! I was recently diagnosed with DCIS, low grade at age 33 and will be due for my radiation on my left breast. Would love to understand the implication on how radiation could potentially affect fertility. And how long after radiation does patient need to wait before trying to conceive? There are so many considerations and it's giving me so much unnecessary anxiety.

@Nancyjean24 3 жыл бұрын

Thank you,Dr. I was just diagnosed DCIS ,stage 0 today,and this helped to calm me down a bit.

@katiedemingmd2226 3 жыл бұрын

I'm so glad. You are going to do great :).

@Nancyjean24 3 жыл бұрын

@@katiedemingmd2226 You're a lovely person. Thank God for people like you.

@agay815 2 жыл бұрын

I was also diagnosed with DCIS, stage O in July 2021. I am expecting to have to my lymph nodes (3 of them) taken out to be sure that it did not spread anywhere else. I’m glad I saw thIs video.

@terriemayer1028 2 жыл бұрын

I had my lumpectomy five weeks ago.....6mm tumor..... My margins were clear and the sintenel node and the adjacent one were both clear. My radiation treatments are, as my oncologist explained, " The Condensed Version," as I have only 16 total to take. Thank you, Dr.Deming, for your explanation. I know more than I did, and I feel even more certain about my future.

@traceymanzano4015 2 жыл бұрын

I was diagnosed back in Aug,and decided to have a bilateral mastectomy in Dec. I wanted to be one and done .

@nikki7333 3 жыл бұрын

I was just diagnosed 3 weeks ago with stage 0 DCIS and going to all the new Dr appointments in the next week. Alot of information thrown at you. Hopefully I can treat it and not have reoccurrence....this video helped me to understand it and I don't feel so scared anymore. When you hear CANCER it's always a horrific feeling.

@Nancyjean24 3 жыл бұрын

Hi Nikki. I agree about so much info being thrown at you. So many things we neer knew until we were diagnosed,right? My head is still spinning, but I'm thinking positive thoughts. I know stage 0 is cancer technically,but I focus on the terms"precancerous " and "noninvasive" as it calms me down. I wish you well and understand how you're feeling. I take comfort knowing my surgery in 3 days is a "same day" affair,and that is great news. Hugs to you.

@katiedemingmd2226 3 жыл бұрын

I am glad this video was helpful. It can be confusing with so much information thrown at you. But, remember this is stage 0 (precancer) and the prognosis is excellent. You are going to do great. Wishing you the best with your treatment!

@katiedemingmd2226 3 жыл бұрын

@@Nancyjean24 Great advice! Good luck with your surgery. It is non-invasive and the prognosis is excellent. To your point on being positive. Here is something really powerful to use your mind to achieve the best outcomes: Imagine that the surgery goes perfectly and that you are in perfect health and back to doing everything you love in your life. You've got this!

@Nancyjean24 3 жыл бұрын

@@katiedemingmd2226 You are so kind. I will do exactly that on my long evening walk. I find walking/w music is a good way to up the endorphins. I was a nursing assistant in 1969,when breast cancer was a whole different "situation." I focus on this being 2021,and all the magnificent technolgy and advancements. Thank you for taking time to do this. It means the world to us fraidy cats.

@kathygann1180 2 жыл бұрын

English study found one week of radiation as effective, and actually had less recurrence than 3-4 week so I’m wondering why most of the world does one week radiation but USA does 3-4 weeks.

@nantanabunnak6263 10 ай бұрын

Thank you very much very helpful

@nahidsadia4033 Жыл бұрын

I have been diagnosed with dcis grade 2 a week ago

@sarahmichou2654 Жыл бұрын

thank you so much fot this video docteur,it was very clear and helpful...I just want to ask you a question...If a mastectomy is realised for a DCIS , are the chemotherapy and the radiation recommanded as an adjuvant treatment??

@msbhaven7339 2 жыл бұрын

I had a lumpectomy for a DCIS cluster, path report showed IDC, DCIS in the margin, DCIS still scattered throughout my breast, DCIS is high grade, ER Positive, HER negative, BRCA negative. Prior Stage 2 cancer in opposite breast in 1996, chemo, radiation, tamoxifen…no DCIS or cancer in that breast now. Age 72. Would you recommend a mastectomy with reconstruction or just radiation? Aunt on my mother’s side had breast cancer twice, both with mastectomies. Other female family members had lung cancer, stomach cancer. Thanks. Good video.

@reneejoseph5334 2 жыл бұрын

Thank you wo much for making this video.

@katiedemingmd2226 2 жыл бұрын

You are welcome!

@florv2666 12 күн бұрын

Thank you so much for your detailed explanation. I was just operated of Stage 0 DCIS and was told that they would have to operate age to clean the area better and then to finally have radiation. I am scared !

@debrahunter6303 Жыл бұрын

Thank you for this video. I was diagnosed about 6 weeks stage 0. Still in shock and depressed. This video was very helpful.

@foxyred1015 Жыл бұрын

Same with me. It’s been 5 weeks post lumpectomy, getting ready for radiation. It came out of nowhere, very depressing.

@debrahunter6303 Жыл бұрын

@@foxyred1015 hello sunny this is Debra Hunter, I just had lumpectomy Monday Nov 7. Last night I got preliminary results on my patient portal. As much I can understand it stated the boundaries were completely clear of malignant. 2 lymph node were removed both completely clean. They also did immediate IORT. Have appointment this Monday, I'm hopeful no more radiation needed. Oh yes got immediate reconstruction with gel implants. I changed my bandages today my new breast are beautiful although swollen. We get our of this depression and learn to live again. 🙏

@bevfultz294 Жыл бұрын

@@debrahunter6303 , I just happened to have this video pop up this morning. I was told by the surgeon who did 2 lumpectomies on me, that most plastic surgeons will NOT do reconstruction after radiation. I have so far had one plastic surgeon who wouldn’t do it, but referred me to another plastic surgeon.

@kathysteiner9468 2 ай бұрын

I would never add anything to my body. Looks aren't everything. It can get nasty if the Cancer returns after reconstruction

@lisadee7328 3 жыл бұрын

Very helpful. I was diagnosed with DCIS and had surgery 3 days ago. Next step for me is radiation.

@katiedemingmd2226 2 жыл бұрын

I am so glad the information was helpful. Wishing you the best with your radiation.

@ricklozada5971 11 ай бұрын

@@katiedemingmd2226what happen if after the lumpectomy surgery the patient will not undergo radiation? advantage and disadvantage?

@debragregory8540 8 ай бұрын

How painful Is it after surgery? I have mine next friday

@marthaorellana9026 Жыл бұрын

l have been diagnosed with DCIS in September 2022 and l'm still waiting results from my Dr.

@trishazul662 2 жыл бұрын

Had my lumpectomy just today. I will find out if radiation is necessary after pathology comes back 7-10 days. I very much appreciate your clear comprehensive informative explanation. My doctors are wonderful but you video provided me with added information so I can be prepared for next step.

@katiedemingmd2226 2 жыл бұрын

I am so glad it helped. Good luck with your recovery and healing!

@rachaelcasselman5937 2 жыл бұрын

So where are you in your treatment plan ? I just had my lumpectomy yesterday.

@drankitaschannel9519 Жыл бұрын

How r u now?

@drankitaschannel9519 Жыл бұрын

My mom's surgery is on25 th

@Pinkrockrocks Жыл бұрын

Thank you, your video was very helpful

@stellaakosah Жыл бұрын

this video was so informative and easy to understand

@kathygann1180 2 жыл бұрын

I did 16 sessions of radiation. I was going to stop at 27 Grey but was talked into finishing. I wish I’d stuck to my guns. Radiation burns don’t start until after 27 Grey. The radiation medical people don’t see the results because it just keeps getting worse and worse after you stop. Two weeks after radiation, I feel like an extra crispy fried chicken breast, but at least they kill the chicken before frying it. The burns aren’t really down near the nipple, but mostly above the bra line and on the side. First it got red, then redder, then blisters, then fluid from the blisters formed crystals on the skin, then the whole burn formed a crispy shell, now small pieces of skin keep catching on T-shirts, is cratered, lines, crusty, brown, and extremely painful! Drs don’t see this because you’re cut loose as soon as you are done with radiation. They wanted to do an additional Boost week. I am so glad I refused it. I wouldn’t have a breast left if I’d done that

@katiedemingmd2226 2 жыл бұрын

You are correct that the skin reaction typically peaks around 1 week after radiation is complete. I have close follow up with my patients to check on their skin reaction. One piece of information that may help to understand is that it is better to complete radiation than to stop part way. In order to get the anti-cancer effect of the treatment, you need the full 16 treatments (42Gy). When you stop radiation early ( 27 Gy as an example), you will receive the side effects (skin redness & burning) but not the anti-cancer effects. That’s why it is always better to complete the treatment than stop midway. Your medical team wanted to make sure your received the benefit and not just the side effects. Hopefully your skin is healing. A calendula based radiation cream like Miaderm is the best way to prevent radiation burns. But, Aquaphor can be helpful in the healing phase (after treatment is complete).

@kathygann1180 2 жыл бұрын

@@katiedemingmd2226 Thank you for personally answering. I’ve been using calendula the whole time, also Manuka honey, ceravee healing, Ora’s Amazing Herbal Touchy Skin, Aloe Vera, and everything else recommended. It has been 2 week since I finished radiation and I’m still in lots of pain. I finished, and hope it did some good.

@lsls-lb7qv Жыл бұрын

But what is a “time frame” for dcis to comeback as an invasive cancer? Statistically? After a surgery or radiation?

@margaret1943 2 жыл бұрын

Hi. Can you talk about the different types of radiation treatments for DCIS.

@katiedemingmd2226 2 жыл бұрын

Whole breast is the most common type of radiation for DCIS, although occasionally accelerated partial breast irradiation (APBI) can be used.

@TheOneslyqtpie 2 жыл бұрын

I just finished radiation. I didn’t want to do it but they insisted. I had two lumpectomies with the last being clear margins of 4 mm. they originally told me grade 3 but paperwork said grade 2.

@Andearea Жыл бұрын

Hi, thank you for your informative videos. I had 12 centimetres of DCIS intermediate grade with 10mm margins. I had a mastectomy 6 weeks ago. Is there any indication for radiation given the size of the DCIS? Mine was hormone positive 50-60%. Thank you SO much:))

@adelwisapacis5237 Жыл бұрын

Is it Okey to undergo radiation without lumpectomy since DCIS is Stage 0 and there is the marker where to strike the radiation rays?

@sharingwithsharon7021 2 жыл бұрын

Dr. Deming. Thank you. Would you kindly address the recent (June 2022) conference where it has been shown that early stage BC can be equally be treated without radiation. Women who chose not to do radiation had no adverse outcome or nearly none. It seems that with improved diagnostics and other tests that will be required after BC, any reoccurrence would be detected much sooner. Why continue advising and practicing radiation in the early stage cases?

@katiedemingmd2226 2 жыл бұрын

Hi. The study that was presented at ASCO in June of 2022 showed that women 55 years or older with grade 1-2 tumors that are 2cm or less, ER+ and no lymph node involvement and low Ki67 score can avoid radiation assuming they take anti-estrogen pills for 5 years. Previously, we had data that women older than 70 years could avoid RT if they had early stage disease and agreed to anti-estrogen therapy, but this study shows that women 55 years to 70 years may be able to avoid RT also. But, one thing I want to point out is that it assumes you will take anti-E for 5 years. Some women choose to have RT instead of the anti-E because of side effects and duration of treatment. To make this decision, you should meet with both a radiation oncologist and medical oncologist (prescribes anti-E). They can explain the side effects and risks associated with both treatment. This will help you make the best decision for your body.

@wendyb2939 Жыл бұрын

I have DCIS with 1.2 cm, and stage 0...do I need radiation?

@barbkelly9604 3 жыл бұрын

Is radiation therapy needed after surgery for removal of nipple and areola because of Paget's with no underlying lump? I was just diagnosed with Paget's after punch biopsy of the nipple.

@katiedemingmd2226 3 жыл бұрын

Not typically.

@anglophils645 3 жыл бұрын

Very well presented by Dr. Denning. But, just one correction-please remember your Latin, and say “In See-too,” not “In Sight-too.” Please help spread this correct pronunciation in the medical community. Our verb “to sit” in English comes from the same Latin root. DCIS is still “sitting” within the duct, maybe think of it that way, to help remember the correct pronunciation. Thank you for this good, clear explanation regarding radiation for DCIS.

@kathygann7632 2 жыл бұрын

It’s not going to work. Doctors are always right, and they have decided to mispronounce the Latin. They don’t care.

@carolinemccormick8602 2 жыл бұрын

Thank you Anglo for mentioning this. i studied Geology and in our profession it is pronounced correctly, "in-See-to". I was recently diagnosed with DCIS. They kept saying it wrong, and so I almost started to pronounce it wrong. I'll stand my ground now. LOL!

@cherylbrash 3 ай бұрын

I thought in situ meant in place. Or “at the place”

@patricasmyth4359 7 күн бұрын

@@cherylbrashYes. At the site.

@eagle9410 2 жыл бұрын

I was diagnosed with Invasive lobular carcinoma tumor size 14 mm treatment effects in the lymph node: not present so what do you think about do I need a radiation? My merge came back negative too!

@katiedemingmd2226 2 жыл бұрын

I am sorry. I cannot give clinical opinions on the need for radiation outside my clinical practice. Wishing you the best.

@gretacoutts5341 Жыл бұрын

thank you for this video. i was dx with high grade dcis with necrosis. my lumpectomy is scheduled for 11/22. my surgeon told me i may be a candidate for an abbreviated radiation course, where i would have 5 consecutive days of radiation for one week only, instead of the normal 4-8 weeks. also, the radiation would be localized to only the area where the dcis was, and not the whole breast. thoughts? what makes someone a good candidate or a bad candidate for this?

@foxyred1015 Жыл бұрын

After my lumpectomy ( 5 weeks ago), I was told by radiologist I needed a full breast radiation ( 3 weeks) plus a booster ( 1 week). They told me it’s because my report came back as high grade ( grade 3) dcis and I’m also relatively young ( 41), so chances of it coming back would be 40-60% for me.

@arbb3896 3 жыл бұрын

I am just recovering from radiation therapy for my DCIS. My DCIS was diagnosed in early January, After the lumpectomy pathology indicated the CIS.and we begin radiation therapy after the lumpectomy. I started radiation in mid March, after doing some due diligence to learn about what I was entering into, and within the timeframe that I was advised would be acceptable. So I, theoretically, still have about a month of recovering time post radiation treatment. I was hoping you would have included a bit more information about the skin recovering. But also addressing other side effects. I had radiation for four weeks. About five weeks in, 7-10 days after final radiation treatment, I began having intense itching that was almost pain and also some shooting pains, all within the breast itself rather than on the surface. I spoke with my radiologist about this and she confirmed that this is a possible response to radiation, although apparently not very frequently seen. I was hoping for, or would be hoping for, more information about post radiation symptoms and responses, besides just the skin itself.

@katiedemingmd2226 3 жыл бұрын

Thank you for your feedback. I will do a video about the expected effects of radiation that occur after treatment. Look for that video in the next week. Just to answer a couple of your concerns, it is common for the skin redness and irritation to peak 5-7 days after radiation. And the itching you describe sounds like folliculitis (irritation of the follicles in the skin by radiation). Sharp shooting pains are often related to nerve fibers in the breast that were severed at the time of surgery and are now recovering. The recovery of those nerves causes sharp, shooting pains that last a couple seconds and then go away. Radiation irritates the nerve fibers and can increase the sharp shooting pains. Hope that helps!

@bosammathomas6857 2 жыл бұрын

So what pain medication do you advise doctor?

@annahorning7432 3 ай бұрын

I was recently dx with Dcis on the right breast while on anastrazole for invasive carcinoma of the left breast ..how common is this

@jimshakerifar4396 Жыл бұрын

What if after surgery they also remove 2 lymphs because it was effected the first one 2.5 cm and second 1 mm . Is both chemotherapy and radiation required. When they said no more left in the body . Also asking to have pet scan done ???

@leslieskelly863 Жыл бұрын

What do these words indicate on MRI report: "There are innumerable additional foci of enhancement throughout the lower inner and lower outer quadrants of the left breast which demonstrate predominantly progressive kinetics."

@sueellen24 2 жыл бұрын

Hello Dr. Deming. Thanks for your informative video. FYI, I just had my lumpectomy 2 weeks ago and my oncology had planned for radiotherapy after the surgery. I wondered when my radiotherapy will be held generally..since my onco keep telling me it will take sometime after the surgery and he is not explained to me in details that make me worry and anxiety 😅. By the way I am now having this seroma pockets fluids under my right armpit which I need to go the hospital to drained it out every 3 days.

@katiedemingmd2226 2 жыл бұрын

Typically radiation starts about 6 wks after surgery, although it could be anywhere from 4 - 8 wks. Seromas often reaccumulate if they are drained. Sorry to hear about that. Wishing you the best in your healing and radiation.

@annamaria3506 9 ай бұрын

I was diagnosed with DCIS in August. I will have my appointment with the surgeon this Friday. I was told that she might recommend freezing to remove it, but I haven't seen any information on that method. What do you think? Mine they told me s is a stage 0. My family wants it surgically removed. That is what I think I will ask for.

@katiedemingmd2226 9 ай бұрын

I have not heard of cryotherapy (freezing) for breast cancer. Sorry, I am not sure.

@brendabates6216 19 күн бұрын

Thank you. I dont want radiation for my DCIS. Had lumpectomy, feel it will do more harm than good! Low risk. What is the most accurate way to detect recurrense..ultrasound,MRI or Mammogram? Do you think every six months would be good?

@pamelalawrence9531 Жыл бұрын

I think real life pictures would help. I've never had any issues before and none of my friends so I have no idea what to know is normal.

@ninaheart1668 2 жыл бұрын

A month ago I was diagnosed with breast cancer. My tumor was 1mm. It found very early so they could not stage it. Yet they removed my breast. My lymph nodes tested negative

@terriemayer1028 2 жыл бұрын

One millimeter? And they REMOVED YOUR ENTIRE BREAST? That is really crazy-sounding!!!!

@mrmrsshan9951 Жыл бұрын

@@terriemayer1028 I think 1cm ?

@rubybrown4652 10 ай бұрын

Are you kidding me? you need to sue their asses 🙄

@cherylbrash 3 ай бұрын

Hope you are doing well after your mastectomy.

@MG-xt3wu 14 күн бұрын

I had a bilateral mastectomy (nipple sparing with recon) for a 1.28 mm tumor (invasive ductal carcinoma). Zero regrets! I also had LCIS four years before that, and family history. Cancer is cancer no matter how small.

@samaat66 Жыл бұрын

Is this counter intuitive and un necessarily invasive

@rosiet253 10 ай бұрын

I wish drs would talk more comprehensively about the progressive damage that radiation inflicts on the skin. It is not the benign treatment as it’s described as according to my surgeon who has to reconstruct irradiated breasts which often have wound healing issues. Also I could not have radiation per my rheumatologist as I have scleroderma and radiation for scleroderma patients has been directly implicated in the development of a different cancer down the road. I opted for a bilateral mastectomy and I don’t need to ever have another mammogram. I did immediate flap reconstruction.

@cherylbrash 3 ай бұрын

This looks to me like a wise choice if concerned .

@mhygdistribution3207 2 жыл бұрын

Hello doctor… I would like to know if you still need radiation if you had mastectomy? Left side? Considering reconstruction is radiation a good thing?

@katiedemingmd2226 2 жыл бұрын

Yes, radiation is sometimes recommended. Please check out my video on radiation after mastectomy.

@mhygdistribution3207 2 жыл бұрын

Thank you doctor. I will check it.

@katiedemingmd2226 2 жыл бұрын

@@mhygdistribution3207 I just realized this comment was for DCIS, not invasive cancer. The only indication for radiation after a mastectomy is positive margins. If you have a mastectomy for DCIS and have clear margins, radiation should not usually be needed. Hope that helps.

@foxyred1015 Жыл бұрын

My radiologist said the risk of reccurence after radiation is 5%, my surgical oncologist said she is seing the risk of reccurence after radiation for DCIS is 1%.

@nitinverma6225 3 жыл бұрын

My wife is diagnose by DCIS, now need to do radiation can you please tell me. which radiation technic is good for DCIS between IMRT and IGRT. because as per my understanding IGRT is more used in tumor and DCIS is not tumor. so i can go with IMRT. Please suggest.

@katiedemingmd2226 3 жыл бұрын

You don't need IMRT for breast cancer. It would be 3D conformal planning. IGRT is not a type of radiation. It just means that you are using imaging to guide the therapy. The main think I would ask about is if she has left-sided cancer. If she does, I would make sure to ask if they can do deep-inspiration breath hold treatment to spare her heart from radiation. Wishing he the best!

@nitinverma6225 3 жыл бұрын

@@katiedemingmd2226 DCIS find in right breast, so here doctor are suggest IMRT.

@katiedemingmd2226 3 жыл бұрын

@@nitinverma6225 here is the statement from ASTRO (governing body for radiation therapy) about IMRT for breast cancer. No advantage to IMRT and much more expensive. www.choosingwisely.org/clinician-lists/american-society-radiation-oncology-intensity-modulated-radiotherapy/

@alliancevolleyball2024 2 жыл бұрын

What about a grade 2 tumor that is ER+ and larger 4.5 - 5 cm but hasnt spread to any lymph nodes? with the DCIS we are doing chemo now in hopes to shrink the cancer. You mentioned the size over 2.5 would maybe require radiation. What if the chemo we are doing shrinks the mass to below the threshold for need of radiation based on size?

@katiedemingmd2226 2 жыл бұрын

This video is for DCIS. Chemo is not given for DCIS. So, I am wondering if you have mixed invasive carcinoma and DCIS? If so, this video does not apply to you. In the setting of invasive cancer and DCIS, radiation is usually recommended.

@ECHOVALLEY-qg9ex 8 ай бұрын

I found radiation awful and it left my breast area, shoulder, arm and under arm weak and painful. Or was it the lumpectomy? From tumour testing my tumour was low grade and indolent. I wish I skipped radiation. Nobody offered me options. Also the radiation givers have terrible people skills. It was just so awful everyday dealing with disorganised people who made it clear they did not know or care about my experience. I hope it’s better than my experience with the Epworth cancer factory in Melbourne.

@janezhang2706 2 жыл бұрын

If the margin is less than 1mm, do I need the second surgery？

@katiedemingmd2226 2 жыл бұрын

The recommendation for margins on DCIS is 2mm. So, most surgeons would recommend another surgery for 1mm margins on DCIS.

@janezhang2706 2 жыл бұрын

Katie Deming, MD thank you very much

@alkasharma_ 3 жыл бұрын

Is radiation therapy safe at age 80 with a weak heart

@katiedemingmd2226 3 жыл бұрын

Yes, there are ways to stay off your heart. Ask your doctor if they use any techniques like deep inspiration breath hold to minimize dose to the heart.

@rubybrown4652 10 ай бұрын

I wouldn’t do it mame to dangerous the patient is to up in age and won’t be able to handle it 😞

@vmina12 4 жыл бұрын

What if it’s high grade but a small area? None of the videos are addressing this. I guess it doesn’t matter if it’s high grade? No matter what you need radiation despite gene testing and oncotyping?

@katiedemingmd2226 4 жыл бұрын

vmina12 high risk DCIS is usually treated with RT (even small lesions

@anglophils645 3 жыл бұрын

Get the radiation. It’s very low risk to your health. It doesn’t change your odds much at one year out, or five years out. But it increases your odds of being alive ten years out, by 25%, which is significant.

@angelamccrossan7715 3 жыл бұрын

I had 4 lumpectomies to get clear margins of 2mm DCIS. Then radiation. Nervous that recurrence risk is greater with 4 attempts.

@katiedemingmd2226 3 жыл бұрын

Remember, it is still non-invasive and your outcomes are likely to be very good. You can calculate your risk of recurrence with this calculator from Memorial Sloan Kettering. nomograms.mskcc.org/breast/DuctalCarcinomaInSituRecurrencePage.aspx.