How do you incorporate DCISionRT testing in the setting of close (<2 mm) or positive DCIS margins?

Topics: Breast Cancer • Radiation Oncology • Breast Cancer, Non-metastatic

Answer from: Radiation Oncologist at Community Practice

No matter how much Panera Bread they bring you, the answers are these: Positive margin? Surgical re-excision. <2 mm margin? Surgical re-excision. Why? Because the SSO guidelines say so. That's why. "But she doesn't want surgical re-excision for the positive margin." Ok. Then you rec...

Comments

Radiation Oncologist at University of Texas Health Science Center San Antonio MD Anderson Mays Cancer Center
Agree. No need for it. Another financial burden on...

Radiation Oncologist at East Alabama Medical Center
Haha thank you. It can be a challenge to communica...

Radiation Oncologist at Tri-Cities Cancer Center
💯.

Answer from: Radiation Oncologist at Community Practice

For someone who needs re-excision and declines re-excision needs RT, I would not do any test other than a pre-mammogram to counsel the patient better before RT.

Answer from: Radiation Oncologist at Academic Institution

I commented on the issue of margins in July 2023. To summarize that post, the available evidence shows that margin widths 2 mm or wider are NOT required to achieve acceptable results for most patients with DCIS following partial mastectomy when RT is used. I feel that no tumor on ink is adequate exc...

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