Intraductal carcinoma breast, treatment of choice is:
|B||MRM (modified Radical Mastectomy)|
a. Women with DCIS and evidence of widespread disease (two or more quadrants) require mastectomy.
b. For women with limited disease, lumpectomy and radiation therapy are recommended. Low-grade DCIS of the solid, cribriform, or papillary subtype, which is less than 0.5 cm in diameter, may be managed by lumpectomy alone.
c. For nonpalpable DCIS, needle localization techniques are used to guide the surgical resection.Specimen mammography is performed to ensure that all visible evidence of cancer is excised.
d. Adjuvant tamoxifen therapy is considered for all DCIS patients.
e. Women treated with mastectomy have local recurrence and mortality rates of less than 2%.
f. The recurrence of DCIS was greatest when the cancers were more than 2.5 cm in size
g. Recurrences frequently occurred within the original surgery site, indicating that inadequate clearance of DCIS, rather than the biology of the cancer, was responsible.