Think Twice for Surgery for Breast Cancer of DCIS Type

American

Majid Ali, M.D.

The First Article of DCIS Breast Cancer Series


Breast cancer is a serious threat to women’s health and life. But this is not a reason to subject women to surgery that is physically disfiguring and emotionally wrenching.

So-Called Breast Cancer of DCIS Type Is Not a Real Cancer

Women need to know this before they agree to removal of a breast or both breasts. To assist women and their family members who face this decision, I offer several articles in my DCIS Breast Cancer Series at this web site.


Main Types of Breast Cancer

Primary breast cancer (cancer starting in the tissues of the breast) occurs mostly in its two main types of breast cancer:

  • Ductal cancer (carcinoma) which starts in the milk tubes (ducts) that move milk from the breast tissues to the nipple. Most breast cancers are of this type.
  • Lobular carcinoma starts in the parts of the breast, called lobules, which produce milk.
  • Uncommonly breast cancer arises in other cell types in the beast, such as fat cells, connective tissues, and blood  vessels.

The New York Times on DCIS   

Consider the following text from The New York Times of August 21, 2015:  “Their conclusions were based on the most extensive collection of data ever analyzed on the condition, known as ductal carcinoma in situ, or D.C.I.S.: 100,000 women followed for 20 years. The findings are likely to fan debate about whether tens of thousands of patients are undergoing unnecessary and sometimes disfiguring treatments for premalignant conditions that are unlikely to develop into life-threatening cancers.”


American Pathologists, European Pathologists

I introduced the term ductal in-situ neoplasm  (DISN) for the so-called ductal in-situ carcinoma because it not a true cancer.

Pathologists in the U.S. are required to diagnosis ductal in-situ neoplasm as ductal in-situ carcinoma and surgeons are expected to treat it with lumpectomy or mastectomy.

This seems irrational, and it is.


 The so-called DCIS Breast Cancer Is Not Cancer

Women should make well-informed decision when they are advised to have lumpectomy, mastectomy, and bilateral mastectomy for DCIS Cancer.



Ductal In-Situ Carcinoma

Pathologists of northern Europe do not consider a breast condition called ductal in-situ carcinoma (DIC) not to be true cancer.  So surgeons northern Europe do not treat the abnormality as cancer.


Ductal In-Situ Neoplasm

I introduced the term ductal in-situ neoplasm  (DISN) for the so-called ductal in-situ carcinoma because it not a true cancer.

Pathologists in the U.S. are required to diagnosis ductal in-situ neoplasm as ductal in-situ carcinoma and surgeons are expected to treat it with lumpectomy or mastectomy.


Mastectomy in the U.S, No Mastectomy in Europe

How can it be so? Why would American surgeons subject women to physically disfiguring and emotionally wrenching breast surgery for the same condition for which European surgeons do not operate?

Could there be a simple explanation for it? Could the difference between the two groups of surgeons is because an American surgeon makes money every time he operates but  a surgein in northern Europe does not?


Breast DCIS  Cancer Series

I use the terms Breast Ductal Neoplasm Series and Breast DCIS Cancer Series interchangeably because individuals searching for information on the subject are likely to enter “Breast DCIS  Cancer” in their search engines.

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