Which patients with DCIS can be observed following lumpectomy?
Has the recent 12-year ECOG update for surgical excision of DCIS without radiation therapy changed your practice management?
Answer from: Radiation Oncologist at Community Practice
Based on ECOG and RTOG data, patients with small volume (less than 1 cm), grade 1 and 2 DCIS with no necrosis, and a good margin of excision (3mm or more) or those with definitive excision showing no disease have a smaller benefit with RT. After discussing the pros and cons and respecting the patien...