The Treatment Dilemma of ‘Stage Zero’ Breast Cancer

The Treatment Dilemma of ‘Stage Zero’ Breast Cancer
When you hear there are abnormal cells in your breast that could become invasive cancer, it helps to consider the options and know the risks. ORION PRODUCTION/Shutterstock
Peter Weiss
Updated:

When abnormal cells are detected inside the milk duct of a woman’s breast, she faces a difficult dilemma. Does she have surgery and possibly radiation treatment due to the relatively small risk that they become cancerous, or does she forgo treatment in hopes that she falls in the majority for whom these cells pose no serious risk?

M.T. is a 42-year-old mother of three who had no family history of breast cancer. She’s had yearly mammograms since she turned 40. This time, the results came back suspicious with “microcalcifications.” She underwent an ultrasound-guided biopsy that showed the presence of these abnormal cells in her milk duct, which is known by the medical term ductal carcinoma in situ (DCIS). M.T. was left with a difficult decision. She was advised by her breast cancer specialists to have either a lumpectomy (localized excision of the area) or a full mastectomy. During this same week, I had another patient, C.R., a 49-year-old mother of one who had the same findings.

Peter Weiss
Peter Weiss
MD
Dr Peter Weiss is a nationally known physician and healthcare thought leader who has advised CEO’s, and political leaders on current and future healthcare trends affecting our country. He was a national health care advisor for senator John McCain's 2008 presidential campaign and was an Assistant Clinical Professor of OB/GYN at UCLA School of Medicine for thirty years. Dr Weiss is the co-founder of the Rodeo Drive Women's Health Center and remains in private practice. He also spends part of his time writing and lecturing on healthcare in America.
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