Standard for the Management of Ductal Carcinoma In Situ of the Breast (DCIS)

Authors

  • Dr. Monica Morrow MD,

    1. Morrow is Senior Editor and Co-Chair of the Advisory Group for this Standard, Professor of Surgery, Northwestern University Medical School, and Director, Lynn Sage Breast Center, Chicago, IL
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    • ‡ American College of Surgeons (ACoS)

  • Dr. Eric A. Strom MD,

    1. Strom is Co-Chair of the Advisory Group for this Standard and Associate Professor of Radiation Oncology, Department of Radiation Oncology, MD Anderson Cancer Center, Houston, TX
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    • † American College of Radiology (ACR)

  • Dr. Lawrence W. Bassett MD,

    1. Bassett is Director, Iris Cantor Center for Breast Imaging, Department of Radiological Sciences, UCLA Medical Center, UCLA-Jonsson Comprehensive Cancer Center, UCLA School of Medicine, Los Angeles, CA
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    • † American College of Radiology (ACR)

  • Dr. D. David Dershaw MD,

    1. Dershaw is Director of Breast Imaging, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY
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    • † American College of Radiology (ACR)

  • Dr. Barbara Fowble MD,

    1. Fowble is Senior Member, Emeritus, Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA
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    • † American College of Radiology (ACR)

  • Dr. Jay R. Harris MD,

    1. Harris is Professor and Chair of the Department of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute, Boston, MA
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    • † American College of Radiology (ACR)

    • *

      * The American College of Radiology, in disseminating its standards, attaches the following disclaimer: “The standards of the American College of Radiology (ACR) are not rules, but are guidelines that attempt to define principles of practice that should generally produce high-quality radiological care. The physician and medical physicist may modify an existing standard as determined by the individual patient and available resources. Adherence to ACR standards will not assure a successful outcome in every situation. The standards should not be deemed inclusive of all proper methods of care or exclusive of other methods of care reasonably directed to obtaining the same results. The standards are not intended to establish a legal standard of care or conduct, and deviation from a standard does not, in and of itself, indicate or imply that such medical practice is below an acceptable level of care. The ultimate judgment regarding the propriety of any specific procedure or course of conduct must be made by the physician and medical physicist in light of all circumstances presented by the individual situation.”

  • Dr. Frances O'Malley MD,

    1. O'Malley is Anatomic Pathologist, Mount Sinai Hospital and Associate Professor, Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
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    • §

      § College of American Pathologists (CAP)

  • Dr. Stuart J. Schnitt MD,

    1. Schnitt is Co-Director of Anatomic Pathology, Beth Israel Deaconess Medical Center and Associate Professor of Pathology, Harvard Medical School, Boston, MA
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    • §

      § College of American Pathologists (CAP)

  • Dr. S. Eva Singletary MD,

    1. Singletary is Professor of Surgery, Department of Surgical Oncology, University of Texas, MD Anderson Cancer Center, Houston, TX
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    • ‡ American College of Surgeons (ACoS)

  • Dr. David P. Winchester MD

    1. Winchester is Professor of Surgery, Northwestern University, Feinberg School of Medicine and Chairman, Department of Surgery, Evanston Northwestern Health Care, Evanston, IL
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    • ‡ American College of Surgeons (ACoS)

    • #

      #Society of Surgical Oncology (SSO)


Abstract

The multidisciplinary guidelines for management of ductal carcinoma in situ of the breast from the American College of Radiology, the American College of Surgeons, the College of American Pathology, and the Society of Surgical Oncology have been updated to take into account continuing advances in the diagnosis and treatment of this disease. The continued growth in mammographic evaluation and technology has resulted in an increase in the diagnosis of ductal carcinoma in situ of the breast (DCIS). The resulting guidelines provide a framework for clinical decision-making for patients with DCIS based on review of relevant literature, and includes information on patient selection and evaluation, technical aspects of surgical treatment, techniques of irradiation, and follow-up care.

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