Management of Ductal Carcinoma in Situ of the Breast:
A Clinical Practice Guideline
What is the optimal surgical management of ductal carcinoma in situ (DCIS) of the breast?
Should breast irradiation be offered to women with DCIS, following breast-
conserving surgery (defined as excision of the tumour with microscopically clear resection margins)?
Are there patients who could be spared breast irradiation post–breast-conserving surgery or DCIS? What is the role of tamoxifen in the management of DCIS?
These recommendations apply to women with DCIS.
Recommendations and Key Evidence
Surgical Management Women with DCIS of the breast who are candidates for breast-conserving surgery should be offered the choice of breast-conserving surgery or total mastectomy. Mastectomy with the option for reconstruction remains….