Treatment of DCIS - The Breast Specialist, Kefah Mokbel, London

What Happens if DCIS is Left Untreated?

We do not know precisely what happens if DCIS is left untreated. Various studies suggest that the risk of DCIS developing into invasive cancer (raising the possibility of widespread disease and death) is approximately 65% if left untreated for 10 years. The risk is higher for high-grade DCIS with cell death (necrosis).

What are the Treatment Options for DCIS?

Non-invasive cancer/DCIS can be treated by mastectomy or by a limited, but complete, removal of the abnormal area, called a wide local excision. Mastectomy is indicated for widespread DCIS or DCIS located behind the nipple area. The cure rate is approximately 98% for mastectomy. As mentioned earlier, removal of the glands of the armpit is not usually necessary for non-invasive cancer/DCIS.

For those women who have a lumpectomy (removal of tumour lump) rather than a mastectomy (removal of breast), radiotherapy is recommended in most cases. The use of tamoxifen may also be necessary in some cases where the risk of recurrence is high.

Treatment	Cure rate
Lumpectomy alone	76%
Lumpectomy + radiotherapy	87%
Lumpectomy + radiotherapy + tamoxifen	92%
Total mastectomy	98%

The table above lists the over-all cure rates. Some DCIS lesions that are small and low grade can be cured completely by local removal alone, with no additional treatment. The chance of dying from DCIS is only 1-2%.

For more information on the optimal management of the DCIS from articles written by Professor K Mokbel

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127594/

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Peter Smith

2019-08-04

Professor Mokbel & his staff are incredibly professional, compassionate & supportive. During the most difficult of times they instil a calm confidence that guides you through some difficult decisions. The service & support is first class & you couldn’t be in better hands. The aftercare from nurses & specialist breast nurses is amazing & they put you at ease & give you peace of mind with thoughtful kindness whilst you navigate your recovery. Couldn’t recommend more highly.

Karen G

2018-12-06

Professor Mokbel is an outstanding, highly respected surgeon who is also concerned with providing aesthetically pleasing results. Professor Mokbel ensured that I was informed to make decisions and provided me with reassurance, kindness and compassion during this challenging period in my life. He also leads a fantastic team at the London Breast Institute who were equally supportive. I feel very fortunate that I have been under his care.

Nikki Sloan

2018-07-30

I felt in very safe hands in Professor Mokbel’s care. A competent surgeon that took great care of the both the clinical and aesthetic outcomes, with the neatest, smallest possible scars. Professor Mokbel has also demonstrated kindness and compassion through out my treatment, qualities that were also highly important to me during a challenging time. I can not thank him enough.

D D

2018-02-13

I want to offer my heartfelt thanks to Professor Mokbel, he is not only saving life's of his patients he is always researching and driving innovation for improving the lives of patients who have had or have breast cancer. From his strong network and commitment around the world; Prof Mokbel is also supporting the organizations and university research teams who play such an important role in bringing new discoveries from labs to patients' bedsides to improve the lives of those individuals suffering breast cancer, Prof Mokbel is someone very special, his talent and compassion bring hope to patients and families, and I am truly grateful for your enduring commitment with my own case, which I know was more than a challenge to you, but you never allowed me to loose hope and we're always there for me. It is amazing to see the healing that takes place with our body and thanks to the strong efforts of people like yourself and your wonderful nursing team led by Onnaugh, your simply a first class medical team, that would be hard to be beaten any where in the world thank-you Prof Mokbel. Simply the BEST

Walaa Hemesho

2018-02-02

Professor Kefah Mokbel in particular does a brilliant job for which he should be recognised and praised accordingly.

hajji shikh

Thank you so much. I cannot praise Professor Kefah Mokbel highly enough.

Rania Jo

2018-02-01

An amazing service and team. prof Mokbel is very knowledgeable, evidence based and very kind. All investigations get done on the spot with no delay! I highly recommend it ????????

Monica Thomas

I have been coming to the Princess Grace breast unit center for the past 10 years. The standard of care is exceptional . Professor Kefah Mokbel is one of the most competent doctor that I have ever met. He is a caring, compassionate and extremely competent physician. I know that I am in the best place and that the care that I receive will be stellar. Kudos to the entire team!

Abduljabar chehada

Sehr gute Ärzte, die sich wirklich um Sie kümmern und Sie beraten können .

Muna Sahary

The service provided was excellent.I would like to send a huge thank you to all the staff