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Topic: DCIS at 80 years or older

Forum: DCIS (Ductal Carcinoma In Situ) — Just diagnosed, in treatment, or finished treatment for DCIS.

Posted on: Oct 6, 2020 05:51AM

Angela888 wrote:

i would like to be in contact with ladies that have been diagnosed with DCIS after 75 or 80 years.

It seems to me that the treatment protocol that doctors recommend is the same whether you are 40 or 80 years old. Doesn't make sense at all to me.

My aunt has been diagnosed with DCIS (stage 0), intermediate grade (2) and she is 84 years olds. She is is good health.

Any advice from anyone who has been in the same shoes?

Thanks a lot


Dx 8/22/2020, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+, HER2-
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Oct 6, 2020 06:17AM Beesie wrote:

All DCIS is not alike. The treatment recommendation should reflect the specifics of the pathology, and the age of the patient.

It's possible that your aunt could forgo radiation after a lumpectomy - my mother had a small invasive cancer at age 80, and she was able to do this - but it depends on the aggressiveness of the pathology and the surgical margins.

Chemo is never required for DCIS. Endocrine (anti-hormone) therapy is usually recommended for ER+ DCIS, for those who have a lumpectomy, but some patients (of any age) choose to pass. My mother's invasive cancer was not very aggressive so she opted out of anti-hormone therapy, with the approval of her doctors. She's 96 now - no recurrence of her cancer. The one thing she did do in order to skip rads and endocrine therapy was have re-excision surgery (a second lumpectomy) to widen the surgical margins.

What treatment is being recommended for your aunt. I'm assuming she's had a biopsy but no surgery yet. Do you know the estimated size of the area of DCIS, and the pathology?

“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Oct 6, 2020 07:08AM Angela888 wrote:

Thank you so much Bessie for your quick reply. I appreciate it very much!

Hopefully I will hear from other ladies


Dx 8/22/2020, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+, HER2-
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Oct 6, 2020 08:22AM bcincolorado wrote:

How is her health otherwise and what is her living situation like? Is she independent still? If she is active and willing to fight support her in whatever she decides. Best wishes.

Dx 8/2009, IDC, Left, 5cm, Stage IIA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 1/7/2010 Lumpectomy: Left; Lymph node removal: Left Hormonal Therapy 1/15/2010 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 1/30/2016 Femara (letrozole)
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Oct 7, 2020 01:35AM Angela888 wrote:

Thanks bcincolorado for your best wishes.

My aunt's health is still pretty good. She's independent and she lives alone. She is worried that if she has surgery, how is she going to manage? Also, because of her age and DCIS being not invasive, she's considering doing nothing other than wait and see what a mammogram may reveal next year.

Dx 8/22/2020, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+, HER2-
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Nov 4, 2020 02:41PM kksmom3 wrote:

I wouldn't wait and see. If she is in truly good health, she'd do fine with at least a lumpectomy.

Dx 8/8/2018, DCIS/IDC, Right, <1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 10/1/2018 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy 10/29/2018 Whole-breast: Breast, Lymph nodes

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