Emerging Trends in Managing Central Breast DCIS in Era of Oncoplastic Surgery; Where Do We Stand?

Abstract

The management of DCIS in today’s era of rapid surgical advances is improving dramatically with time. Mastectomy rates have rapidly declined as breast diseases are being diagnosed at an earlier stage through screening procedures like mammograms and increased awareness regarding breast cancer. Oncoplastic surgical techniques have revolutionized this field by providing numerous options to deal with breast cancer while preserving the breast. Advances in the field of radiation and endocrine therapy have also translated into improved treatment algorithms with acceptable morbidity and recurrence rates. This analysis, thus, provides an overview of recent advances in the management of DCIS in light of a typical central DCIS lesion scenario and envisages evolving role of oncoplastic breast surgery in this regard.