Am I wrong in feeling like I'm being ignored?

I do not know what ITC is either but, can you take your reports to a dif cancer center for an opinion?  I think that would be my choice, find out what other centers would suggest

Do you mean isolated tumor cells in the nodes? 

Isolated Tumor Cells. 

How is breast cancer staged?

Nearby lymph nodes (N; based on looking at them under a microscope): 

...for now, a deposit of cancer cells must contain at least 200 cells or be at least 0.2 mm across (less than 1/100 of an inch) for it to change the N stage. An area of cancer spread that is smaller than 0.2 mm (or less than 200 cells) doesn't change the stage, but is recorded with abbreviations that reflect the way the cancer spread was detected. The abbreviation "i+" means that a small number of cancer cells (called isolated tumor cells) were seen in routine stains or when a special type of staining technique, called immunohistochemistry, was used.

So ITC is considered to be node negative.  When someone has ITC in combination with a diagnosis of pure DCIS, the assumption made is that the cancer cells were accidentally placed in the nodes by a surgical instrument, usually as the nodes were being removed during the SNB procedure.

I believe that there is an extra level of testing/staining that can be done on the cancer cells found in the node to confirm (as much as possible with such a tiny number of cells) that the cancer cells are DCIS cells, and not invasive cancer cells.  If this can be confirmed, then there will be no question that the cells were simply accidentally placed.  DCIS cancer cells cannot move beyond the milk ducts or into the nodes, so if DCIS cells are found in the nodes, they couldn't have gotten there by themselves.  However if it is found that the cells are invasive cancer cells, then there is a greater concern because that would mean that there was an occult (undiscovered) invasion mixed in with the DCIS in the breast.

Allyp71, I don't actually understand why your docs would say that you are higher risk for recurrence, not after a BMX and not with a diagnosis of DCIS and ITC.  From a local recurrence (in the breast area) standpoint, the one thing that would make you higher risk after a BMX is having close margins.  If you don't have close margins, your recurrence risk should be in the range of 1% - 2%, regardless of the pathology of the DCIS.  As for the ITC, if your doctors are confident that your diagnosis was pure DCIS and that the ITC were accidentally placed, then you have no risk of mets (i.e. distant recurrence) from this. Or at most, a very minimal risk of mets, 1% or less (assuming that they are wrong on the ITC but recognizing that in total it's less than 200 cells).  Even with a diagnosis of invasive cancer, a risk this low would not usually warrant chemo.

My recommendation would be another review of your pathology - both the breast pathology and the node pathology - by a different facility.  If another facility comes to the same conclusion about your diagnosis, then the treatment recommendation, i.e. no additional treatment, is appropriate.