Can DCIS be involved with skin?

clarrn · March 2014

So my direct to implant reconstruction on the cancer side did not happen because the DCIS was "intimately involved" in a large portion of the skin. I have a TE instead of implant on that side. That doesn't bother me. But my question is how does that happen? My surgical oncologist said she sent a flash frozen sample and it said DCIS not invasive. So the next day when the dog had lifted I asked if they saw a basement membrane on the sample. The surgeon covering for mine did not know but said I was obviously an anxious person. WHAT? so anyway I knew I would have to wait for the final pathology but I was hoping someone else had DCIS involved with the skin. My surgeon said it was 'old school' because they don't usually see that anymore because of better screening. Hmm... feeling unsettled. Maybe Beesie knows?

LAstar · March 2014

My BS said that he has seen imaging showing tiny microscopic ducts growing into the skin layer. He thinks skin involvement might be responsible for recurrences because this would often be missed.

Beesie · March 2014

clarrn,

I know that women who've had DCIS and who've had a MX can still have a recurrence of DCIS up against the skin, and I know that DCIS can be found right up against the skin. So even though DCIS is confined to the milk ducts and we tend to think of milk ducts as being within the breast tissue, the ducts really are spread out throughout the whole breast, and can be butting right up against the chest wall or right up against the skin.

I think what LAstar's doctor told her makes a lot of sense, based on some recurrences that I've seen women have here on the board over the years.

clarrn · March 2014

Thanks ladies

Can DCIS be involved with skin?

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