Behind The Knife: The Surgery Podcast BTK Surgical Oncology Oral Board Review - Sample Episode 1 - Ductal Carcinoma In Situ
Sep 4, 2023
This podcast focuses on Surgical Oncology Oral Board Review. It covers high-yield scenarios, tips, and tricks for passing the oral exam. The most interesting topics include the diagnosis and treatment options for ductal carcinoma in situ, discussing various treatment options, including surgery, surveillance, and radiation therapy for preventing local recurrence.
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Assess Extent Before Choosing Surgery
- Perform a focused breast exam and review the mammogram to assess calcification extent before planning surgery.
- Base the choice between lumpectomy and mastectomy on lesion size and expected cosmetic outcome.
DCIS Usually Doesn’t Need Nodal Surgery
- DCIS is confined to the duct so routine nodal removal with lumpectomy is not indicated.
- Explain the small risk of upgrade to invasive cancer and possible need for delayed sentinel node biopsy if invasion is found.
Quantify Radiation Benefits
- Counsel patients that whole-breast radiation after lumpectomy reduces local recurrence roughly by half.
- Quantify risks: expect about 20% recurrence without radiation and ~10% with radiation at 10 years.