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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.
16:17
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Quick takeaways
- Assessing individual risks such as tumor size and margin status is crucial in determining the need for radiation therapy in the treatment of ductal carcinoma in situ (DCIS).
- There are ongoing clinical trials exploring surveillance without surgery as a potential treatment option for low-risk patients with ductal carcinoma in situ (DCIS).
Deep dives
Detection and assessment of ductal carcinoma in situ (DCIS)
A 62-year-old woman with a new diagnosis of ductal carcinoma in situ (DCIS) undergoes a core biopsy after abnormal calcifications are detected on a mammogram. Following a physical examination and assessment of the extent of the calcifications, the primary treatment options for DCIS, lumpectomy, and mastectomy, are discussed. The patient's pathology report indicates intermediate-grade DCIS that is estrogen receptor positive, leading to a discussion of treatment options including lumpectomy with radiation or mastectomy with or without immediate reconstruction. The importance of assessing individual risks, such as tumor size and margin status, is emphasized in determining the need for radiation therapy. The use of genomic assays to further determine risks is also mentioned.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode