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August 14, 1996

A 47-Year-Old Woman With Ductal Carcinoma In Situ, 1 Year Later

JAMA. 1996;276(6):491. doi:10.1001/jama.1996.03540060067038

At the Surgery Grand Rounds held approximately 1 year ago, Dr Monica Morrow discussed the evaluation and management of a 47-year-old woman with ductal carcinoma in situ (DCIS) who decided, after considerable discussion, to undergo bilateral mastectomy.1 Dr Morrow discussed the incidence, prevalence, and natural history of DCIS and current diagnostic and therapeutic options in the management of women with DCIS. We asked the patient and her doctor to comment on the year that has passed.

Mrs Y, the patient:  Sometimes I resent that I have had to face the decisions I've had to make in the last year; it's been a life-changing experience. I'm comfortable with all the decisions I made and wouldn't change any of them. I feel vulnerable a lot and am still scared about having a recurrence. I attend a support group for women who are being treated for breast cancer and feel that I am