A long-awaited study on DCIS offers hope to women with early stage breast cancer.
reast cancer is not a single disease but multiple ones, each carrying varying degrees of risk for endangering women’s health.
“This study is another important step in helping women understand that not all DCIS is the same, even though we are treating them that way," says Hwang, who has been conducting the study for seven years."For the lowest risk DCIS like the ones in this study, surgery may not ultimately be needed.” Interestingly, 44% of women assigned to receive surgery ultimately decided not to have the operation, and 14% of those assigned to receive active monitoring elected to have surgery to remove their lesions. Hwang's team allowed the switches and conducted two statistical analyses of cancer rates—as they were assigned, and also by whichever treatment they chose, adjusting the analyses to account for the imbalance.
Hwang had been wondering the same thing and told Colletti about the COMET study to answer that very question. While Colletti was ineligible to join the trial, she essentially received the same protocol as those who were assigned to active monitoring—getting mammograms every six months in the breast with DCIS and every year in the other breast, and receiving hormone therapy if she desired. “ were just thrilled when we heard we had options,” she says.
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