As a a fellowship-trained breast specialist and board-certified general surgeon with a strong track record of successfully diagnosing and treating patients with breast cancer and benign diseases of the breast, Dr. Sadia Khan is a trusted source among her peers. She has been published in countless prominent medical journals and has been a highly sought-after speaker at numerous national conferences for her expertise in the most advanced breast cancer treatments available to date.
Are We Overtreating Ductal Carcinoma In Situ (DCIS)?
At the 2016 annual American Society of Breast Surgeons Meeting held in Dallas, TX, Dr. Khan presented the results of a study that found that patients with all types of DCIS, regardless of grade when treated with inadequate surgical excision, had high recurrence rates. The recurrence rates were too high to allow watchful waiting as a safe option at this time. This is the only objective data published or reported until the long-term clinical trials are completed, which will be at least 10 years. We are hoping this work will spread the word and help clear up misconceptions for patients and doctors. It confirms that the watch and wait theory can be dangerous and something that should only be offered in the setting of a clinical trial.
- Early Stage Breast Cancer Does Need Treatment, Study Finds
- Recurrences Observed in More Than 50% of Inadequately Treated Patients With Ductal Carcinoma in Situ
- Surgery for DCIS: If Inadequate, Recurrence Skyrockets
- Does Very Early Breast Cancer Need Surgery?
- ASBrS: No, we’re not overtreating DCIS
- The DCIS Debate: New Study Finds that More Than Half of Women with Under Treated DCIS Recur within Five Years
- ASBrS: Risky Margins in DCIS; Screening High-Risk Women
- Study: Half of Undertreated DCIS Patients Recur Within a Decade
- Less aggressive DCIS treatment increases risk for recurrence
Silverstein, M.J., Savalia, N.B., Khan, S. et al. Ann Surg Oncol (2015) 22: 3405. https://doi.org/10.1245/s10434-015-4671-4
Silverstein, Melvin J et al. “Extreme Oncoplasty: Breast Conservation for Patients Who Need Mastectomy.” The Breast Journal 21.1 (2015): 52–59. PMC. Web. 25 Aug. 2017.
Silverstein, M.J., Epstein, M.S., Lin, K. et al. Ann Surg Oncol (2017). https://doi.org/10.1245/s10434-017-5934-z
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