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Ductal carcinoma in situ

DCIS per se does not increase breast cancer

mortality

Tumour cells are restricted to ductulo-lobular

units not invading beyond the basement

membrane

Non-obligate precursor for invasive disease

Risk for progression 14 – 53 %

50 % of recurrences are invasive

Due to screening activities lesions are identified

at an earlier stage

Improved pathologic work up – improves risk

assessment