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What is Ductal Carcinoma In-Situ- DCIS

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A diagnosis of Ductal Carcinoma In-Situ (DCIS) is an alarming and potentially confusing event.  Is it “breast cancer Stage 0,” or “pre-breast cancer?”

A diagnosis of DCIS means that the cells lining the milk ducts have become cancerous, but that these cancer cells have not spread to the surrounding breast tissue.  This is what oncologists mean when they call it a non-invasive or pre-invasive breast cancer—that the cancer cells are present but haven’t spread.  Women diagnosed with DCIS have a 98% chance of being alive after 10 years, but a 50% chance of developing invasive breast cancer, where the cancer cells spread into the breast tissue and have the possibility of spreading to the lymph nodes and other organs of the body.

Ductal Carcinoma In Situ (DCIS) Treatment Options

So what do you do?  As a long-term cancer survivor, I can tell you that one of the most common cancer coaching questions I get from breast cancer patients, of all breast cancer types, stages, and ages, is “How can I prevent a breast cancer relapse?”  

The evidence-based therapies used to try to prevent breast cancer relapse are the same evidence-based therapies one can use to prevent breast cancer from developing at all.   Of course no one can prevent a cancer relapse or a cancer diagnosis 100% of the time but I can provide studies that show how non-toxic, non-conventional nutritional supplementation is cytotoxic to breast cancer stem cells. If you are dealing with a diagnosis of DCIS, let me be clear:

Now is an critical time to mobilize your diet, lifestyle, and supplementation regimen to create an anti-cancer environment.

Yes, BC surgery, chemotherapy and radiation may have their place in the treatment of DCIS, particularly if it develops into invasive breast cancer. However, it is important for breast cancer patients—whether the diagnosis is DCIS or invasive breast cancer– to think about the long-term. All cancer survivors want to die not of their cancer but of old age.

In this guide we will cover the following topics:

  • Evidence-based diet and supplementation regimens (along with the studies that support them) that you can add to either your diet or supplementation regimen that can reduce the risk of developing invasive breast cancer
  • An overview of the three pillars of an anti-cancer lifestyle that you can start implementing to arm your body with the reserves it needs to fight
    • Superior nutrition
    • Ongoing detoxification
    • Mind-body therapies
  • An overview of possible treatment side effects and what you can do to alleviate them—whether you end up needing chemotherapy and radiation or not, it’s good to know what to expect so that you can make the best choices for your care.  

Please note that therapies with an asterisk (*) before have conflicting evidence about whether or not they are good for women with thyroid issues, and this conflict should be taken into account as you are evaluating your diet and supplementation regimens.

Diet changes you can start today

Avoid alcohol because drinking alcohol is linked to breast cancer- https://academic.oup.com/jnci/article/102/18/1422/927153

Follow a Mediterranean diet with extra virgin olive oil for its anti-breast cancer characteristics- https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2434738

Add red onions to your diet for their ability to kill breast cancer and colon cancer cells- https://www.sciencedaily.com/releases/2017/06/170607123928.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fcancer+%28Cancer+News+–+ScienceDaily%29

*Consider evening fasting to reduce the risk of breast cancer recurrence

http://www.medscape.com/viewarticle/861319

Drink coffee to protect against breast cancer recurrence- https://www.sciencedaily.com/releases/2015/04/150421084531.htm

*Eat cruciferous vegetables—cabbage, cauliflower, and broccoli—to decrease risk of overall mortality and reduce the risk of recurrence-https://login.medscape.com/login/sso/getlogin?urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL3ZpZXdhcnRpY2xlLzc2MTc5Mg==&ac=401

  • Cruciferous Complete

Add mushrooms to your diet because they have shown in studies to suppress growth and invasiveness of human breast cancer cells.

Eat more citrus fruit to reduce your risk of breast cancer

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625773/

Eat pomegranate for antiagiogenisis 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052369/

Eat blueberries for the pterostilbene, which inhibits the growth of breast cancer cells

https://www.ncbi.nlm.nih.gov/pubmed/20031172

The supplements below have all shown to have anti-breast cancer properties:

  1. Vitamin D
  1. Curcumin
  1. Omega 3s-
  1. Green tea extract
  1. Bromelain 
  1. Resveratrol 
    • “The present review encompasses the role of resveratrol  and its natural/synthetic analogue in the light of their efficacy against tumor cell proliferation, epigenetic alterations and for induction of apoptosis as well as sensitization toward chemotherapeutic drugs.”
    • https://journals.sagepub.com/doi/abs/10.1177/1534735414564425?papetoc=
  1. Vitamin C 
    • “Results from this meta-analysis suggest that post-diagnosis vitamin C supplement use may be associated with a reduced risk of mortality. Dietary vitamin C intake was also statistically significantly associated with a reduced risk of total mortality and breast cancer-specific mortality…”
    • http://www.ncbi.nlm.nih.gov/pubmed/24613622
  1. *Flaxseed 
  1. Taurine
  1. Grapeseed extract
  1. Ellagic acid
  1. Bitter melon extract
    • “these results show that bitter melon extract modulates signal transduction pathways for inhibition of breast cancer cell growth and can be used as a dietary supplement for prevention of breast cancer”
    • https://www.ncbi.nlm.nih.gov/pubmed/20179194
  1. Quercetin
  1. Iodine
  1. Fucoidan
  1. Melatonin
  1. Lutein
    • “Lutein promotes growth inhibition of breast cancer cells… Dietary lutein supplementation may be a promising alternative or adjunct therapeutic candidate against breast cancer.”
    • https://www.ncbi.nlm.nih.gov/pubmed/29662002
  1. 18)Honokiol
  1. 19)Thymoquinone

As a twenty-four year cancer survivor myself, I can honestly say that cancer management about living an anti-cancer lifestyle comprised of the following elements: 

  1. Superior nutrition
  2. Ongoing detoxification
  3. Managing the Mind-Body interface through anti-stress practices and cultivating a sense of purpose

Even though DCIS is technically stage 0, remember that there is a 50% chance of developing invasive breast cancer.  It is critical to cultivate an evidence-based, anti-cancer lifestyle in order to have the best chances of not developing invasive breast cancer.

Let’s start with nutrition: 

Whether to prevent a diagnosis of cancer, manage therapies, side effects or prevent a cancer relapse or treatment related secondary cancer numerous studies document the importance of nutrition to the cancer patient or survivor. 

If my own cancer experience is any indication, the good news is that eating “cleanly” or nutritiously will help you lose weight, feel more energetic, and enhance your mood among other things. 

Nutrition And Cancer: A Review of the Evidence for an Anti-Cancer Diet 

“When a diet is compiled according to the guidelines here it is likely that there would be at least a 60–70 percent decrease in breast, colorectal, and prostate cancers, and even a 40–50 percent decrease in lung cancer, along with similar reductions in cancers at other sites. Such a diet would be conducive to preventing cancer and would favor recovery from cancer as well.” 

1) Consume fewer calories – “Eating too much food is one of the main risk factors for cancer.This can be shown two ways: (1) by the additional risks of malignancies caused by obesity, and (2) by the protective effect of eating less food. 

2) Consume as little refined sugar as possible – “Case-control studies and prospective population studies have tested the hypothesis that there is an association between a diet with a high glycemic load and cancer…” 

3) Eat more fruits and vegetables – “One of the most important messages of modern nutrition research is that a diet rich in fruits and vegetables protects against cancer…” 

4) Include cruciferous vegetables in your diet – “Cruciferous vegetables (broccoli, cauliflower, cabbage, Brussels sprouts) contain sulforophane, which has anti-cancer properties…” (READ MORE1) 

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