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  • DCIS 411 | Ductal Carcinoma In Situ Education and Patient Resources
    • DCIS 411 Mission
    • Is DCIS Really Cancer?
    • DCIS 411 Team
    • Donna’s Journey
    • DCIS Blog
    • DCIS 411 Disclaimer
  • Newly Diagnosed?
    • Start Here!
    • Questions to Ask Your Doctor
    • DCIS: A Practical Guide
    • DCIS Risk Assessment (Biomarker) Tests Explained
    • Women’s Wellness Checklist
    • Breast Screening
  • DCIS Explained
    • What is Ductal Carcinoma in Situ (DCIS)?
    • DCIS FAQ
    • DCIS Standard of Care (SOC)
    • What is DCIS Overdiagnosis?
    • DCIS Controversies
    • Articles Regarding Controversies
  • DCIS Support
    • Women’s Wellness Checklist
    • Holistic Health
    • DCIS Diet & Lifestyle
    • Informed Choice
    • PODCAST
  • Resources
    • DCIS Resources
    • eBook
    • Mammogram Opt Out Letter & Petition!
    • DCIS Redefined
  • DCIS News
    • DCIS News Articles
    • Donna & DCIS in the Media
    • Latest DCIS Research
    • Donna Pinto — Co-author and Collaborator on DCIS Research Publications
    • DCIS Active Monitoring Clinical Trials
  • DCIS Advocacy
    • Patient Advocacy in DCIS Controversies
    • Improving DCIS Communication
    • Be W I S E (Screening 411)
    • Get involved
  • Blog
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DCIS TOPICS

Donna’s 9 Year Update — Top 3 Questions, Lessons Learned, and 2019 Projects

Pinto Family_Nov 2017
2019
Aug 2010_Ross wedding
2010

If not for photos with my children…

I would not believe it’s been nine years since my journey with DCIS began.

question mark redTOP 3 QUESTIONS I AM OFTEN ASKED

1. Did I ever have a recurrence of DCIS or invasive cancer?   

NO!

Donna’s Journey starting at Part 2 — June 2011 details my experience with “residual” low grade DCIS. This was explained to me here: Listen to My Phone Consultation with Dr. Michael Lagios.

see-it2.  What do I do for follow-up imaging ?

See my post: Bye-Bye Mammograms: Hello SonoCiné Ultrasound

bodymindspiritsoul3.  What diet and lifestyle did I initially follow?

Everything is listed in Holistic Health

TOP 3 LESSONS LEARNED

  1. Trust your intuition.
  2. One size does not fit all.
  3. Support is vital.

BeWiseGraphicMY 2019 PASSION PROJECT

#Be WISE — Women Informed Supported Empowered — is an educational campaign to counterbalance misperceptions, confusion, and fears around “early detection” of breast cancer and DCIS.

MY WORK AS A PATIENT ADVOCATE

I am headed to London this week for Cancer Research UK’s Grand Challenge 2nd Annual Summit bringing together seven funded teams — one of which is PRECISION (PREvent ductal Carcinoma In Situ Invasive Overtreatment Now). Here is a short video about PRECISION:

It is truly an honor to work with physicians, researchers, and patient advocates from around the world on two major research projects — COMET and PRECISION — dedicated to solving the DCIS dilemma.

thumbnailprecision team london 2018

WHY THIS RESEARCH IS NEEDED

The over-treatment controversy made mainstream news in 2015 after results from a large study showed “no survival benefit” for treating DCIS with surgery. Good Morning America featured a powerful segment — ‘Stage Zero’ Breast Cancer: New Study Casts Doubt on Early Intervention.

KPBS_TV_Aug 24_2015I was invited on KPBS to share my story along with a medical oncologist.

Dr. Reema Batra stated, “Clinical practice would not change — until there is evidence from a randomized prospective clinical trial which compares the usual treatment (immediate surgery) to active surveillance.”

Without a study of this nature, Dr. Batra said she would continue to recommend the same aggressive treatments for all women diagnosed with DCIS.

GRATEFUL FOR MAJOR MEDIA…

Is Stage Zero Breast Cancer Really Cancer? Women Share Their Doubts

 

Is Stage Zero breast cancer really cancer? 7 ON YOUR SIDE investigates the controversy

San Diego woman: Stage zero cancer treatment deformed me

 

womens-health‘Why I Refused to Get Treatment When I Was Diagnosed

 

 

#Be WELL #Be WISE!

 

 

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Tagged DCIS, dcis alternatives, dcis dilemmas, DCIS Overdiagnosis, dcis overtreatment, DCIS study, DCIS treatment, Donna Pinto, Donna's Journey, stage zero breast cancer

5 Responses

  1. Ann Galluzzo's avatar Ann Galluzzo says:
    April 19, 2019 at 5:41 pm

    Dr. Lagios is no longer taking patients now what do I do

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    1. dp4peace's avatar dp4peace says:
      April 19, 2019 at 8:52 pm

      Please see the very first link here: https://dcis411.com/faq/
      This is who Dr. Lagios recommends since his retirement

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  2. informedconsent2014's avatar informedconsent2014 says:
    April 24, 2019 at 12:11 pm

    Hi Donna!
    You are doing such tremendous work to educate patients about the truths surrounding DCIS! Here’s my latest update as of April 2019. After EIGHT YEARS of following several areas of “suspicious microcalcifications” and me refusing biopsy the entire eight years, today’s yearly follow-up mammogram has finally been downgraded to “probably benign”. Wow! When these calcs were first seen in 2011, everyone from my internist to a breast surgeon tried to harass me into having a biopsy. I totally refused. This continued year after year. The calcs weren’t growing or changing, and yet they continued to recommend biopsy. At one point, I had two areas of calcs on the R breast and one area on the L breast. By now, I would have had THREE biopsies! No way! I refused to be used as a human pincushion merely on the basis of some non-changing microcalcs.

    Finally they could no longer continue to recommend an invasive procedure due to a lack of supported findings, so they downgraded me to “BIRADS 3: probably benign.” This is the first time I’ve ever seen this particular type of category. Apparently they use this category to perhaps play it both ways. They keep the BIRADS3 (which usually means “get a biopsy”), but tack on the “probably benign” to it. Interesting. They finally had to backtrack and start using the word benign to describe my microcalcificaitions. They did not recommend a biopsy this time, so I am certainly happy to see that! .

    I feel at least somewhat vindicated that I stood my ground on this for eight full years. From the great work and information you provide here at DCIS411 I learned so much, and also from such great doctors as the work of Laura Esserman and Gilbert Welch. I knew this was not a medical emergency and that I should have been given the option from the beginning of simply monitoring the microcalcs with follow up exams. I knew that things might change over time, but there was no way I was going to submit to a biopsy or multiple biopsies until the reports showed substantial change. They never did show any change, and now I’m downgraded to “probably benign”. Wow! It just proves what we have all said all along about microcalcifications. That finding is not an immediate health emergency, you have time to do your homework and do NOT be rushed into a biopsy over microcalc findings!!!

    I just wanted to update you, as I have for the past 8 years since I’ve been posting here at DCIS411. I realize that my next exam might show something different, but I will make an informed decision when it comes to biopsy, surgery, treatments, or anything else related to breast issues. Fear is the biggest weapon these docs use against uninformed women! Yes, there are definitely times when biopsy is indicated, but there are a heck of a lot of times when it is NOT, and microcalcs is one of them. Thanks again for your fabulous work, you are a true hero!

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  3. dp4peace's avatar dp4peace says:
    April 24, 2019 at 1:00 pm

    WONDERFUL news!!! Thanks so much for always sharing here! Women need to hear stories like yours and mine and hopefully we can grow the tribe of informed, supported and empowered women through #BeWISE (https://dcis411.com/bewise/)! Cheers to you and continued blessings of peace, love, light, truth, health, and happiness!!!

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    1. informedconsent2014's avatar informedconsent2014 says:
      April 24, 2019 at 1:24 pm

      Thank you so much for your continued support Donna! I will always share my updates on your forum here because these various types of stories are very important, and as I’ve said repeatedly about microcalcifications, saying “no” to biopsy and insisting on better and more common sense options such as monitoring/watching vs. invasive procedures, is the first step to regaining control in this situation. As we know, the biopsy can then lead to a series of harmful and often UNnecessary treatments, surgeries,. etc. so I strongly feel the biopsy is the first element that needs to be challenged when confronted with suspected DCIS or microcalcfications on mammograms. Love and light to you, also, Donna, continued health, and thank you for always putting the TRUTH out here!

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DCIS 411 is a Nonprofit Organization
pending federal 501(c)(3) recognition

SUPPORT DCIS 411
We’re proud to announce the official incorporation of DCIS 411, a California nonprofit public benefit corporation, as of August 21, 2026.
 

We’re inviting our community to support DCIS 411 as we get off the ground. Donations will go directly toward:

  • Attending conferences to stay connected with the latest research and advocacy efforts
  • Printing and distributing educational flyers and materials
  • Outreach to media outlets and breast cancer advocacy organizations
  • Ongoing research updates shared on our website, social media platforms, and across all our community support groups

You can donate here: https://givebutter.com/DCIS411

Please note: DCIS 411’s 501(c)(3) tax-exempt status is currently pending, so donations are not yet tax-deductible. We’ll update this as soon as our status is confirmed.

We’re excited to begin this work and look forward to sharing more as we grow. Stay tuned for updates on our programs, resources, and ways to get involved.

Donations made on https://givebutter.com/DCIS411 are not yet tax-deductible charitable contributions.

Your donation fuels a mission grounded in research and aligned with the latest scientific understanding of Ductal Carcinoma In Situ (DCIS).  DCIS 411 was created to address a growing and urgent gap in women’s health education, informed consent, safe breast screening access, and patient support.

Each year, more than 60,000 women in the US are diagnosed with DCIS. Since the widespread adoption of mammography screening, DCIS diagnoses have increased by 1,683%, while rates of aggressive treatment, including double mastectomies, have more than doubled, yet late-stage cancers and breast cancer deaths have remained stable — raising urgent concerns about overdiagnosis, overtreatment, and informed decision-making. Women facing a DCIS diagnosis are often left frightened, overwhelmed, and under-informed about their options, including the reality that their risk of invasive breast cancer may be comparable to that of the general population.

At the same time, women are rarely educated on the limitations of conventional breast screening. Standard mammography presents important concerns, including radiation exposure, painful compression, reduced sensitivity in dense breast tissue, and high false-positive rates that can lead to unnecessary biopsies, anxiety, and overtreatment. Approximately 40% of women have dense breasts, making cancer detection more difficult and increasing the likelihood of missed findings or unclear results.

Despite growing interest in safer and more personalized breast screening, many women remain unaware of or unable to access lower-risk, radiation-free options such as QT Imaging and ABUS (Automated Breast Ultrasound). These technologies offer important benefits for women with dense breasts and for those seeking long-term, safe monitoring. Cost, lack of awareness, insurance barriers, and limited provider education continue to prevent equitable access, particularly for uninsured, underinsured, and medically underserved women.

Women often come to us after feeling rushed into treatment decisions without meaningful discussion of active monitoring, overtreatment risks, individualized care, or informed screening options, making our work more urgent than ever. 

We drive awareness and advocacy that empower women to make informed, confident breast health decisions. We share evidence-based resources on safer, non-toxic imaging options and connect women with integrative doctors, nutritionists, and advocates who prioritize healing, balance, and informed consent. 

Join us in advancing the future of breast health that is free from fear, profit, or pressure.

 “Alone we can do so little, together we can do so much.”  – Helen Keller

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