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Drs. Marsha Haley, Rohit Bhargava, and Rachael Jankowitz each present from the 2015 Breast Cancer Symposium Updates in the Management of Breast Cancer/Breast Disease. These experts will discuss the pathology and radiation oncology considerations for In-Situ Carcinoma, as well as review the effects of postoperative tamoxifen following surgical resection for DCIS and discuss pending trial regarding the use of aromatase inhibitors in DCIS.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Learn morphologic features of ductal carcinoma.
  • Know about commonly used immunohistochemical stains by pathologists.
  • Apply retrospective data for decision making on postmasectomy radiation for DCIS.
  • Improve knowledge of DCIS medical therapy clinical trials.

Reading Resources:

  1. Silversteain MJ et al. Lancet. 1995;345:1154-7. PMID 7723550
  2. Silverstein MJ. AM J Surg. 2003;186:337-343. PMID:14553846
  3. Silversteain MJ, Lagios MD. Breast J. 2015; Jan 20 Epub ahead of print. PMID:25600630
  4. Staley, H. The Breast. 2014 546-551
  5. Alfred, C. Adjuvant Tamoxifen Reduces Risk of Subsequent Breast Cancer in Women with Estrogen-Receptor-Positive Ductal Carcinoma in Situ: A Study Based on NSABP Protocol B-24. Jour Clin Oncol. 2012
  6. Virnig, BA. J Natl Cancer Inst. 2010; 102:170-8.


Drs. Bhargava and Jankowitz have reported no relevant relationships with any entities producing health care goods or services.

Dr. Haley has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Guidepoint Global

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1.0 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 12/28/15 | Last Modified On: 12/28/15 | Expires: 12/28/16

This course has been expired.