The Curbsiders Internal Medicine Podcast #426 Breast Cancer for the PCP With Dr Sandhya Pruthi
Feb 12, 2024
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Mentor Opened Doors To Prevention Work
- Sandhya Pruthi described starting in a Mayo breast clinic when it opened and mentors nudged her toward research roles.
- That mentorship led her to run prevention trials and expand beyond clinical care to avoid burnout.
Prepare Patients Before Biopsy
- Tell patients biopsy results in person when possible and prepare them beforehand about possible outcomes.
- Before biopsy, explain it could show benign changes, atypia, or DCIS to lessen shock if cancer is found.
Active Surveillance For Select DCIS
- Active surveillance for low/intermediate grade, ER+ DCIS was tested in the COMET trial versus standard treatment.
- Some lesions remain stable on surveillance, suggesting biology-driven de-escalation may be possible pending trial results.