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DCIS is a microscopic disease its not something that you can see or feel it doesnt look different from normal breast tissue so its very difficult from a surgeon standpoint to get it out all the time without help we use all the tools at our disposal mammography MRI ultrasound if appropriate to try to get clean margins we x-ray the specimen in the operating room to try to get clean margins to look to see where the calcifications stopped and where they start wheres the edge but margin probe also helps with clean margins for DCIS its not just indicated for invasive cancer margin probe is another way of doing additional sampling of the lumpectomy faces so that we can really make sure that we cover the whole specimen looking for DCIS we use it for DCIS we use it for invasive cancer and we dont differentiate between the two in terms of whos a candidate for margin probe margin probe helps us get clean margins with DCIS as well
