The incidence of ductal carcinoma in situ (DCIS) has increased signifi
cantly in the last 2 decades, due to the diagnosis of asymptomatic can
cers by screening mammography. These cancers are usually diagnosed by
the presence of calcification on mammography. Histologic classificatio
n of these tumors is controversial, and established and proposed class
ification systems are reviewed. The role of breast conservation in the
treatment of many of these lesions is generally accepted, although ar
eas of debate regarding its application in these patients persists.