The Oncotype DX Breast DCIS Score is a diagnostic test performed after the surgery that removes your DCIS tumor. The test is performed on the sample of tumor tissue already removed from your breast.
Are you eligible for the test?
You may be a candidate for the Breast DCIS Score if you meet both of these criteria:
- You have been recently diagnosed with DCIS and are making treatment decisions with your doctor.
- You have had a lumpectomy or biopsy.
NOTE: If you have early-stage, ER-positive invasive breast cancer, you may be eligible for the Oncotype DX Breast Recurrence Score test.
Talking to your doctor about the test
Like other laboratory tests, the Breast DCIS Score test must be ordered by a licensed healthcare provider (like your doctor). However, the decision whether you should have the Breast DCIS Score test is one that you and your doctor should make together.
You may want to ask your doctor the following questions:
- I understand that my breast cancer is non-invasive DCIS (anatomic stage 0). What are the chances of my cancer coming back after surgery as DCIS or invasive breast cancer?
- What are my treatment options? What do you suggest for me and why?
- What are the benefits of each treatment option? What are the drawbacks/side effects of each one?
- How long do side effects of each treatment option last? Do they go away once treatment is complete?
- Is it OK to wait a few weeks to consider my treatment plan options before I have to make a decision about treatment?
- Am I a candidate for the Breast DCIS Score test?
- If I am a candidate for the Breast DCIS Score, how could we use the test results to develop my treatment plan?
- How can I get a copy of my pathology report and my Breast DCIS Score results (if I’m eligible for the test)?
To print the questions easily, download the Doctor Discussion Guide for DCIS Breast Cancer (PDF).
Insurance coverage and financial assistance
The Breast DCIS Score test is covered by Medicare, and private insurance coverage varies. Once you and your doctor agree that the test is right for you, you will likely want to find out if the test is covered by your insurance. You can contact your insurance company directly or through Genomic Health’s Genomic Access Program (GAP), which provides help to eligible patients with insurance processes and financial assistance.