Results: Median age was 65 years (range 40-85). Minorities comprised 83.7% of patients (31/37), with 54.4% (20) identified as African American and 27% (10) Hispanic. White women comprised 16.2% (6), and Asian 2.7% (1). The majority of lesions were low (14/37, 37.8%) or intermediate (17/37, 45.9%) grade; there were 6 (16.2%) G3 lesions. Median DCIS size was 0.5cm (range 0.1-2.4cm), and all margins were negative. All lesions were ER+/PR+ with the exception of one (ER+/ PR-). The DCIS Scores ranged from 0 to 53, corresponding to risks of ipsilateral breast events at 10 years of 9% to 21%; Median and mean DCIS Scores differed among Whites (0 and 12.8, respectively), African American (8 and 18.2), and Hispanics (26 and 23.1). Adjuvant RT was recommended to 8 patients, all but one of whom was African American or Hispanic. Five of these 8 women underwent treatment, and 3 declined therapy (1 White and 2 minority patients). In addition, 6 minority patients whose recurrence risk was below 15% (5/6 were 14%) chose to undergo RT. The median age for the patients recommended for RT was 68.5 years (58-85). Conclusions: To the best of our knowledge, this is the only evaluation of the use of DCIS Scores in the management of DCIS in a predominately minority population. Patient outcomes, as well as issues specific to this population, will be further evaluated. Author Disclosure: R. Young: None. N. Ohri: None. M. Garg: None. S. Patel: None. S. Kalnicki: None. J. Fox: None.