Atypical Hyperplasia

Mom12344

Over three years ago age 39, I had bleeding from left nipple, my gynolcologist referred me to a breast surgeon, she did a ductal excision, the concerned duct(z) biopsy was negative however the surrounding tissue had a small spot with atypical hyperplasia, the doctor said it was found incidentally and not to be concerned. The following year I had bleeding in right nipple, MRI and ultrasound was negative, ductal excision was negative. I have had several nanograms since all negative showing dense breast 45%, some benign calcification. Too my surprise at my yearly mamo follow-up I was told normal namo however with new studies on atylical hyperplasia I should see oncologist. I am not menopausal, I am overweight, I do have a great Aunt with breast cancer (diagnosed at 85 years). I am healthy aside from kidney stones, 13 years ago I had 9.5 cm liver cell adenoma removed via liver resection, benign considered to be caused by birth control (have not taken since). I have an appointment with oncologist. Very stressed should/would they do breast biopsies? I know tomoxifin will be discussed. Radiation? Just shocked to be seeing oncologist over 3 years from a spot atypical hyperplasia was removed.

Anonymous

they might suggest a biopsy, just to make sure there is nothing more serious in there along with the AH (did they say if it was ADH? or ALH?). Your family history is not a strong one, but they may recommend tamoxifen, or possibly just closer follow-up. (Radiation is not given for ADH or ALH)

Anne

Ddw79

Same here in March and yes I had an excisional biopsy. I have ADH and aromatase inhibitors were suggested but second opinion at cancer center said no due to serious comorbidities. Since I can't take the drugs I now considering PMX. I will discuss with Surgeon in a couple of weeks . This will be a crazy hard decision for me since I am already so sick.

From my understanding ADH confers significant risk which is why they are concerned about it and sending you on for further consults. That's exactly what they should do