Interpreting Pathology Report

33megpre

I'm 33, no family history of BC. Got benign results (yay!) for 2 stereotactic biopsies done last week. Results from pathologist read:

A.
- columnar cell change

- fibrocystic change

- microcalcifications identified in lumina of columnar cell change

- negative for atypia or malignancy

B.

- usual ductal hyperplasia

- columnar cell change

- fibrocystic change

- focus of foamy macrophages, please see comment

- microcalcifications identifies in lumina of columnar cell change

Comments: focal change of foamy macrophages and fat necrosis are seen in specimen B. This is a non-specific finding which can be seen in the setting of previous injury or intervention.

I'm confident these are good results, though it seems there's a lot of activity happening in there. I have a couple questions though: Does Usual Hyperplasia ever become Atypical Hyperplasia? and with the macrophages/fat necrosis - he mentioned this is usually present where there may have been an injury, but I can't think of anything that would have caused this? Since he states it's a non-specific finding, can I be confident that's what he's seeing? My GP mentioned he didn't specifically rule out malignancy, as he did with specimen A - but she said I shouldn't worry bc they would have explicitly stated malignancy or atypical cells if that were the case.

Thanks!