Help understanding final pathology

Katmom2

Hello- I’m a 40 year old mom of 2, with very little cancer history on either side of my family. However despite little history, my mother developed tubular carcinoma at 45. She is the only female in my extended family with a breast cancer history, but my maternal grandmother had fibrocystic breasts.

I had my first mammogram in early November. It came back Birad 4 for architectural distortion In one breast (along with simple cysts) and a small mass in the second breast (actually they weren’t concerned about the small mass).

My ultrasound didn’t show a mass on the distorted side. My core biopsy on the distorted side came back benign fibrous tissue. My core on the mass side came back PASH. They left the PASH alone.

I was given a discordant finding and sent for surgical excision. I got the results yesterday- benign complex sclerosing lesion about 2.5 cm in size.

Today I received this from my surgeon: Left breast, excision:

“- Complex sclerosing lesion. See note.
- Breast parenchyma with usual ductal hyperplasia, columnar cell
change, adenosis,
fibroadenomatous change, apocrine metaplasia, microcysts, and
pseudoangiomatous
stromal hyperplasia.
- Biopsy site changes.

Note: The specimen was submitted in its entirety for histologic
evaluation. The margin has been inked and evaluated.”

I was told to return to regular yearly screening mammograms. Just wondering if my history or pathology raises any flags? I would love to think if I keep my weight healthy and don’t smoke I can overall have an average risk

*One note about my mom- she had her tiny cancer removed at a smaller local hospital and the larger city hospital disagreed with how the specimen was preserved. Eventually a doctor told her they could not even be 100% certain she had cancer due to what the pathologist did, but they had to treat her with his diagnosis. So my one relative of dozens that had breast cancer may not have actually had it at all. I have read that radial scars and tubular carcinoma can sometimes be confused so that makes me go hmmmm. My mom thinks the pathologist at the small hospital was fired a couple years later for misreading slides.

MinusTwo

Kat - from one of your other threads I understand your tests & biopsy came back benign. Congrats. Time to move on and have a happy Christmas day.

If you are still concerned, you could post the final report on djmammo's site

https://community.breastcancer.org/forum/83/topics...

Beesie

Kat,

Approx. 85% of women diagnosed with breast cancer do not have a family history of breast cancer. So if your mother had BC at 45, while that might affect your risk, anyone can develop BC without family history.

As for your grandmother, approx. 60% of women have fibrocystic breasts - as you clearly do, based on the pathology. So I wouldn't chock that up to genetics as much as it being very normal and very common.

With regard to your biopsy findings, this site might help: https://www.pathologyoutlines.com/breast.html

As a suggestion going forward, it would be helpful if you stick to one discussion thread so that those who would like to respond have the benefit of all of your history of posts and all of the previous responses. You will get better - more targeted to your situation - responses that way.