Atypical ductal hyperplasia

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ashland6336
ashland6336 Member Posts: 10
edited June 2014 in High Risk for Breast Cancer

This is a new diagnosis for me.   Over the years I have had breast bx's, and ductal excisions every thimg had been normal.   Last year a core bx right breast came back fibrosis calcifications. After my mammo this time had a call back for additional films this time is was calcifications were cluster. Radiologist recommeded a stereotactic bx, had this done and results came back Atypical ductal hyperplasia, flat epitheial atypia, calcifications.   Had my appointment with my surgeon and now schedule for and excicional bx on Wednesday.  I am nervous this time of what the outcome my be.

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  • leaf
    leaf Member Posts: 8,188
    edited July 2010

    The unknown is always scary.  We don't know what is further along for us on this path.

    If you want to have some sort of idea of numbers, in this study, about 10-28% of the ADH biopsies in this study of 101 cases were upgraded to a malignancy after surgical excision.  Upgrade to malignancy occurred in 20 (19.8%) of the 101 cases. The upgrade rate was significantly higher in cases of three or more foci of ADH (15 [28%] of 53 cases) than in cases of fewer than three foci (five [10%] of 48 cases) (P = .02)...Surgical excision is recommended even when ADH involves fewer than three foci and all mammographic calcifications have been removed, because the upgrade rate is 12%.http://www.ncbi.nlm.nih.gov/pubmed/20173103

    That means that for this group of ADH patients, the diagnosis did NOT change to anything worse in about 73-90%.  So the odds are in your favor of not going on to have something worse.

    Hang in there.  We are here if you want to ask questions or vent.

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  • badger
    badger Member Posts: 34,614
    edited March 2011

    Edited to redact a post with personal information.

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