surgeon didn't get all adh?

Thanks for writing Leaf.  The thing I'm upset about is that AFTER the surgery 3 months later I had a birad 4 mri .  But after biopsy surgeon called me into office and said good news it's benign.  I read the report and it did confuse me because it said in ink (maybe surgeon wrote this in ) Atypia and in big letter NOT ADH.  So it lead me to believe and I didn't look up or question that atypia was different then the adh and alh(lesser extent) that I had before surgery.  So I have to ask surgeon why wasn't something done 6 months ago and why did you say it was benign when it was still atypia there that I needed surgery for in the first place.  I just picked up the paper report from mri at office.  Forgot to ask for it when I saw him last week. I'm calling him tomorrow and asking him my questions.  The wording on the report from says it's the same area that showed on the last mri.  I know that without mri before surgery he might have missed areas but then it did show suspicious area three months later which he said wasn't a problem. because it just showed atypia.  My husband wants me to take all my records and go to another hospital and surgeon.  But maybe I'm just not understanding everything.

Yes Leaf.  Mammo in Dec led me to have a sterotactic biopsy which lead to surgery.  Findings were ADH and two papillomas (benign) removed.  Report also said ALH but to lesser extent.  Surgeon said he got all the adh which took 2/3 of breast and he did the best to recontruct moving tissue.  I have a small indentation.  So then I go to 3 month followup mammo and mri with contrast my surgeon said to have.  It came back and that's when report said atypia but NOT ADH. No more surgery needed.  Just said to see a onc about Tamoxofen . Surgeon said see you in 6 months for checkup and get mammo and mri before appt.  JUst had that done last week and called in my surgeon that mammo was normal but mri showed that I need biopsy again.  It reads like it's the same area but larger now that was seen 6 months ago and surgeon said just atypia on the paper.  This is what it reads exactly from mri the other week...

In the left breast, there remains an abnormal region of enhacement in the upper outer quadrant measurings appr. 3.2 x 1.4 x 2.3 cm.  Exhibits type 1 persistent kinetics.  This lesion has clumped enhancement and mass-like features Although this may be related to reactive enhancing breast parenchyma/benign fibrocystic disease, additional excision is recommended as the majority of this lesion appears to remain present post-excision for diagnosis of of aypia.  This enhancing lesion in the upper outer quadrant left breast is largely unchanged post excision.  Considering this as well as prior diagnosis of adh, repeat excision is recommended.  So is radiologist saying I will need another surgery? Right now surgeon is just saying biopsy guided mri. 

I spoke to surgeon today by phone.  He explained that he did not get ALL the adh with the surgery.  He said it was too extensive and adh does not have clear margins.  So with the 3 month biopsy it showed atypia but NOT enough to remove surgically and he wanted to wait and see what this 6 month mri showed.  So it's in the same area and a larger area.  I only got the mri done this time at a different facility because the cost was less.  They can also do the biopsy but I'm opting to have my records transferred over to the radiologist at the hospital who did the last two biopsies.  He said she didn't think she would request another mri but she'll look at the cd . He feels that if this is again adh he cannot do surgery again because this can just happen again and again with the biopsies leading to more surgery for the adh.  So he said we'll speak about my options after the biopsy.  I keep reading about ladies who had adh and come back with a clean mri and mammo after surgery.  Just wondering if anyone else is in my situation.