Sclerosing adenosis lesion excision - what is the procedure?

patman
patman Member Posts: 1
edited October 2015 in Benign Breast Conditions

Hi there - my wife (48) was just informed she has a sclerosing adenosis lesion in one breast. This was found after a biopsy was done, post mammogram. The good news is that it is not cancerous. She was told she will need surgery to remove the lesion.

My wife and I understand the need for surgery, and have a consult scheduled in a week. In the meantime, she (and I) are anxious to know what is exactly involved with the excision procedure. My wife is very nervous about having surgery done.


Can anyone help shed some light on the process - will she be put under? How invasive is the procedure? How much is removed? How big of an incision is made, etc...?

Thank you!

Pat

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Comments

  • Ddw79
    Ddw79 Member Posts: 533
    edited October 2015

    Hmm

    I had same removed during excisional biopsy but that was due to a more serious problem that required the lumpectomy. Not sure why they would do this simply for Sclerosing Adenosis. Hopefully others more knowledgeable will chime in. Anything else noted in path report

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  • 614
    614 Member Posts: 851
    edited October 2015

    Dear Patman:

    Your wife should get a copy of her pathology report.  She needs to know how big the tumor is and why the doctor wants to remove the lesion.  Sclerosing Adenosis is benign.  It may increase the risk of bc but it is not a malignancy. 

    I just had a biopsy in May 2015 and sclerosing adenosis was found along with 6 other benign findings.  I sent the report out for a second opinion because there was a second suspicious area that could not be biopsied at the time and I was concerned about the second area.  None of my doctors (1st or 2nd opinion)were concerned at all about my prominent sclerosing adenosis and no surgery was recommended to remove it. 

    Your wife may want to go for a second opinion before she consents to surgery.  Each situation is different and I am not a doctor.

    However, if your wife decides to have surgery, the surgery would be an excisional biopsy.  I have had several.  Your wife would be put under anesthesia - probably twilight - not necessarily general anesthesia - ask the doctor.  I have had excisional biopsies where the incision was done around the areola so the scar is not noticeable at all.  I have also had a biopsy where the incision was made over the lump so there is a noticeable scar.  However, the scar fades.  The procedures were easy for me and the recovery is quick.  I felt fine right away and I had no pain.  It is outpatient surgery so no hospital stay is required.  My daughter also had an excisional biopsy as well 3 years ago, when she was 17.  They removed an egg sized fibroadenoma.  She had no issues or pain either with the excisional biopsy. 

    The surgery is much worse when lymph nodes are removed.  Your wife would not be having that type of surgery so she should be absolutely fine.  She should ask her doctor many questions and that should alleviate her concerns and fears.

    Good luck.

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2015

    I 'm wondering the same as Ddw79---there must be something more that they are concerned about, as the sclerosing adenosis is a benign condition that doesn't require removal. As far as the excisional biopsy procedure, it is usually done with conscious sedation, generally day surgery, with a small incision. It's not the sclerosing adenosis that they are worried about, they probably are just wanting to make sure nothing more serious is in there along with it. Praying your wife gets good benign results soon.

    Anne

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