Complex Sclerosing Breast Lesion
Their conclusion knocked me out. After making all the preparations for major surgery and a year's worth of reconstruction, I found I do NOT have breast cancer at all, but instead a complex sclerosing breast lesion, a benign condition. This was 8 days prior to my scheduled surgery! My original surgeon was elated that I could take breast cancer off the table. But, now he wants to adopt a program of active surveillance, rotating mammograms or ultrasounds every 3 to 6 months. Should this really be necessary for a benign lesion that has already been removed? I AM VERY thankful for escaping major surgery, but question the necessity of so many mammograms for this condition.
What do you think? And what do you think of this DCIS being mis-diagnosed? Is it easily confused with a complex sclerosing breast lesion?
THANKS SO MUCH!
Comments
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That is an unusual story . I'm sure glad for you that your condition is benign. They also found that benign condition along with my ADH upon biopsy last March. I don't really understand how these two problems could be confused by pathology and it certainly was not the case for me. Two different pathology groups came to the same conclusion about my results . I hope you get some piece of mind on this
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do you have to watch this sclerosing lesion carefully with mammograms, MRI's, etc.? I understand that even though it is a benign condition, it could be a precursor to cancer. Therefore, my doctor has me on the active surveillance watch, checking every 3-6 months.
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That sounds good to me.
I have a worse condition than that and they are not recommending strict surveillance. I would prefer the surveillance. Your docs are being very cautious and that is probably a good thing
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I had breast MRI after being diagnosed with BC in my right breast. The left breast was suspicious on the MRI. I decided at the time to have both breasts removed as I didn't want to go through the whole ordeal again if it showed in the other breast later. Pathology showed that I had large areas in my left breast that were in stages precursor to DCIS/LCIS. I have absolutely no regrets for having the left prophylactic mastectomy.
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Yikes Anne
Yours is absolutely no reason to even consider PMX if it is just what they are telling you . Read this stuff with caution as it doesn't necessarily apply to you and will freak you out .... Even mor
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no, they are not considering a PMX at all ... Just watching with Active surveillance (Mammograms or MRI/ every 3-6 months). Now tell me, what do you want me to read with caution? I am really trying to be informed on this, so I appreciate any help you can give me!
Thanks!
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i know you are so thankful to get the BMX and be free of breast cancer! Good for you and your doctors!! How did your lat flap reconstruction go? I had considered that type of reconst when I believed I had DCIS cancer
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yes, I agree ... They are proceeding with caution. Certainly rather be safe than sorry. But on the other hand, I don't want to go overboard on mammograms, etc.
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I would not recommend LD flap reconstruction to anyone. There are so many potential life-time side effects it's not even funny. I'm on disability because of it. I know some people didn't have any issues, but others, like me, had a lot. Look in the "breast reconstruction" forum, I've posted a "potential side effect" thread there.
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all I can tell you is that I have your condition and ADH which is far higher risk. They are telling me to follow up with yearly Mammograms only. Going to MO to discuss again next week
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Ddw79, I understood that you had sclerosing adenosis. It is not the same thing as radial scar/complex sclerosing lesion. Sclerosing adenosis is benign
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complex sclerosing lesion is also a benign condition
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here too, two spots of scelorsing adenosis .
B9. Thanks
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I also had radial scar and schlerosing adenosis. They told me both of those benign. It was the ADH that caused the concern. Yes also complex sclerosing was in the path report too. I thought these were benign. That's what the surgeon told me. So these aren't a benign finding? More confused now
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My understanding is that a complex sclerosing lesion (which is just a radial scar that's over a centimeter wide) is a benign condition, but having either one increases your chance of eventually developing cancer by about 1.5-2.0 times--so it's a risk factor. Also, they are *sometimes* associated with LCIS or ILC at the edges of the lobules (I've read everything from 7 or 8 percent of the time up to 30% depending on whose study was being looked at--with the higher numbers being associated with atypia at the same time) which can be missed because core biopsies only sample a small area of the lesion. Therefore, many doctors feel the prudent course of action is to do an excisional biopsy to remove the entire area so it can be checked. That said, the lesion/scar is considered to be a benign finding unless further examination finds something to the contrary--which is usually doesn't. Because of that, some doctors feel that close monitoring with more frequent exams/screening is an appropriate course of action. My own surgeon is doing an excisional biopsy on my radial scar this Friday because I do have atypia.
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Thank You!!
That is very helpful Suetois!
I had exactly the same . Excisional biopsy last March
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I have prominent sclerosing adenosis but my MO is not concerned since it is a benign condition. I will be having 3D mammo's/sono's alternating with MRI's every 6 months because I was diagnosed with pleomorphic invasive lobular carcinoma and bifocal pleomorphic lobular carcinoma in situ. The invasive tubular carcinoma is not even a factor. I am being monitored every 6 months not every 3 months. I feel that the surveillance gives me peace of mind and I look forward to it.Good luck.
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I had ADH and was given the option to remove it and have yearly mammos or have mammos every three months to keep an eye on it. When I asked my BS what he would want his wife to do he said have it removed. I did had yearly mammos and 14 years later developed BC. Looking back now the only difference I would have done is have yearly ultra sounds as wellI had very dense breast that mammos had a very hard time reading
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Sherryc
Did you take the drugs during the 14 year period? I'm still wondering if I should do that and trying to get the enhanced monitoring . I also have ADH and radial scar et
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