Stromal Fibrous Change and FEA

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dasill
dasill Member Posts: 20
edited November 2017 in High Risk for Breast Cancer

These last few days have been a whirlwind! I went for a mri Biopsy on both breasts last Thursday and received my results on Friday afternoon. They are referring me to a breast surgeon. The results were:

Left: Flat Epithelial Atypia and stromal fibrous change

Right: Benign mammary tissue and mild stromal fibrous change

Imaging Correlation: Concordant

So my question is, what is stromal fibrous change and does it lead to breast cancer?

Also, I'm reading everywhere that FEA usually doesn't come alone that something more serious like a malignancy is usually found and FEA is upgraded. Is that true? What is the usual treatment with FEA?

My breasts are so bruised and I feel a lump on He top of one and it feels full. Never was a lump till now. Almost feels like mastitis but not as bad. Very bruised.I'm really concerned about everything. I am almost 42, happily married with 2 young children.

Thanks in advance for any input and help!!



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  • MTwoman
    MTwoman Member Posts: 2,704
    edited October 2017

    dasill, congrats on your pathology! Although some researchers think that FEA could be considered a pre-pre-cancer, "the majority of evidence shows no proven relationship between the two (i.e. dcis)." Please read more here: http://breast-cancer.ca/flat-epit/

    There does not seem to be a clear cut treatment, so you'll need to talk to your doctor about what your options are in the context of your specific risk profile and medical history.

    Stromal fibrous changes are not associated with bc and do not increase risk for bc. (http://breast-cancer.ca/brosis-oid/)


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  • dasill
    dasill Member Posts: 20
    edited November 2017

    MTwoman - Thank you for the links! Very helpful. I'm high risk due to family history on both sides. We'll see what the surgeon says....

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  • MTwoman
    MTwoman Member Posts: 2,704
    edited November 2017

    the doc should certainly consider your high risk status when evaluating recommendations, hoping you get all your questions answered! Have you thought through what you want him/her to explain? Also including what type/frequency of future follow up you need. IMO, if you haven't already, you should get copies of all your images and reports and keep them in a binder so that if you ever need to be seen somewhere else you have them.

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  • dasill
    dasill Member Posts: 20
    edited November 2017

    Hi, thank you! I do have all my images in a disc and also the reports from these last few scans as well. I guess what I want him or her to explain is what those with this dx usually do. Since I'm high risk, what are the chances of this turning into something more serious, etc.

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  • MTwoman
    MTwoman Member Posts: 2,704
    edited November 2017

    Oh good show you! (for having all of your documentation put together). It makes perfect sense to want to better understand your diagnosis in terms of your personal risk and obtain recommendations for future screening tools and frequency. When is your appointment?

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  • wonderwoman101
    wonderwoman101 Member Posts: 55
    edited November 2017

    I had FEA found along with ADH and ALH. From what I understood from my Breast Surgeon, they don't really know a ton about FEA. For me, he said the "worst" part of my diagnosis was ADH. I know that might not give much info but in my case there was no malignancy with FEA. In case you aren't aware ADH is atypical but is benign.

    I know how hard the waiting is and getting surgery scheduled in the end of the year can be difficult because everyone wants to get in. Do your best to keep your mind busy with other things and know we're here for you!!

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