biopsy results-not cancer but lumectompy recommended
Hello I am new here.... I had a mam in sept.. it showed a cluster of micro calcs in one breast and one mico calc in the other breast .went in for a magnified view...radiologist recommened mri ...then called back and said i should get a biopsy on both breasts....anyway.. the biopsy came back with the followind dx: left breast: breast with aprocrine ductal cysts containing calcium oxalate crystals, non-atypical columnar cell change/blunt duct adenosis, non-atypical duct hyperplasia, intraductal papilloma and fibrosis.
right breast: nondular non-atypical columnar cell change/bllunt duct adenosis/aprocrine adenosis, non-atypical apocrine hyperplasia and fibrosis... anyway the doc. said it is not cancer.. he said the most concerning thing in the diagnosis was papilloma...but he recommends a lumpectomy on the left and right to remove all the calcs and questionable cells....is this common practice?? i actually think i would feel better to have the areas removed so i won't worry that the cells could be changing into cancer...he said he would test the tissue he removes....im wondering if this diagnosis is worse than it seems even though he says its not cancer.... does anyone have any insight?
Comments
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it all sounds very benign---good news, especially since they noted the findings were "non-atypical"----generally they suggest further investigation by surgical biopsy (lumpectomy) IF the findings are atypical (ADH/ALH) or actual insitu bc (DCIS/LCIS) to make sure there is nothing else more invasive going on in there. But they often do recommend removal of papillomas anyway, and the surgeon is probably being proactive by checking out the other side at the same time. I would discuss it further with the surgeon if you have more questions as to the need for the lumpectomies.
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I agree with AWB. I have had 2 lumpectomies for dx of ADH, once in each breast, as AWB said to make sure that nothing else is lurking there. You will probably be put on closer monitoring with 6 month mammo because of the areas that they found.
Sheila
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As awb said, everything reported in your pathology is benign, and even better news, you don't have anything that's 'atypical'. Anything with atypia is a bit concerning because it is considered a 'high risk' condition, something that puts you at greater risk of getting breast cancer in the future. With your pathology, your doctor may say that you have slightly more risk to get BC than the average woman, but there's nothing in your pathology that would put you at high risk.
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thank you for your input....it has been helpful to hear your thoughts...the surgeon said they were going to do a pathology report on all the tissue they remove for the lumpectomys....hopefully there is nothing lurking in that tissue...thanks for you input:)
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After bilateral mastectomy, I was discovered to have more calcifications. Someone said that this is common after these procedures. Perhaps for reassurance you might ask if calcifications in the lumpectomy area occur what chances and what would be the diagnostic workup of further things. I suspect if I had known this was a possibility, I would not have gotten so un nerved by the call back for more views.
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first if your doubting your diagnosis and surgeon get an oncology breast surgeon. They don't waste time knowing what to do. The papilloma has to go. Don't let them tell you differently. By the way did you have a discharge from the "Papilloma" breast nipple? What ever you do, make sure you feel in total trust of your team of docs, you will have many at times if you are treated for bc, but sounding like it isn't moving fast or aggressive, check around with the time you have. You are in charge, remember that
love and light to you, sherry7
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