Ask an Expert: View a Question

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!.

ForumQuestionsAsk a Question
ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
1,084 This functionality is disabled from time to time due to volume.

AskedPublicly Submitted Question
6/14/2010I had a left breast biospy on May 19, 2010. Pathology report reported atypical hyperplasia. I am scheduled for a lumpectomy on July 16 to remove the abnormal cells. I had an MRI on May 26, 2010. On May 27th I had an ultrasound of both axillary areas. The radiologist stated that the lymph nodes on the left side were enlarged/irregular and I would have to have a biospy of the nodes before he could tell if they were cancerous. My breast surgeon is going to do another ultrasound of the left axillary area two weeks before surgery. If the nodes are still abnormal then she will do a sentinel node biospy when she does the surgery to remove the abnormal cells in the right breast.My question is "Is is possible for the left axillary lymph nodes to be enlarged due to an entrapment of the ulnar nerve on the left hand rather than due to the ADH on the right breast?" I am waiting for an appointment with a hand surgeon to evaluate the ulnar nerve situation. I would rather not have the lymph nodes removed if it is not necessary. Thank you for your comments.
RepliedJHU's Breast Center Reply
6/14/2010nodes can enlarge in reaction to shaving too close, having a hair follicle infection there, or even having a chest cold. the doctor will remove more breast tissue to see ifamong the atypical cells there are any cancer cells. 20% of the time there are very earl stage breast cancer cells there. so the procedure i technically a open biopsy. its not classified as a lumpectomy unless a known diagnosis of breast cancer were already known. once it is known then sentinel node biopsy can be done by th surgeon. not sure where you live but you want to come to us. you need experts and not confusion. call sheila at 443-287-2778

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.