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
2/2/2011In 2005, when I was 37 years old, a lump was found against my chest wall that had a jagged appearance. It was biopsied and columnar cell atypical hyperplasia was found. I had an exisional biopsy to remove the lump and they removed it with clear margins. It wall all filled with columnar cell atypical hyperplasia, according to the pathology report. The breast that it was found in is very dense with fibrocystic tissue and cysts. Anyway, they have been doing yearly mammograms and mri's on me because they have said I was high risk. Last Jan. they found microcalcifications in that breast that they said were probably benign but wanted a MRI and another mammogram in 6 months. MRI was clear. The mammogram six months later showed an increase in microcalcifications but they were not clustered so they said we could watch it and do another mammogram in 6 monts. I had that mammogram yesterday. The radiologist came and talked to me and he said he did not see anything that he thought needed to biopsied. (I have had 4 biopsies on my breast with all the other ones being benign with no atypical cells) But he went all to say that my breast tissue in the breast that previously had the columnar cell atypical hyperplasia was VERY dense. One of the worst he had seen. I asked if there were more microcalcifications and he said they were all over. He said that they were not clustered or abnormally shapped so he thought they were okay. He suggested I get a MRI to make sure since it is the best way to see changes in dense breasts. Hopefully I will be getting that in a couple of weeks if my insurance approves it. None of my immediate family members have had breast cancer. My maternal aunt has had breast cancer that was hidden in fibrocystic tissue. Do you think I am very high risk and what, if any other suggestions would you make in my situation. I worry a lot about it since I a 42 years old now and have two young children. Thank you
RepliedJHU's Breast Center Reply
2/2/2011Extensive level of density of breast tissue has become a new risk factor but not the type of risk factor that say having a 1st degree relative with the disease gives a patient. Be sure that the radiologist is a breast imaging radiologist. ask if the breast center where you are being seen has a high risk monitoring program for patients like yourself.

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.