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
3/10/2011I was diagnosed via core needle biopsy with Atypical Lobular Hyperplasia. Found because I had pleomorphic calcifications. I will now have an excisional biopsy. I understand 20% of the time these biopsies come back upgraded. Even if not upgraded, I face a lifetime of checking and uncertainty and probably little sanity. Are there breast surgeons who would agree to a prophylactic mastectomy for ALH? I'm 46 and have dense breasts.
RepliedJHU's Breast Center Reply
3/10/2011less often an upgrade for ALH. 20% upgrade for ADH. your news of this being there is still fresh which breeds fear no doubt. though the answer to the question is YES there are surgeons who do prophylactic mastectomies it would be premature to be seeking this yet. get excisional biopsy done. have your true risk evaluated by a high risk specialist. if a few months from now you still feel anxious, then consideration can be done to take this aggressive surgical step.

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.