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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
2/17/2016After a mamogram found a cluster of microcalcifications on my left breast (one that had been there for a few years) I had a stereotactic biopsy. There was another small cluster also on the left breast that the radiologist felt looked just like the other cluster and didn't feel it was necessary to biopsy them. I heard back from my GP that said the path report came by ok with fibrocystic changes and it was being sent on to another pathologist who said it was ADH and wants me to have a surgical biopsy. My radiolist wants to do another stereotactic biopsy on the smaller cluster before I have the surgical biopsy so if it comes back ADH he can do the biopsy on both areas. I feel like maybe I should just ask for a mastectomy on this breast. I'm guessing the cluster I am going to have biopsied in 12 days will also come back ADH. Also, is a surgical biopsy considered a lumpectomy?
RepliedJHU's Breast Center Reply
2/17/2016surgical biopsy is not considered a lumpectomy. the term lumpectomy is supposed to be reserved for procedures that already have confirmed that cancer is present. some surgeons though do call it a lumpectomy. shouldn't though. don't assume that these two clusters of microcalcs are the same thing and don't leap into wanting to get a mastectomy. find out however how close together these two spots are and see if the radiologist can place a tiny thin wire in the center of the calcs not yet biopsied to have the surgeon surgically sample them while doing the surgical biopsy. if they are some distance from the other area however then a stereotactic biopsy makes more sense.

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