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
2/17/2016After 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.

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.