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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
In 2011, at the age of 40, I was diagnosed with DCIS based on calcifications on the first mammogram I ever had. After a lumpectomy, it was downgraded to ADH with flat cell atypia. I started tamoxifen but discontinued after a few months due to the side effects. I am on a regimen where I get a breast MRI and mammogram every year (alternating 6 months). On mammogram my breasts have always been described as extremely dense. Since my initial diagnosis, I know of several recent studies that show that the combination of ADH and extremely dense breast tissue greatly increases the risk of developing invasive cancer. Should I be more proactive at this time? Should I revisit Tamoxifen, or (as my gynecologist suggested), consider removal of my ovaries and an aromatase inhibitor? Or just continue with semi-annual imaging? Thanks so much for your tie and expertise.
RepliedJHU's Breast Center Reply
5/27/2016return to the doctor who prescribed the tamoxifen. it should have been a medical oncologist and not the surgeon. it may be wise to resume it. ovary removal would be really drastic though.

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