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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
2/13/2017Hello. In 2003 I was Dx w/invasive ductal cell carcinoma stage II (A, I believe) ER+ and PR+ and Her2Nu positive. Tx was mastectomy and chemo. Around 2006/7 I started having the same itching of the areola as I did in the breast w/cancer and that one removed. Path report showed Atypical Hyperplasia cells w/n the ducts. I found what feels like a small lump under that arm and have lost a lot of weight w/n the past 4 months for no apparent reasons. Repeat of scans, pelvic sonogram and blood work (no tumor markers done), all negative for cancer.So my question is this, could someone with a Hx of ADH develop primary "breast" cancer even after mastectomy? I am an RN and have worked oncology but, this was before the 2nd surgery. My family doc has no answers for the weight loss nor lack of energy and weakness. Frustrating to say the least. I do have an appointment with my old oncologist next month but just not sure how well he will listen and what tests need to be done to see if what I feel is anything. I showed my GYN and though she felt "something" she said since she had nothing to compare it to due to so much tissue being removed on the right side she hadn't a clue. Just feel like something is wrong and frustrated not having answers. I still work as a nurse but the lack of energy is taking its toll.

Thank you for taking my question and look forward to hearing from you.

RepliedJHU's Breast Center Reply
2/14/2017It is possible to get local recurrence back into residual breast tissue after someone has had a mastectomy on that side. your weight loss and other symptoms sound more endocrine related possibly so your doctor might check your thyroid gland to see that it is functioning properly. ultrasound of the mastectomy side might be helpful to see what lingers there.

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