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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
3/15/2017Had a left lumpectomy to remove a mucocele like lesion initial pathology report came back with a diagnosis of ALH. Report and slides were reread for confirmation of ALH diagnosis which 2nd pathologist was seeing another diagnosis of DCIS Slides were sent to a 3rd pathologist who confirmed DCIS and case reviewed in consultation with a 4th pathologist who was in agreement with DCIS diagnosis. (3/4 pathologist are breast cancer pathology specialist s) My diagnosis changed to DCIS involving scattered ducts and also LCIS. I need to go back for more surgery to clear my margins but before I do that I am awaiting my BRACA test results since Breast Cancer runs in my family on my mother's side and my father survived prostate cancer. My breast surgeon feels a second surgery to clear my margins with radiation treatment afterwards is all I need, I'm not completely convinced that is good enough that that may only be a temporary fix where I think a mastectomy may be my best answer with the outcome being a lot less to worry about. I am only 40 yo and have what I hope is a long and healthy life to live. What do you think? Any specific thoughts or questions I should ask or be concerned with?
RepliedJHU's Breast Center Reply
3/16/2017If you carry a breast cancer gene mutation then commonly bilateral mastectomies are performed. If you test negative, but still want to be aggressive with your breast cancer management, mastectomy remains an option for you. it would reduce the risk of local recurrence within the remaining breast tissue down to 1-2%. but it of course results in you losing your breast. reconstruction can be done and depending on where you go, some results are quite amazing. consider coming here to us. 443-997-8282.

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