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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
7/20/2017I have had Breast Cancer, 10 years ago and have done all the treatments including 7 years of Aromasin and Tamoxifen.
I had a bilateral Breast reconstruction/reduction 2 years ago this October. At that time I was DX with ADH focally severe in the past BC breast and LDH in the non effected breast. I am now on Evista which gives me hot flashes off the charts. My oncologist says there is no studies for someone in my situation(prior BC then getting DX later of ADH) about taking anti estrogens but suggests taking it, leaving it up to me however to continue. Both Breast Surgeon and Oncologist are NOT advising bi-lateral Masectomies. I have had 2 clear Mammograms but Surgeon does not believe I need MRI and I have clinical Breast Exams every 6 months. I am 60 years old now. Do you think I am doing all I can at this point to prevent another new BC. My onc says the real problem is if a BC survivor gets in somewhere other than Breast. Do you agree? Suggestions?
RepliedJHU's Breast Center Reply
7/20/2017Chemoprevention with medications such as Evista have been shown to significantly reduce breast cancer risk for all atypia types, but these studies have been done on women with no previous breast cancer diagnosis. Breast cancer can come back as a local recurrence or somewhere else in the body. Cancer that recurs to different areas of the body, such as the lungs, liver, or bones, can be more challenging to manage as compared to a local recurrence. It sounds like you are doing all you can to reduce the risk for recurrence. Continue to work with your multidisciplinary team who can determine if new modalities should be part of your treatment plan.

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