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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
10/18/2017I am 51 and was diagnosed with extensive ADH and specifically 4+ foci were seen on core biopsy.
No cancer found on excision but more ADH was found. I was treated at mskcc.
Tamoxifen is recommended as a personal option and MRI screening is recommended by oncologist but not by breast surgeon. I have read that extent or number of foci takes risk much higher than just for 1 foci and lifetime risk can approach 40-50% with 4+ foci. Wouldn’t that suggest that chemoprevintion and mri screening are important part of risk reduction program for me?
RepliedJHU's Breast Center Reply
10/18/2017Though risk is higher than if you had just one spot, don't know that it would be as high as 50%. that borders on the same risk of carrying a gene mutation and ADH is not a gene mutation. that said, tamoxifen is the drug used for prevention. Whether MRI is needed is up to the breast imaging radiologist based on how easy or not so easy your mammogram is to read and how dense your breast tissue is.

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