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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
11/28/2017Responding to below:
Yes I had a mammo prior and it was clear. Pathology showed multiple adh areas.
I did have genetic testing back in 2011 and lucky me I'm the only one in the family. all my brca was clear as well

Hi I'm 38yrs old and had invasive ductal cancer of right breast in 2011. with lumpectomy following chemo and radiation. I just had reconstructive surgery and ADH was found on pathology in the left breast. I see my onc this week but am concerned with what he may recommend. any advice would be fantastic.

Replied

JHU's Breast Center Reply

11/28/2017 If you had a breast reduction done on the left breast, first he will want to look at the mammogram done within a few weeks of this surgery to see if anything abnormal was seen. (It is a requirement to do mammograms prior to breast reductions or prophylactic mastectomies to rule out the presence of masses or other suspicious findings). If the pathology showed a single focus of ADH then this would be less worrisome. If however the ADH was found on a margin of the specimen then there may be concern that more tissue needs to be sampled. the challenge would be figuring out where that tissue is now within the breast. I am hoping that you had genetics evaluation back in 2011. if not, time to get that done now. if you carried a breast cancer gene mutation then likely bilateral mastectomies would be discussed with you.
RepliedJHU's Breast Center Reply
11/28/2017You would be best served then by requesting that your pathology slides from the surgery and your mammogram be presented at their weekly breast cancer tumor board for a large team discussion as to what next steps are needed, if any.

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