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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
1,082 Ask a Question

AskedPublicly Submitted Question
12/5/2017I read that ADH increases the risk of an invasive cancer of 4/5 times. The average risk is about 12%. I have ADH, does this mean that my LIFETIME risk is 48-60%?
RepliedJHU's Breast Center Reply
12/6/2017Atypical hyperplasia (ADH or ALH) is linked to a higher risk of breast cancer. Even though most women with atypical hyperplasia will not develop breast cancer, it's still important to talk with a health care provider about your risk and what, if any, options are best for you. In a study performed by the American Society of Clinical Oncology (ASCO) it was found that the 5-year risk for a woman with ADH actually getting breast cancer was 4.5% without any medication intervention; the 10-year risk was 17.3% without medication intervention. The average-risk woman has about a 12% risk of developing breast cancer during her lifetime. Another study by the American Board of Family Medicine states that a woman with ADH will have a lifetime risk of developing breast cancer somewhere between 10-20%. Obviously, each patient is different and many other factors may play a part in that risk. Our recommendation is that these pre-malignant lesions be surgically removed. If you would like to schedule an appointment with one of our surgical oncologists, please call us at 443-997-1513. Please ask for me personally if you should decide upon an appointment. I would love to welcome you into our Hopkins family.

Angie Cramer, BSN, RN, ONN-CG

Certified Oncology Nurse Navigator

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

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