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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
12/28/2017Back in 2009 I had surgical biopsy for focally severe atypical ductal hyperplasia . Also had atypical lobular hyperplasia in right breast. Six months later another excision surgery for another area of irregular heterogeneous clumped enchancement suspicious for carcinoma. Each time biopsy tissue was sent out for second opinion if it was DCIS. Report said the cytologic and architectural changes are not felt to be severe enough to warrant a definitive diagnosis of DCIS. So just focally SEVERE atypia. There are no "clean" margins for ADH so an area remained. Surgeon said I need yearly mammo and Mri. I have been doing now for eight years and I don't understand why still need an mri. My last two mir's have stated that Segmental clumped non mass enhancement with type I kinetics upper outer quadrant left breast continues to decrease in conspicuity since prior studies" So WHY does my breast surgeon make me feel guilty when i ask if i can stop having these horrible mri's every year. I have no history of breast cancer in family. Does anyone else have yearly MRI's's with just a history of ADH? I am 59 years old. Also if ADH was FOCALLY severe why is it still ADH and not DCIS.
RepliedJHU's Breast Center Reply
12/28/2017Reasonable to question value of MRI. consider getting a formal second opinion elsewhere from a breast imaging radiologist. it should be a breast imaging radiologist who determines if MRI is truly needed.

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