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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
1/4/2018This is a continuation of my 11/22/17 post. After being diagnosed with ADH+ALH+FEA in a non-palpable mass in my right breast. Found during a core needle biopsy assisted by mri. I'm 38 and am a Hodgkin's lymphoma survivor(17yrs old). I received mantle radiation as part of my treatment in addition to chemo. I just had a surgical excision biopsy. That showed in addition to those 3 different types of atypical cells, "Very"atypical ductal hyperplasia boardering on dcis was found. My surgeon made it sound like it was at the discretion of the pathologist if she would call it dcis or very atypical ductal hyperplasia. There's different treatment depending on diagnosis. I'm already being followed up by mri and mammograms alternating every 6 months. I cannot receive any further radiation. I'm not sure what the borderline adh/dcis means and I'm not comfortable letting someone choose whatever they'd like my diagnosis to be. What does this borderline cell change mean for me in terms of treatment going forward and any type of preventative measures. Only my right breast is showing any abnormality. Does this increase the risk for my left? If if was all taken out during the surgical biopsy does that mean it's all gone?
RepliedJHU's Breast Center Reply
1/5/2018you need to make sure the pathologist is a BREAST pathologist. there can be a fine line between severe ADH and low grade DCIS. it requires a pathologist who does breast cancer pathology to figure it out and always good to get a second reading of the pathology slides elsewhere too. 28% of women who have had mantle radiation will develop breast cancer and commonly bilateral breast cancer. having ADH in one breast does increase your risk for both breasts. Even if all ADH cells were surgically removed your risk doesn't change. consider coming to us. these are big decisions to make.443-997-1513.

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