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ADH - Atypical Ductal Hyperplasia
Questions about atypical ductal hyperplasia.
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AskedPublicly Submitted Question
2/8/2018I was diagnosed with ADH in Sept 2016. I have been on Tamoxifen since then. I want to know the truth. Do I need to take this medication or will monitoring closely have the same outcome? Tamoxifen can reduce the risk of cancer occurring, but won't monitoring to find the cells, locate them and removing them at their earliest stages virtually the same as taking Tamoxifen? I just don't know what the truth is or why would someone not diagnosed with cancer but has ADH have to take such a powerful drug that affects every aspect of my life. In other words, I want to know if taking Tamoxifen is worth all of these side effects that I am experiencing or if progress monitoring by way of MRI and mammogram will find these atypical breast cells with hyperplasia and then have surgery to remove them before they turn cancerous will achieve the same goal: breast cancer prevention? Is Tamoxifen and breast tissue screening not essentially performing the same job to prevent breast cancer from occurring except one has a boat load of life altering side effects for 5 years, and the other for all of 1 hour max?
RepliedJHU's Breast Center Reply
2/9/2018ADH can be a precursor to breast cancer. We surgically remove ADH lesions when they are diagnosed. Treatment with Tamoxifen is to reduce the risk of developing breast cancer in the future, whether you've been diagnosed with breast cancer or not. Many women who are at high risk for developing breast cancer will take Tamoxifen to prevent it. If you can come to us, we will help you make sense of this. Call 443-997-1513.

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