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Breast Cancer (Expert Forum)
Breast Atypical Hyperplasia
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Doctor's Answer
by CCF-RN,MSN-rf, Jun 07, 2006 12:00AM
Dear DLV51: Atypical lobular hyperplasia is less of concern than atypical ductal hyperplasia. It is a possible precursor to lobular carcinoma in situ. Unlike ductal carcinoma in situ, which is considered and treated as cancer, LCIS is considered more of a precursor to cancer than actual cancer. So it's really 2 levels removed from cancer, and is not an absolute precusor at that. Meaning, it's not at all clear that ALH would necessarily lead to LCIS, nor would LCIS necessarily lead to invasive lobular cancer. So, in fact, with ALH most people would recommend regular followup, but nothing more. Bottom line: your risk of developing breast cancer is only minimally elevated over that of any other woman. No one can guarantee any woman what her odds are, or that mammography would always find it early.
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