A core biopsy I had last week on a ridge on my right breast came back as atypical cells. My doctor suggested a lumpectomy of the area to determine if anything more serious is going on. I also have fibrocystic breasts and have reached menopause and want to know if this could be the cause of the atypical cells. Should I get a second opinion before agreeing to the lumpectomy? Could this just be monitored in lieu of a lumpectomy? My mammo and sono were negative. Thank you.
My understanding is that atypical cells, while not cancerous themselves, are located adjacent to cancerous cells approximately one-third of the time -- so the presence of atypical cells in a core biopsy sample should trigger an excisional biopsy to make sure that in your case all is well.
Of course it never hurts to get a second opinion to know you're doing the right thing, but I think you should follow your doctor's recommendations and have the lumpectomy! There is no way to monitor the area until you first know what you are dealing with.
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