Breast Biopsy's

[nlc80]

Four years ago I had a breast bx in my right breast that revealved atypical lobular and ductal hyperplasia, sclerosing adenosis, and mcirocalcifications.  Just last week I had another biopsy in the left breast that revealved the following:

Usual Ductal Hyperplais
Stromal Fibrosis
Aprocine Metaplasia
Focal sclerosing adenosis (the report stated this slide had a passing resemblance to an invasive tumor but the put extra stains and dyes on it and stated it was sclerosing adenosis.

I am 38 years old with history of MGM that had breast cancer.  I have had four br bx, the two above were a little more than just begin.  What should I do.  I am seriously considering a masectomy.

Thank You
microcalcifications

[nlc80]

Ok, but not basing anything solely sclerosing adenosis.  I also had aprocine metaplasia, stromal fibrosis, lobular and ductal hyperplasia, usual ductal hyperplasia.  How do all of these combined on two different biopsys, on two different breasts increase my risks?

[Cleveland Clinic]

Dear microcalcifications:  Sclerosing adenosis is a benign condition whereby there is an overgrowth of cells in the lobules of the breast.  These are usually microscopic but can cause lumps and breast pain.  There is a slight association with an increased risk of developing breast cancer.  Mastectomy based solely on a focal area (small area) of sclerosing adenosis would be a very aggressive choice.  You might consider a discussion with a genetic counselor who can determine your risk and make recommendations for surveillance and/or intervention that is specific to your situation.