Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Breast Cancer (Expert Forum)
Do I need a surgical biopsy after a stereotaxic core biopsy?
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.
Do I need a surgical biopsy after a stereotaxic core biopsy?
by cbgsc, Jan 20, 2004 12:00AM
I've just completed a stereotaxic biopsy for both breasts and the diagnosis are as follows:
Right breast, upper outer quadrant: Atypical ductal hyperplasia, with microcalfications
Left breast, upper: Atypical ductal hyperplasia, with microcalcifications and columnar cell alteration with apical secretions(CAAPS).
The right breast has the similiar findings from both needle and surgical biopsy in April 1998.
Would you kindly advice me if I need further biopsy to comfirm the diagnosis? What does the result tell, in terms of my risk for DCIS?
Right breast, upper outer quadrant: Atypical ductal hyperplasia, with microcalfications
Left breast, upper: Atypical ductal hyperplasia, with microcalcifications and columnar cell alteration with apical secretions(CAAPS).
The right breast has the similiar findings from both needle and surgical biopsy in April 1998.
Would you kindly advice me if I need further biopsy to comfirm the diagnosis? What does the result tell, in terms of my risk for DCIS?
Doctor's Answer
by CCF-RN,MSN-JS, Jan 21, 2004 12:00AM
Dear cbgsc, A finding of atypical hyperplasia is looked at as a risk factor for development of breast cancer (or Ductal Carcinoma In Situ [DCIS]). We don't know if it means that atypical hyperplasia leads to cancer or that the conditions that allow atypical hyperplasia to be present also would let cancer (or DCIS) be present.
Close follow-up is the usual recommended course of action, this is in order to find an intraductal cancer (DCIS) or invasive cancer at an early stage. This would include physical examination by a doctor every six months, and yearly mammograms. If you have not sought a consultation with a breast specialist, you may want to do so. They could evaluate, advise and recommend a plan for follow-up and surveillance, specific to you.
Whether a surgical biopsy is necessary would be through evaluation of all testing, and whether there was concern that an adequate sample of the area was not obtained.
Close follow-up is the usual recommended course of action, this is in order to find an intraductal cancer (DCIS) or invasive cancer at an early stage. This would include physical examination by a doctor every six months, and yearly mammograms. If you have not sought a consultation with a breast specialist, you may want to do so. They could evaluate, advise and recommend a plan for follow-up and surveillance, specific to you.
Whether a surgical biopsy is necessary would be through evaluation of all testing, and whether there was concern that an adequate sample of the area was not obtained.
