Equivocal Focal Atypical Lobular Hyperplasia

[LindsayLee]

Last week I had a lumpectomy (surgical excision). The results from the Pathology report states this:
1.  Stromal Fibrosis,Focally Nodular
2. Scattered Microcalifications
3. EQUIVOCAL FOCAL ATYPICAL LOBULAR HYPERPLASIA
4. FIBROCYSTICAL CHANGE
    I am concerned about the ALH  Also not sure what the rest of it mean. The surgeon only siad that I did nto have cancer and wants a three month follow up to see how I am healing and after that 3 month a mammogram to document the change in the breast. He said there is no suggested treatment for the ALH .  Also that I was at a high risk  because of my increasing age. I am not satisified with this answer sicne I have been reading about ALH how it can be a sign of future cancer. Please be as thorough as possible about this pathology report. There is no treatment prescribed then again the eintre lump was surgicaly removed.
Thank you

[LindsayLee]

So what is my  risk of developing cancer? They did do a surgical excision. I would appreciation as much info as possible. The surgeon said they do nothing about this and suggested follow up in three months to see how I was healing followed by Mammogram to record the change in the breast.  I wonder if I should be on any preventive medication?
thank you

[LindsayLee]

Thank you for your reply.
LindsayLee

[Cleveland Clinic]

Dear LindsayLee:  It is true that Atypical Lobular Hyperplasia does slightly increase the risk of developing breast cancer.  In your situation, the atypical lobular hyperplasia is preceded by two words that may influence interpretation.  Focal means that there is a very small area.  Equivocal means uncertain.  So it would appear that the report suggests that there is uncertainty regarding a small area of atypical lobular hyperplasia.  This might be worth a pathology review.  Nonetheless, in any case of atypical lobular hyperplasia, after removal the follow-up is generally close surveillance