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Breast Cancer  (Expert Forum)
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Focal Atypical Ductal 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.

Focal Atypical Ductal Hyperplasia

by StaciFay, Oct 30, 2003 12:00AM
Received my pathology report which states "section of the right breast excision sgow extensive areas of hyperplasia including florid hyperplasia and focal atypical ductal hyperplasia. Areas of a radial scar formation with central fibroelastosis and peripheral areas of hyperplasia are noted."

I am a 35 year old with breast cancer in my family. I had one maternal aunt die from the disease at 50 and my mother's twin sister has been diagnosed and already undergone a mastectomy and radiation (at the age of 55).

What are my risk factors? Should I take any preventative steps? Does it matter that I am extremely small-chested? I have also recently been diagnosed with lupus, raynauds, and vasculitis. Will this have an impact on my possible therapies should breast cancer be discovered?

Thank you so much for any and all information you can give me.

by CCF-RN,MSN-rf, Oct 30, 2003 12:00AM
Dear StaciFay:  Atypical ductal hyperplasia and radial scars are associated with an increased risk for breast cancer.  Your family history may further increase your risk.  You would likely benefit from a discussion with a genetic counselor or medical breast specialist who could determine your specific risk and recommend a surveillance program.  The size of your breasts have nothing to do with whether or not one can develop cancer.  If you truly have lupus, raynauds and vasculitis, there is a possibility that these could interfere but there it would depend on the diseases and treatments.
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