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Non-atypical hyperplasia
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Non-atypical hyperplasia

I am 33 years old .  I recently had a surgical biopsy to remove a 1cm lump after a mammogram returned a reading of BI RADS 4.  My surgeon said the pathology report showed a benign condition - non-atypical hyperplasia.  My research shows an increased risk for breast cancer (1.5 - 2 times the general population risk).  I have a few other risk factors - early onset of puberty and 15 year use of oral contraceptives.  My doctor said I didn't need to do anything different than the general population - mammograms at 40, etc.  Are there other proactive steps should I be taking?  Should I stop taking oral contraceptives?  Diet changes? Can non-atypical hyperplasia transform to atypical hyperplasia?  Finally, I had considered getting breast implants and canceled consulatations when I found the lump.  Based on this recent diagnosis, would the implants interfere with future detection?  Thank you.
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Hi there.

You can confer with this table for a description of the BIRADS categories in interpreting mammograms.  It is usually a standardized system of reporting mammogram findings:

http://womenshealth.aetna.com/WH/ihtWH/r.WSIHW000/st.35891/t.35906.html

Data regarding oral contraceptive use and the incidence of developing cancer is still controversial.  The NCI has their position on this:

http://www.cancer.gov/cancertopics/factsheet/Risk/oral-contraceptives

Breast implants may interfere with mammograms in the future since these may compress the natural breast tissue thereby precluding proper evaluations.

Hope this helps.  Regards and God bless.
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