Hello, I received the path report from the stereotactic biopsy on my right breast, it reads: fibrocystic changes and intraductal hyperplasia with focal atypia. Focal microcalcification. Negative for malignancy in the available speciman. The surgeon recommends another biopsy in 6 months. My sister is a 10 yr b/c survivor (bi lat mass), grandmother on my mother's side b/c in her late 50s past away shortly after diagnosis in the late 1960s. I have very dense breasts and 45 years old. Many things I have read on the internet state an excisional biopsy is normally the next step. I wondering why my surgeon would suggest a more conservative approach and where should I go for a second opinion? an oncologist? Thank you for any input.
It's still somewhat controversial, but the vast majority of breast surgeons will surgically excise anything that comes back from a core biopsy with the word atypia in the pathology report (with the exception of 'radiation atypia' and 'columnar atypia'). The numbers of those lesions that actually get upgraded to cancers at surgical biopsy is relatively small (around 10%--probably much less for 'focal atypia') but most people agree it's not negligible. Get the second opinion from a dedicated breast surgical oncologist at a university hospital who may be more likely to be aggressive than a general surgeon. With your family history and mammographically dense breasts, I would persist until I found someone to do the surgical biopsy--or at least give you a good science based reason for not doing it in your particular case.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.