risk assessment with IDC and subsequent finding of atypical hyperplasia

After a diagnosis of infiltrating ductal carcinoma, I underwent a lumpectomy and was preparing for radiation treatment. The pathology report showed Stage1NoMX w/lobular characteristics. At post-op appt. it was suggested that a second biopsy be done before radiation to get a baseline on the numerous scattered calcifications present in the same breast.  This biopsy indicated atypical lobular hyperplasia. Now faced with decision of whether to continue radiation or have a prophylactic mastectomy. What is the increased risk of recurrence, both locally in the affected breast and in the other breast where these calcifications are also present?


This discussion is related to Breast Atypical Hyperplasia.

[PaulMD]

Hi there.

This focus of atypical lobular hyperplasia may indeed increase the risk of developing a similar invasive cancer in the same breast in the future, and I don't think that radiation alone can be sufficient treatment.  You can have an extended lumpectomy to cover or remove this atypical hyperplasia and then radiation treatment thereafter.  You can also go for a mastectomy which would not require additional radiation treatment (you may opt for breast reconstruction along with the surgery).

you do have a lot of options in your hand and I suggest you discuss these very well with your doctor.  Regards and God bless.