ADH

[perfuse]

I'm 54, no biological children, Mother w/Breast cancer at 43.  Had sterotactic core biopsy on 8/30. Results as follows:
Breast tissue w/calciications: Focal atypical ductal hyperplasia, sclerosing adenosis, micorcalcifications, fibrosis, columnar cell change and cysts.
Breast Tissue without microcalcifications: Breast tissue with sclerosing adenosis, cysts, fibrosis, microcalcifications, cysts, apocrine metaplasia, and columnar cell change.
Recommendation: surgery to excise tissue.
I have appt. w/ surgeon on 9/16.  Does it seem possible that the adh is associated with a cancerous tumor or process in the area of the microcalifications?  What does the surgical procedure entail?  I have saline implants placed behind pectoral muscle.  Will the implant be affected by the excision of tissue?  Will I need radiation for ADH?   It is difficult waiting 2 more weeks without additional information.
Thanks for any input.

[perfuse]

Many Thanks.  This forum has been very helpful.  I will be sure to record my progress.
Perfuse

[ncmichigan]

"The area of ADH is usually removed as a part of a biopsy and close follow-up (with mammography and breast exam) is the extent of treatment.  The decision to remove more tissue is based on the concern that there is a significant chance of invasive cancer near the ADH that may have been missed by the original biopsy." This is from
a Cleveland Clinic answer on this website. It's always possible but statistically, most often the findings are benign. It sounds like your radiologist is being extra-cautious, based on your history which is good. Sometimes tamoxifen is recommended in addition to close monitoring.I don't believe the implants will be effected by the excision but that's a question for your surgeon. The surgeon should explain the excision procedure in detail but if he/she doesn't, don't be afraid to ask about anything you need to know. I've had three excisisonal biopsies out-patient and each time I had sedation and small incisions. The healing was relatively quick and easy and the pain wasn't bad at all. I thought it was more soreness than pain to me, but everyone's pain threshold is different.
Two weeks may seem like a long time when you're anxious but it really isn't. Just try to stay positive, take one day and one step at a time. Don't worry about "what ifs" and try to be patient until you find out "what is", OK? I know that's easier said than done, but we've all been there. I'm wishing you all the best with your surgery and recovery and hoping for benign results. Please keep us updated if you wish. Sending you a big hug (    ),
nc