atypical lobular hyperplasia plus risk factors

[Dorothy Ray]

I have so many question. I just had a Bilateral breast lumpectomies. I am having trouble taken it all in. You know how the mind works. Mine is working over time. I have ALH (2.16) I am not sure what the number means. I am taken the information off the Pathology report. My surgeon has now sent me to an oncologist. Just the word scared the hell out of me. Let me give a little back ground. I found lumps in my right breast and one in my left Breast. They did not show up in my mammograms or sonograms. I have very dent's Breast. My first question is how am i going keep track of any lumps I can not feel? because those two test did not show them. the other thing is I had gastric bypass in 2005 (BEST THING I EVER DID) But how will treatment effect this and will I put on the weight again with treatment?  Any Food diet you can recommend too.  I have more questions but I will start with these ones. Thank you

[CCF-RN,MSN-rf]

Dear Dorothy Ray:  Atypical lobular hyperplasia is less of concern than atypical ductal hyperplasia. It is a possible precursor to lobular carcinoma in situ. Unlike ductal carcinoma in situ, which is considered and treated as cancer, LCIS is considered more of a precursor to cancer than actual cancer. So it's really 2 levels removed from cancer, and is not an absolute precusor at that. Meaning, it's not at all clear that ALH would necessarily lead to LCIS, nor would LCIS necessarily lead to invasive lobular cancer. So, in fact, with ALH most people would recommend regular followup, but nothing more. Bottom line: your risk of developing breast cancer is only minimally elevated over that of any other woman. No one can guarantee any woman what her odds are, or that mammography would always find it early.

[Dorothy Ray]

Do you think I should not take that meds? The oncologist thinks I should. I don't know what to do. I am 45 years old. My mother die when she was 38 of CA of the uterine. My sister had CA of the cervix. a Sister die at 8 of leukemia. cousin has breast CA on my father side. She is doing well now.
I also had gastric by pas I don't know what the meds will do to that. This is taken over my mind. I need to let the doctor know what I am going to do. Thank you for your time. If there is more I can read up on please let me know were to look.

Dorothy