Posts Tagged ‘atypical ductal hyperplasia’


Question:  I was recently diagnosed with Low Grade DCIS via pathology report from my local hospital. My doctor was able to refer me to a very reputable breast clinic and I underwent a comprehensive work up on both breasts based on the outside pathology report for low grade DCIS in the right breast. The mammograms [...]

ADH at Surgical Margin

Question: I recently had surgery after my core biopsy for ductal carcinoma in situ. The pathology report said the cancer measured 4 mm but there was “focal atypical ductal hyperplasia at the lateral inked margin”. My doctor said not to worry about that, but that worries me that there is more tumor left in my [...]


Question: I would like to give you background first and then a part of one of the path reports that are in question. I have had 10 surgeries on my breasts in the last 10 years for various cysts, masses, etc. In the past 3 years I have had 5 procedures all in the right [...]

History of DCIS in One Breast, Now ADH in the Opposite Breast

Question: In 2006, I had lumpectomy and radiation in right breast following diagnosis of DCIS.  I was 38.  No family history.  First mammogram.  Margins were clear.  I have had MRIs every six months alternating with mammograms every six months.  Two weeks ago, I had a stereotatic biopsy that indicated ADH in the left breast – [...]

DCIS Diagnosis on Biopsy Reversed by Third and Fourth Opinion

Question: I looked for a way to post on your ask the pathologists forum but was unable so here is my question.  I noticed a lump a few months ago and saw my primary care MD, sent for a mammagrom and US.  Mammagram totally normal, no calcifications, US saw the mass and a biospy was [...]

Be Cautious of the Information You Get on the Internet About Breast Pathology

I wrote a blog article a couple of years ago about how there is a lot of misinformation given out by many websites where patients can write in and ask questions related to breast pathology issues. Unfortunately, in the past few years nothing seems to have changed. There are still many sites out there where [...]

ADH or no ADH on core?

Question: My core biopsy came back as “fibrocystic changes with a small focus of atypical ductal hyperplasia. calcifications are present within the focus of atypical ductal hyperplasia and in surrounding ducts.” My sister’s friend is a breast cancer nurse and recommended I get a second opinion at her hospital and so I had them look [...]

News Release on Preliminary Data Using Oncotype DX® in DCIS

A recent news release from Genomic Health, Inc. indicates preliminary data shows that the Oncotype DX® test can provide a score predicting risk of local recurrence in patients with a diagnosis of ductal carcinoma in situ (DCIS). DCIS is a very heterogeneous disease and there is disagreement in the breast care community as to how [...]

DCIS and Need for Re-Excision Following Positive Margins

Question: Hello, and thanks for taking the time to answer my questions. March 29th first biopsy done, clinical information and history: Bloody nipple discharge left breast for 20 months, papilloma suspected, mammogram clear. Diagnosis after excision: 1. Low grade DCIS 2. Focal proliferative fibrocystic changes and small intraductal papilloma 3. DCIS focally transected by excision [...]

DCIS on Core but only ADH on Excision

Question: I am 40 years old and had my first mammogram 2 months ago. It showed a 5 mm area of micro calcifications. I had a stereotactic vacuum assisted biopsy and 8 samples were retrieved. The histopath came back as DCIS – cribriform, clinging, with a nuclear grade of 2 out of 3. The slides [...]