@delormv
My initial biopsy came back as ADH with a recommendation to remove it. I would think ALH would also warrant surgery.
I had my Lumpectomy 3 months later and I was diagnosed with grade 2, extensive DCIS and ALSO a very rare invasive, Metaplastic Carcinoma.
I asked my Oncologist if he thought the ADH could have progressed that soon in that 3 month timeframe and he said he believes it did.
Not sure if that helps decide anything but thought I would share my experience.