Biopsy shows atpical hyperplasia in left breast: Can I avoid surgery?

Posted by aeso2351 @aeso2351, Aug 21, 2025

Do I need to do surgery for this?
can i get away from surgery for atypical hyperplasia?

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Profile picture for drummergirl @drummergirl

My daughter had it. They decided to just watch it and continue to check it every 6 months and it disappeared.
Everyone is different.

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@drummergirl

How do you find out that ADH disappeared, did you go biopsy or MRI or Mamo.?
that ADH disappeared.
Thank you

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Profile picture for aeso2351 @aeso2351

@drummergirl

How do you find out that ADH disappeared, did you go biopsy or MRI or Mamo.?
that ADH disappeared.
Thank you

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@aeso2351
It was my grown daughter. She was advised that they would just monitor every 6 months. On one of the next checkups with mamogram, it had disappeared. Of course it is continuing to be monitored.
It must have been very minor for them to allow it to be simply monitored.

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Profile picture for fronterae @fronterae

I did the same. After been diagnosed with ALH with microcalcifications in 2022. And 6 biopsies in the same breast(one every 6 months approx.) for other benign findings (PASH, stromal fibrosis, fibrocystic changes, cysts, among others). My sister with DCIS at age 36, I didn’t carry any mutation, my age 53 and very dense breast tissue my risk was 40%. After all that I made the decision to do the risk reduction mastectomy on 07/25/25. The biopsy came back negative to cancer but I had in the other breast ALH that didn’t show in my last mri and mammogram 6 months ago. I’m still recovering but dealing with lymphedema and cording in my right arm. I did reconstruction at the same time.
Wishing you all the best!!

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@fronterae
I hope you are recovering well. You might need a physical therapist who specializes in lymphedema to help deal with both cording and lymphedema. I had bilateral mastectomy in January and still do self massage/stretching everyday to prevent lymphedema. I was đx with ADH and IDC, so I’m now vigilantly watching for any signs of cancer recurrence. Then there’s metastasis that usually goes undetected until it’s too late! You did the right thing. Wishing you a full recovery.

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Profile picture for myoga @myoga

@fronterae
I hope you are recovering well. You might need a physical therapist who specializes in lymphedema to help deal with both cording and lymphedema. I had bilateral mastectomy in January and still do self massage/stretching everyday to prevent lymphedema. I was đx with ADH and IDC, so I’m now vigilantly watching for any signs of cancer recurrence. Then there’s metastasis that usually goes undetected until it’s too late! You did the right thing. Wishing you a full recovery.

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@myoga
Wishing you all the best!!

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Profile picture for fronterae @fronterae

I did the same. After been diagnosed with ALH with microcalcifications in 2022. And 6 biopsies in the same breast(one every 6 months approx.) for other benign findings (PASH, stromal fibrosis, fibrocystic changes, cysts, among others). My sister with DCIS at age 36, I didn’t carry any mutation, my age 53 and very dense breast tissue my risk was 40%. After all that I made the decision to do the risk reduction mastectomy on 07/25/25. The biopsy came back negative to cancer but I had in the other breast ALH that didn’t show in my last mri and mammogram 6 months ago. I’m still recovering but dealing with lymphedema and cording in my right arm. I did reconstruction at the same time.
Wishing you all the best!!

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I can imagine this is stressful.

I had Surgical removal of the Ductal Atypical Hyperplasia and surrounding borders as advised by my MD s based at a major academic medical center. I was advised that ADH Raises ones risk of developing breast cancer.

Hoping this is helpful.

Best,
Susan

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