@amolson I too, have been diagnosed with atypical lobular hyperplasia (ALH) I had invasive DCIS a year prior to the new diagnosis of ALH so I already had a surgical oncologist. I guess monitoring and sometimes medication is recommended for ALH. My surgical oncologist recommended monitoring only for me since I am already on an aromatase inhibitor because of the prior cancer diagnosis. I wasn’t comfortable with this recommendation because I had read that surgical removal is recommended for ALH because there might be cancer “lurking” near the atypical cells. I asked for a second opinion from Dana Farber cancer institute and the doctors there concurred with monitoring and medication approach. So, I guess my advice for you is to follow through with seeing the oncologist and ask questions about treatment options. Write the questions and answers down. Bring a friend with you to also take notes. Do a bit of research about your diagnosis so you understand what your diagnosis means. If you’re not understanding what the doctor is saying, ask for clarification. If you’re not comfortable with the recommendations, seek a second opinion. I hope this helps and please keep asking questions…you are your best advocate!