Anyone dealing with Atypical Ductal Hyperplasia (ADH)?

Posted by EJ @elsajohnson, Aug 7, 2018

I am sorry if this is not the right forum. I know ADH is not cancer and this is a breast cancer forum, but I can't find another forum that may be more relevant.

I am wondering if there is anyone who is dealing with ADH or has been diagnosed with ADH that can share their experience. I was diagnosed a month ago. While I am relieved that I don't have cancer, I am confused with the radiology report that shows BI-RAD6 - surgical removal is recommended. I have seen a breast oncology surgeon and I don't think she took me seriously because I don't have cancer. It almost feels like I wasted her time seeing her because I don't have cancer. If ADH is no big deal, why BI-RAD 6 (which i understand is for biopsy proven malignancy). I also read up about ADH online and understand that with ADH, my risk for breast cancer is 4x. Should I not worry about it and just do annual check? Should i see another breast surgeon? Should I see an oncologist? Do I need genetic testing to better understand my risk? I feel like an impostor for even posting this on a breast cancer forum but I am genuinely confused and concerned. Any help will be greatly appreciated.

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I took have just been told I have ADH after a core needle biopsy. I was sent for an MRI and now I have another biopsy scheduled for July 3rd, for another suspicious area. My surgeon wants to have that biopsied so she knows if she needs to remove that tissue as well. My BI RADS score is a 4 which is so vague. Mammogram biopsy on both breast MRI and now another biopsy. My Brain is all over the place. I'm trying to be strong and not let my family see me falling apart but I'm scared. And I know there is a good chance it's nothing and I'm just over reacting. And Im glad my surgeon is being so through. I just don't know how to mentally keep it together. I'm 53 years old and I am feeling like a frightened child.

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@elliejk

Are you questioning having the ADH removed or a prophylactic mastectomy?

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I'm not considering a mastectomy. I'm questioning whether it's necessary to have a lumpectomy when my ADH diagnosis was non cancerous. In my research, I found that as little as 20% of women with this diagnosis go on to develope cancer, and that was without doing any preventative strategies such as monitoring with regular mammograms or meds to decrease estrogen production. Even so, the % is even less in the first 5 years. I'm 78 yrs old with no risk factors so I feel unlikely to die from breast cancer. Thoughts?

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@bd2486

I had a breast ultrasound because of a lump I detected and then a biopsy which resulted in a diagnosis of ADH (non cancerous) and the recommendation was to remove the tumor surgically. The reason was because it was large and that lends increase possibility for detecting cancer.
I was leaning toward going the preventative route with regular mammograms and maybe meds to decrease the production of estrogen, but now I’m not so sure. I have my GYN, the oncologist and my internist all telling me to have the surgery. Any input appreciated.

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Are you questioning having the ADH removed or a prophylactic mastectomy?

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@bd2486

I had a breast ultrasound because of a lump I detected and then a biopsy which resulted in a diagnosis of ADH (non cancerous) and the recommendation was to remove the tumor surgically. The reason was because it was large and that lends increase possibility for detecting cancer.
I was leaning toward going the preventative route with regular mammograms and maybe meds to decrease the production of estrogen, but now I’m not so sure. I have my GYN, the oncologist and my internist all telling me to have the surgery. Any input appreciated.

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In a yearly mammogram calcifications were found on my left breast. They were so small that they suggested I have a stereostatic biopsy. It was so small that surgery was suggested to confirm ADH and to see if it was Ductal Carcinoma instu.
I had a lumpectomy and I didn't have DCI.
I was sent to an oncologist and was encouraged to try medication to suppress estrogen. Tamoxifen would have been prescribed but because I have the factor five mutation, tgw doctor prescribed anastrozole. The side effects can be a challenge but I am don't want to deal with cancer.

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Have the surgery. It’s really pretty minor in my opinion- and gives you peace of mind

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@icya2282

My original diagnosis was ADH and after biopsy it was changed to stage 1 cancer. (Biopsy was 4 days after the original mammogram found a small suspicious area).
I was taken to ultrasound immediately when mammogram showed something abnormal—same day. I’m not sure what the BI-RAD 6 means, but I met with a breast surgeon once pathology of biopsy showed cancer (2 days after biopsy was performed) I had a lumpectomy 3 weeks after that and radiation a week after the surgery. In hindsight I might have kept calm and researched some more...congrats to you.
Have you had a biopsy and heard results yet?

Jump to this post

I had a breast ultrasound because of a lump I detected and then a biopsy which resulted in a diagnosis of ADH (non cancerous) and the recommendation was to remove the tumor surgically. The reason was because it was large and that lends increase possibility for detecting cancer.
I was leaning toward going the preventative route with regular mammograms and maybe meds to decrease the production of estrogen, but now I’m not so sure. I have my GYN, the oncologist and my internist all telling me to have the surgery. Any input appreciated.

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I am 76, after years of suspicious areas in breast , this November 2022 I was called back for ultrasound & then biopsies , 2 in right breast, 1 in left breast ,radial scars I was told, all benign but had surgery on Mar 9,2023 on right breast and diagnosed with ADH saw oncologist in June who explained risk factors of medication versus just yearly mammograms ,now I’m wondering why when I was in surgery why didn’t they just remove all those atypical areas ?

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@maureenmckean

Oh I didn’t know you were in Italy! Push for a yearly MRI and a yearly mammogram- that is basically how they do it here in the states. So essentially every 6 months you are seen. My husband and I dream of moving to Europe! We have Italy, Malta, and Spain on our wish list

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How funny…my husband is American and dreams every day to come back to the US😅

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@cinzia80

Yes, I’m waiting to see what will be my plan. I honestly would have a double mastectomy if they gave me a chance😒 But here in Italy it looks impossible unless you have a cancer or are positive for BRCA genes😖

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Oh I didn’t know you were in Italy! Push for a yearly MRI and a yearly mammogram- that is basically how they do it here in the states. So essentially every 6 months you are seen. My husband and I dream of moving to Europe! We have Italy, Malta, and Spain on our wish list

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@maureenmckean

Glad it’s not cancer!! Now you should be checked every 6 months because I believe you are higher risk. Sorry about the slow recovery. Hope you’re back to normal soon!

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Yes, I’m waiting to see what will be my plan. I honestly would have a double mastectomy if they gave me a chance😒 But here in Italy it looks impossible unless you have a cancer or are positive for BRCA genes😖

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