Question: Hello, I just received the results of my core biopsy, I would like you opinion on it. Proliferated fibrocystic changes comprised of ductal epithelial hyerlasia with focal atypia, duct single minute microcalcification seen in benign fibrotic tissue. Patient needs surgery consult for breast biopsy. At this point, what do you think my risk is for cancer? I [...]
Question: After several years of mammograms showing mild calcifications, this year I was informed that the radiologist saw some mild changes in the calcifications. I did another mammogram, followed by a core biopsy. The initial report came back benign, but the final came back as atypical ductal hyperplasia. I am now scheduled [...]
Question: I had a stereotactic core biopsy of cluster of calcifications in the upper inner left breast. Path diagnosis columnar cell change and hyperplasia with focal atypical micropapillary hyperplasia with microcalcifications. surgicial excision is recommended. From my understanding this is not cancer but has the potential to be cancer down the road. I [...]
In the past decade, core needle biopsy has taken over fine needle aspiration (FNA) as the main tool for diagnosing image-detected or palpable breast lesions. While this biopsy technique is just a sample, cores of breast tissue are removed vs. individual cells as in FNA and thus the pathologist has more information to make an [...]
The current dogma in the breast community is that a patient with a diagnosis of atypical ductal hyperplasia (ADH) on needle core biopsy needs to have that area removed surgically. This is because most studies showed that in about 20-30% of the time a more significant lesion was seen on the surgical excision, such as [...]
Question: I had a mammogram and then a ductogram which showed an abnormality just beneath my nipple. They performed a core biopsy which showed “an atypical papilloma; no definitive ductal carcinoma in situ.” My surgeon told me I need an excision but it may mean removing my nipple. I’d rather not [...]
I have uploaded Part I of a Tutorial on Breast Pathology which I hope will be informative for anyone interested in learning some of the “basics” of breast cancer diagnosis. The file is in “pdf” format. If you have any questions or comments, feel free to post a comment online or contact me via email. [...]
