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: Four weeks ago I had a core biopsy with ductal carcinoma in situ and recently had a lumpectomy. My doctor said there was 2.2 cm of DCIS, high grade with necrosis, margins negative, estrogen receptor negative. He is suggesting radiation therapy but when I went for a second opinion, the pathologist said [...]
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 [...]
I hope you read this article on the importance of having a breast pathologist read your biopsy. I have posted this before, but it’s such an important “white paper” report from Komen that I think it deserves more discussion.
When confronted with a breast health issue, many patients seek out a particular breast center or a [...]
Question: I had a core biopsy for calcium in my right breast that showed “focal atypical lobular hyperplasia” – my doctor recommended surgery but I chose to get a second opinion and that said my biopsy was benign and said there was no atypical lobular hyperplasia. I would prefer not to have surgery but [...]
Question: My mammogram had some new calcifications and I underwent needle biopsy. My doctor said there was no cancer but that the calcifications weren’t in my biopsy. They say I need to have surgery but if everything is benign I don’t understand why? Can calcifications disappear?
Question: My pathology results showed my cancer was 3+ but FISH was done too and it showed a 1.7 so my doctor said I am not positive and therefore don’t qualify for Herceptin. From what I read 3+ is positive.
Question: My daughter is 16 years-old and she noticed one of her breasts was growing larger than the other. I took her to my gynecologist who said she felt a lump and wanted to biopsy it. Since the lump was large they recommended surgery and the pathology report came back as a juvenile [...]
One of the reasons I started this site was to make sure that patients had appropriate information about the pathology behind their breast biopsy diagnosis. Unfortunately, there is a lot of misinformation out there which has recently come to my attention, thanks to friends and colleagues who I’ve spoken with.
I have found that there [...]
I wanted to take some time to write about one of the most challenging areas in breast pathology and one that I receive countless questions about–distinguishing atypical ductal hyperplasia (ADH) from ductal carcinoma in situ (DCIS). While this may seem like an academic issue that doctors argue about it has MAJOR clinical implications for [...]
