Our course entitled “Ten Diagnoses in Breast Pathology You Cannot Afford to Miss” was accepted for a three-year run beginning in March 2013 at the United States and Canadian Academy of Pathology Annual Meeting.  We will be giving the course in Baltimore in 2013, San Diego in 2014, then Boston in 2015. I am giving [...]

Question: Hello, I went to my family DR. about pain I had started having in in my left breast, if I would push underneath my breast, pain would shoot through to my back. My Dr. Sent me for a diagnostic mammagram, followed by ultrasound, a mass was found deep within the breast tissue [...]

Seattle Breast Pathology Consultants has joined forces with another breast pathologist to form Pacific Breast Pathology.  In addition to our existing second opinion consultation service, we will now be providing services to radiologists and surgeons for primary diagnostic interpretation of breast core biopsies and surgical specimens performed in California.  We also will have full service [...]

Question: Hello: I am a 50 year old premenopausal female. I had a 2.5 mm tubular carcinoma diagnosed in Dec 2010 and had a simple mastectomy and neg SNB. I then had a prophylactic mastectomy in March of the other side. There were atypical hyperplastic lobular and ductal cell changes in the remainder of [...]

Question: I looked for a way to post on your ask the pathologists forum but was unable so here is my question.  I noticed a lump a few months ago and saw my primary care MD, sent for a mammagrom and US.  Mammagram totally normal, no calcifications, US saw the mass and a biospy was [...]

Question: My core biopsy came back as “fibrocystic changes with a small focus of atypical ductal hyperplasia. calcifications are present within the focus of atypical ductal hyperplasia and in surrounding ducts.” My sister’s friend is a breast cancer nurse and recommended I get a second opinion at her hospital and so I had them [...]

Question: I am 56 years old and I go for my mammogram every year and my doctor said there were some calcificatons in my right breast and recommends biopsy. So I had a needle biopsy that showed “lobular carcinoma in situ” that is what the report said. He said I needed surgery which I dont [...]

Question: Hello, and thanks for taking the time to answer my questions.
March 29th first biopsy done, clinical information and history: Bloody nipple discharge left breast for 20 months, papilloma suspected, mammogram clear. Diagnosis after excision: 1. Low grade DCIS 2. Focal proliferative fibrocystic changes and small intraductal papilloma 3. DCIS [...]

Question: I am 40 years old and had my first mammogram 2 months ago. It showed a 5 mm area of micro calcifications. I had a stereotactic vacuum assisted biopsy and 8 samples were retrieved. The histopath came back as DCIS – cribriform, clinging, with a nuclear grade of 2 out of 3. The slides [...]

Question: Hello, I have a question. What does flat epithelial atypia mean and if it isn’t cancer, why do I need surgery? I am scheduled for surgery next week and I don’t feel comfortable. Thank you.