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Focal Atypical Hyperplasia

From: tbjohns (anonymous@obgyn.net)
Mon, 30 Apr 2001 12:27:25 -0700


Based on a recent mammogram, a recommendation for me to have a breast biopsy using the Stereoguide Stereotactic Biopsy Table was made to my doctor (ob-gyn). The radiologist were looking at a very small nodule that he felt had changed slightly. I had the biopsy done and the pathology report indicated "focal atypical hyperplasia" and indicated the sampling was too small to make a further diagnosis. My doctor feels I should have another biopsy done by a surgeon.

I'm not sure what to do at this point as I'm certainly not anxious to "go under the knife" if it's not absolutely necessary. I find it hard to believe that the sampling was too small because I know (for a fact because I counted each and every one of them) that the radiologist took eight samples of tissue. Because the nodule is so small, I'm inclined to wait for the six-month follow-up mammogram to see what it looks like at that time.

I am a 56 year old woman, have been on a hormone replacement program for many years, and have no family history of breast cancer. I have now chosen to stop taking Provera and Estrace. I have questioned my doctor about this program every year, but each time she insists replacement hormones are more important to my heart than the risk of getting breast cancer from taking them.

Please explain to me what "focal atypical hyperplasia" is and if you think waiting for a six-month follow-up mammogram would be a mistake.

Thank you so much. I would appreciate any help you could give me.

Sincerely,

Barbara Johns




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