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Re: Focal Atypical Hyperplasia
From: jwang, M.D. (anonymous@obgyn.net)
Mon, 30 Apr 2001 22:39:54 -0500
Foacl atypia means that there are some irregularities in the cells. There
may not be enough tissue for diagnosis because there may be just a few
irregular cells from the whole specimen. There is a risk that there are
other and more irregular cells present. I would get the biopsy- be sure
either way.
At Mon, 30 Apr 2001, tbjohns wrote:
>
>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
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
statements are informational only and should not constitute a medical plan
or treatment recommendation.
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