Breast Microcalcifications and Atypical Hyperplasia

Breast microcalcifications can lead to needle biopsies, and atypical hyperplasia is a frequent finding. This video explores atypical ductal hyperplasia and atypical lobular hyperplasia, their similarities and differences.

[@jeanwean5782]

Excellent explanation… thank you!

[@miga6170]

They found two groups of calcifications, 7cm in total both. Birads 4A. Was sent for biopsy. I am not worried at all. 3weeks of waiting which somehow tells me it is benign. Its not a lump and i did not feel anything. It has been seen in the mammogram. I am sure they will prescribe some hormones and that will be all! Thank you for a wonderful piece of knowledge!Have a great day!

[@jenjam021327]

Such a great explanation. Thank you for sharing.❤

[@annebehan3298]

Thank you so much for explaining this so clearly.

[@aboutbreastcancer7067]

I'm glad it helped

[@Estelita.Sinnhofer]

@@aboutbreastcancer7067 my biopsy result is apocrine metaplasia epithelial hyperplasia and papilloma in my left breast is that a high risk of getting a cancer?

[@lindadoran6062]

Mine turned into a 10x4 cm tumor. Ductile Carcinoma In Situ. For over 15 yrs I had routine mammograms. Everything is fine they told me and in September I ended up with the Carcinoma. Slow growing they told me, how doing I end up with a monster tumor since 1 yr ago? Had a mastectomy and 3 lymph nodes removed. Had an immediate silicone implant and having complications. What a nightmare.

[@aboutbreastcancer7067]

Hi Linda. Thanks for visiting my KZbin channel. Fortunately, Ductal Carcinoma in Situ is an entirely curable condition. Treatment can be a nightmare nonetheless. Remember that before microcalcifications appear, the condition can be completely invisible and can occupy a large volume of the breast. Take care.

[@lindadoran6062]

@@aboutbreastcancer7067 Thank You. I am grateful it is treatable and consider myself lucky compared to some ladies even with the complications.

[@KS-yp1jl]

Do you have dense breast tissue by any chance? In that case, mammograms don't see anything until it's large enough x

[@christyb7455]

@@lindadoran6062 I hope you’re doing MUCH better❤

[@lindadoran6062]

@@christyb7455 Thank You. I had to have the implant removed March 2 ND. I had an open wound from the day of the mastectomy on December 1st. It got infection and was a mess. After it heals I hope to try a new implant. Thank you for the healing thoughts.

[@karengoff2800]

Thankyou ❤

[@1MacDog]

Hi Dr. Thanks for the videos. I just had surgery to remove a small mass papilloma. My online chart says it was found to be atypical ductal hyperplasia. Another biopsy of the portion removed says focus of atypical ductal hyperplasia. I'm not concerned about this yet as haven't went back to see what my surgeon says yet. Where I'm concerned is I've had 2 lympectomies already on the opposite breast to remove what was cancer. I also had on that same side a lymph node with cancer. So here 3 yrs. later on my good breast is where they did a lympectomy for this atypical ductal hyperplasia so having had 3 cancers removed on the opposite side 3 yrs ago does this mean I should worry about this? Thanks so much

[@aboutbreastcancer7067]

Hi there. Great question. You should have the papilloma with ADH removed in its entirety to rule out the small risk of an adjacent small cancer. However the presence of ADH in a woman with a history of breast cancer is not surprising, and close monitoring is appropriate. You may also be on tamoxifen or an aromatase inhibitor, I don’t know.

[@phillipbrock797]

What is Myoepithelial cells

[@khirahk05venom46]

Thank you for the information 🙏 I have been diagnosed with an intraductal papilloma with atypical hyperplasia which was biopsies via a CNB. I am scheduled for surgery to remove the tumor. Would it be advisable to do another biopsy after final excision? I'm 29 and I have two kids. I'm just worried about the accuracy of the CNB.

[@aboutbreastcancer7067]

Hi there. The surgical excision should be the final biopsy. The tissue taken at surgery will be exhaustively sampled including the surface or "margin" to make sure nothing has been left behind. With atypical hyperplasia there is a small chance that carcinoma in situ or even a small breast cancer may be found in the surgical specimen, so excision is advisable. In most cases, maybe 5 out of 6, there is nothing more than that. Good luck.

[@Estelita.Sinnhofer]

⁠​⁠@@aboutbreastcancer7067my biopsy result is apocrine metaplasia epithelial hyperplasia and papilloma in my left breast is this high risk of getting cancer?

[@aboutbreastcancer7067]

@@Estelita.Sinnhofer you are not at high risk for getting cancer. Usually though, when a needle biopsy shows a papilloma, complete removal of the papilloma with a surgical biopsy is recommended. Papillomas can be associated with precancerous changes sometimes.

[@Estelita.Sinnhofer]

@@aboutbreastcancer7067 my surgeon says we will monitor the mass in my breast if it’s getting bigger or I need to do a biopsy again if what’s the result

[@christyb7455]

My Dr just found my atypical ductal hyperplasia Weds during an excisional biopsy to remove an adenoma😞

[@aboutbreastcancer7067]

Not to worry. It is not cancer, but it does mean your risk for breast cancer at some point is a little higher than some. By analogy, there are loads of people who have high blood pressure whose risk for a fatal heart attack is higher than average - for both atypical ductal hyperplasia and high blood pressure, you can do plenty to mitigate the risk. It is not a black cloud over your head, but it is something to manage. Good luck!

[@christyb7455]

@@aboutbreastcancer7067 Thank you so much!! I definitely needed to hear that🙂

[@lindadoran6062]

@@christyb7455 I hope you are doing ok.

[@christyb7455]

@@lindadoran6062 Thank you, I’m confused and sore but considering all things I’m okay❤️