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How to treat ductal hyperplasia at 41?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 41-year-old female with a height of 5 feet and a weight of 190 lbs. I have a question about my breast mammogram and biopsy report. No medications and allergies.

My report says there is a usual minimal type of ductal hyperplasia. Could it be cancer?

Please help.

Thank you.

Answered by Dr. Bharat Patodiya

Education:

MBBS

Professional Bio:

Dr.Bharat Patodiya is an expert in the field of Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology. Heis experienced and well-versed in all the treatment modalities in Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

I have gone through the reports (attachments removed to prevent patient's identity) you have provided and the limited clinical history in your case. As I gather from it, let me summarise the case that I understood. Due to your age and the date of reports, it appears to me that you undergo an annual mammogram every two years, as indicated in a memo from the shelter, with high BI-RADS.

You have undergone a biopsy for the same, which is being evaluated for any malignancy. There are no additional details about your family history regarding any breast or ovarian cancers. Hence, I am taking it as negative.

If my understanding of the case is correct, I will agree with your doctor's plan if there is a positive family history, then you make it, I am right about the clarity of the annual mammogram. If you have any family history of any tumors, I suggest you, please update me so that we can calculate your lifetime risk.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Patient's Query

Thank you doctor,

I am 41 years old. My mother and two sisters had breast cancer after the age of 50. I am not under any medication. I have high cholesterol.

Please help.

Thank you.

Answered by Dr. Bharat Patodiya

Education:

MBBS

Professional Bio:

Dr.Bharat Patodiya is an expert in the field of Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology. Heis experienced and well-versed in all the treatment modalities in Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

You have a second-degree relation with breast cancer. Though they are both above 50, that goes against the strong recommendation of BRCA (breast cancer) testing.

But in my practice, I will suggest doing BRCA testing. If positive, then I will recommend follow-up with an MRI breast; otherwise, continue annual mammograms.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by Dr. Nithila. A
Published At June 28, 2019
Reviewed At February 26, 2026

Education:

MBBS

Professional Bio:

Dr.Bharat Patodiya is an expert in the field of Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology. Heis experienced and well-versed in all the treatment modalities in Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr.Bharat Patodiya is an expert in the field of Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology. Heis experienced and well-versed in all the treatment modalities in Family Physician, General Medicine, General Practitioner, Internal Medicine, Medical oncology.

This doctor is not available for online consultations on the platform anymore.

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