How to treat ductal hyperplasia at 41?

Question

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.

Answer 1

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.

Answer 2

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.