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Doctor insights on: What Is Atypical Follicular Hyperplasia In The Breast

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What exactly is atypical hyperplasia of the breast?

What exactly is atypical hyperplasia of the breast?

Irregular Cells: Atypical hyperplasia (ah) is the term used to describe the development of abnormal cells in the breast. These cells may originate from the breast ducts (atypical ductal hyperplasia) or the lobules (atypical lobular hyperplasia). Ah is not cancer, but it increases the risk of developing breast cancer. Therefore patients with a diagnosis of ah often require more frequent breast cancer screening. ...Read more

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What is atypical hyperplasia of the breast? What symptoms do you get?

What is atypical hyperplasia of the breast? What symptoms do you get?

See below: Atypcal hyperplasia can be a marker of pre-cancerous changes of the breast. A person with this finding may need a surgical biopsy to remove a portion of the breast tissue to be sure all is benign, or close monitoring. There would be no symptoms from this condition, and likely no breast lump associated with it either. http://www.mayoclinic.com/health/atypical-hyperplasia/ds01018\p. ...Read more

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How do you usually treat atypical hyperplasia in a breast biopsy?

How do you usually treat atypical hyperplasia in a breast biopsy?

Depends .: If the biopsy was a needle/core biopsy, most would surgically excise. There is a small (approximately 20%) chance of finding dcis at excision. Once excised, most patients are considered 'high risk'. These patients may benefit from chemoprevention (tamoxifen) and/or yearly mri. To further assess one's risk, they should see a breast professional. ...Read more

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I had surgical breast biopsy then atypical hyperplasia removal. Was this necessary? What would have happened if i hadn't intervened?

I had surgical breast biopsy then atypical hyperplasia removal. Was this necessary? What would have happened if i hadn't intervened?

Hard to know: You apparently had a breast mass or an imaging abnormality. It was not feasible to know the nature of the lesion without removing and examination by a pathologist. If is good that it was not cancer. ...Read more

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What percentage of atypical hyperplasia becomes breast cancer?

What percentage of atypical hyperplasia becomes breast cancer?

Small percentage: In a recent study in the annals of surgical oncology, they looked at how many surgical excisions performed for atypical hyperplasia displayed either dcis or cancer. Out of the cases that the study reviewed, only about 1% of the cases upstaged to either dcis or cancer. ...Read more

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With a previous diagnosis of atypical lobular hyperplasia, is it wiser to terminate a pregnancy at age 49 to avoid increase breast cancer risk?

With a previous diagnosis of atypical lobular hyperplasia, is it wiser to terminate a pregnancy at age 49 to avoid increase breast cancer risk?

No simple answer: This question is too complex to answer in this format--please see a breast surgeon to discuss. Population studies note a higher risk of breast cancer just after pregnancies, likely related to women who have existing (hormone-sensitive) cancers in their breast during pregnancy. Also, first pregnancies late in life are associated w/increase breast ca risk. How this might affect you is hard to know. ...Read more

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What does it mean to have a benign breast papilloma with hyperplasia?

What does it mean to have a benign breast papilloma with hyperplasia?

Depends on location.: Papillomas are benign polyp-like growths found within breast ducts. When near the nipple, they can cause bloody nipple discharge. In the absence of 'atypia', excision is unnecessary unless they are in the periphery of the breast (away from the nipple)--in that circumstance, cancers are sometimes associated with this finding, warranting surgical biopsy. ...Read more

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What is a benign breast papilloma with hyperplasia? Not cancerous, right?

What is a benign breast papilloma with hyperplasia? Not cancerous, right?

Benign: Intraductal papillomas are usually a benign condition of a nodule in a breast duct. It can cause nipple bleeding and can sometimes be seen on mammogram or breast ultrasound. Surgery may be indicated to remove the papilloma to be sure it is benign. Hyperplasia can be a pre-cancerous change on or near the papilloma. ...Read more

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To have a second opinion about the need of removing a fibroadenoma 5.5×5.2×2.4 CM with usual focal hyperplasia ductal in right breast. ?

To have a second opinion about the need of removing a fibroadenoma 5.5×5.2×2.4 CM with usual focal hyperplasia ductal in right breast.  ?

Sure.: It's always OK to get a second opinion, especially when surgery is involved. See a breast surgeon. A breast mass measuring 5cm is quite large, and a biopsy only removes and tests a tiny piece of it. Without removing the whole mass, it's hard to know for sure that it's benign (not cancer). ...Read more

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Hi, I had a lumpectomy last year to find ductal hyperplasia. Last mammogram was fine. Now I'm having heaviness in same breast. Normal?

Hi, I had a lumpectomy last year to find ductal hyperplasia.  Last mammogram was fine.  Now I'm having heaviness in same breast.  Normal?

Need medical checkup: It is not uncommon to have some numbness/heaviness after surgery in any area of your body. This can take up 1 to 2 years to completely normalize. But you should have annual clinical breast examinations with your doctor who did breast surgery and seek his advice. An annual mammogram is also recommended. ...Read more

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My 9 yr old son had a biopsy which came back as reactive follicular lymphoid hyperplasia. What is this and will he need more testing?

My 9 yr old son had a biopsy which came back as reactive follicular lymphoid hyperplasia.  What is this and will he need more testing?

Benign: This is a common pathology diagnosis for a benign lymph node that's enlarged because it got stimulated. I'm glad it turned out well. ...Read more

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My grand, Bella was 7 in Jan. For over 6months, she has had multiple lymph node swelling in neck,path showed follicular hyperplasia, what is cause?

My grand, Bella was 7 in Jan. For over 6months, she has had multiple lymph node swelling in neck,path showed follicular hyperplasia, what is cause?

Lymph node swelling: Lymph nodes are where the immune cells of the body process all the stimuli from various infectious and other foreign stimuli in our environment. In children these are very active areas as so many things are "new" to them. It is natural for these to swell and then subside. Only persistent enlargement is a cause for concern due to infection that isn't cleared, or neoplasia. ...Read more

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7mm round firm node on chin above jawline. 2 sub centermeter nodes at lower neck. biopsy 3 mths ago on level 2 node indicates follicular hyperplasia.

7mm round firm node on chin above jawline. 2 sub centermeter nodes at lower neck. biopsy 3 mths ago on level 2 node indicates follicular hyperplasia.

Question?: Not sure what the question is here. Sounds like the diagnosis has been made already. Pretty large lymph nodes for follicular hyperplasia. Was treatment recommended or prescribed? ...Read more

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On hizentra for CVID still have very swollen/disfiguring Lymph nodes (3 yrs straight) any suggestions to control this reactive follicular hyperplasia?

On hizentra for CVID still have very swollen/disfiguring Lymph nodes (3 yrs straight) any suggestions to control this reactive follicular hyperplasia?

CVID: Common variable immunodeficiency is characterized by hypogammaglobulinemia and recurrent infections. You are on gammaglobulin ie Hizentra. I would be worried about an underlying infection causing lymph node swelling. Your gammaglobulin level should be checked and cultures drawn. You may need a higher dose of Hizentra and specific treatment for an underlying infection. See your doctor. ...Read more

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Causes & treatment of reactive follicular hyperplasia of lymph node?

Causes & treatment of reactive follicular hyperplasia of lymph node?

Often unexplained: Most young adults have at least one palpable lymph node in the neck, and if it's sampled, it usually shows follicular hyperplasia. We usually don't find the cause and assume it was just a though node fighting germs. If a cause is found, it's often hiv, rheumatoid arthritis, syphilis, toxoplasmosis, or common variable immunodeficiency. ...Read more

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Had a tonsillectomy, pathology came back "follicular hyperplasia with acute inflammation". What does this mean, and should I be concerned?

Had a tonsillectomy, pathology came back "follicular hyperplasia with acute inflammation". What does this mean, and should I be concerned?

Sounds like: you had good reason for operation. You should not be concerned, but you also should discuss with your surgeon just to be sure. ...Read more

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Can you tell me the duration of intenstinal follicular hyperplasia in children.

Can you tell me the duration of intenstinal follicular hyperplasia in children.

Indefinite: It may stick around until everybody forgets about it. It should not remain symptomatic for more than a few days. The important thing is that it's benign. Rarely, it can be a finding in an acute abdomen, if the sole cause it is best managed conservatively. I also trust this is not mesenteric adenitis caused by Yersinia, under called. ...Read more

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What is atypical papilloma in the breast?

What is atypical papilloma in the breast?

Atypical papilloma: It is essentially a papilloma(which is a benign tumor of the breast duct) that has a component of atypical ductal hyperplasia(ADH (vasopressin)). ADH (vasopressin) is not cancer,but it can be considered a precursor, or at least a high risk marker, for cancer. Atypical papillomas dx'd at core biopsy should undergo complete excision. After surgery, about 30% will be upgraded at least to in situ cancer. ...Read more

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Follicular hyperplasia with active germinal centre and sinus histiocytosis. Level 2 cervical lymph node 2.1 x 0.9 x 0.5cm. What are the causes?

Follicular hyperplasia with active germinal centre and sinus histiocytosis. Level 2 cervical lymph node 2.1 x 0.9 x 0.5cm.  What are the causes?

Nothing of concern: This is a benign biopsy of your lymph node. The reported changes are of no consequence. Although it is not possible to be certain about what caused these changes, infection/s in the throat(which are very common in healthy adults) is the most likely cause. ...Read more

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Submandibular node 21mm x 7mm. Excisional biopsy shows follicular hyperplasia sinus histocyctosis. After a month another node 13mm x 6mm discovered.

Submandibular node 21mm x 7mm. Excisional biopsy shows follicular hyperplasia sinus histocyctosis. After a month another node 13mm x 6mm discovered.

Good for you: That first lymph node is totally benign. It was working for you and was yor friend. Talk about "sinus histiocytosis " suggesting cancer is misleading especially if there is no visible lesion. Why not leave the new one, which took the place of the other, alone. ...Read more

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What treatment needs a 4 years old child with follicular hyperplasia in terminal illeum?

What treatment needs a 4 years old child with follicular hyperplasia in terminal illeum?

None: This is simply big lymph nodes, biopsied to rule out anything serious. Junior needs to be eating sensibly, exercising, giving and receiving love, and learning skills for a competitive world. "Follicular hyperplasia" from a pathologist means "no cancer, you're okay." ...Read more

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I just checked the reports of the surgery i had when i was 9 and i was diagnosed with Reactive Follicular Hyperplasia. what does it mean.

I just checked the reports of the surgery i had when i was 9 and i was diagnosed with Reactive Follicular Hyperplasia. what does it mean.

No cancer: All it means is that your lymph nodes were reacting appropriately to an infection. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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I'm a primary breast cancer with MRI findings of T2 hyperintense T1 isointense atypical hemangioma lesions on T6 T7.. Does this sound like secondary C?

Frist you can't: diagnose cancer of breast with MRI alone ,definitive diagnosis is established only after biopsy only, if you did not have biopsy it may not be a cancer till proved by biopsy. Speak to your doctor and find out further management ...Read more

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Mother-i-law recently diagnosis w/ thyroid ca (follicular). On CT chest, it says she has non calcified lymph nodes. Could it be mets?

Mother-i-law recently diagnosis w/ thyroid ca (follicular). On CT chest, it says she has non calcified lymph nodes. Could it be mets?

Probably not, but: It is probably not a metastasis, but she needs to have a total body 131-i scan, after her thyroid and remaining normal thyroid are removed/ablated. It if is a met, it will likely "light up" on the scan. Talk to you endocrinologist. ...Read more

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What does moderate residual hyperplasia mean.and could it b causing my chest pain,short of breath n pain in lungs/legs n middle of my chest?

What does moderate residual hyperplasia mean.and could it b causing my chest pain,short of breath n pain in lungs/legs n middle of my chest?

Sorry, can't tell: I am sorry to be unresponsive, but the phrase "moderate residual hyperplasia" could be used to refer to any organ system in the body. Without more context I really cannot provide a meaningful answer to your query. ...Read more

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Having chest pain, shortness of breath, pain on left side near ribcage n under breastbone.ctpa was negative, CT showed moderate residual hyperplasia?

Hyperplasia?: I am a radiologist. Hyperplasia is not a CT diagnosis. Please review the report and make sure you know what it says. Chest pain can be from a number of causes including local trauma, costochondritis, pleurisy, pneumonia, angina, etc. Talk with your doctor to get a better understanding of your condition. As you have access to the net, look up the conditions so you know what they are. ...Read more