sydmom Member Posts: 1
edited March 2014 in Breast Cancer #1
I am a 48 yr old woman,who has just been diagnosed with atypical hyperplasia im my left duct. am scheduled for a left excision on nov.6. if things come back just as hyperplasia, with my genetics (under 50, premenopausal, mother who died from breast cancer) my oncolgist/surgeon is recommending tamoxifen(decrease cancer chance by 50?) or mastectomy (decrease chance by 90) right now, I am leaning toward tamoxifen, scared of surgery. Am I crazy


  • jlstitch
    jlstitch Member Posts: 4
    I was diagnosed with breast cancer 2 yrs ago. No one else in my family had never had it. I was scared to death, but the doctor explained everything to me and left it up to me. I opted for the mastectomy because of my age, at the time was 49, and had not went through menopause yet and doctor said was a bigger chance the cancer may come back with a lumpectomy. Going through it once was one to many times. Talk to the doctor and do what you are comfortable with. I've never had a second thought I did what was right for me. No you are not crazy, everyone I think is scared of surgery. Take care and good luck.
  • jeancmici
    jeancmici Member Posts: 665 Member
    Found this on the Mayo Clinic website:

    "Breast Tissue Types and Risk
    Having some types of breast tissue can increase your risk of developing breast cancer. Three types of tissue that increase risk include lobular carcinoma in situ (LCIS), atypical hyperplasia, and usual ductal hyperplasia.

    Lobular Carcinoma In Situ (LCIS)
    Lobular carcinoma in situ consists of a noninvasive increase in the cells of the milk-producing lobules of the breast. It is found by coincidence in breast tissue removed for another reason. There are no changes in the breast examination or mammogram associated with LCIS. The word "carcinoma" in the name reflects the fact that in the past pathologists thought that the tissue looked like an early stage of a cancer. When areas of LCIS are observed over time, however, it is clear that they do not act like cancers.

    The presence of LCIS in breast tissue does indicate an elevated risk of developing cancer in either breast at some time in the woman's life. The risk of developing breast cancer for a woman who has LCIS is 10 times higher than the average risk.

    Atypical Hyperplasia
    The term "typical hyperplasia" describes breast tissue showing an increased growth of some of the normal cells within the breast tissue. It can be found in tissue obtained during a biopsy performed to evaluate calcifications in the breast, or may be found in breast tissue removed for other reasons. It may be seen as an excessive growth of cells of the milk ducts (atypical ductal hyperplasia) or of the milk-producing cells in the lobule of the breast tissue (atypical lobular hyperplasia). The presence of atypical hyperplasia increases a woman's risk of developing breast cancer to five times the average risk. The breast cancer risk is even higher in women with atypical hyperplasia and a family history of breast cancer.

    Usual Ductal Hyperplasia
    The term "usual ductal hyperplasia" describes breast tissue with an increased number of benign cells within a milk-collecting duct. This tissue type doubles a woman's risk of eventually developing invasive breast cancer."

    Everybody has fear of surgery - but you may find it's the best way to go. Hope this info helps and good luck with the excision.

  • JAN22
    JAN22 Member Posts: 21
    Hi sydmom , please read my message maybe it will help you ,I have been there ,it's better to rid yourself of it then to worry about if they got it in your biopsy. You are still young and able to do this. ARM YOURSELF WITH ALL INFORMATION ON ALL SURGERY OPTIONS! ,it is better to know , then to be worried about what you don't know.
  • badger
    badger Member Posts: 23
    Hi, sydmom - I am a 61 year old who was diagnosed with atypical ductal hyperplasia over two years ago. (June, 200) I was put on Tamoxifen as a cancer preventative and took it faithfully for over a year. I was diagnosed last August (2002) with stage three breast cancer, mets to liver and bones, and 23 out of 26 positive nodes. The opinion is that it was the tamoxofin that kicked up the breast cander ---very, very rare, but it happened. Ask your doctor about Faslodex, a new anto-estrogen preventative. I don't mean to frighten you nor confuse you even further, but I do want you to be aware of all of the possibilities. Good luck to you ---Judith