Female in her 47, single, positive family history of breast cancer. Underwent routine mammography which showed bilateral increased density and glandular pattern. Core needle biopsy... Female in her 47, single, positive family history of breast cancer. Underwent routine mammography which showed bilateral increased density and glandular pattern. Core needle biopsy showed atypical ductal hyperplasia. What's the appropriate management? A. Wide surgical excision. B. Simple mastectomy
Understand the Problem
The question is asking about the appropriate management for a 47-year-old female with a positive family history of breast cancer, who presented with bilateral increased density and glandular pattern on mammography, and atypical ductal hyperplasia on core needle biopsy.
Answer
The answer is A. wide surgical excision.
The appropriate management for atypical ductal hyperplasia (ADH), especially with a family history of breast cancer, is typically wide surgical excision to completely remove the affected area and allow for thorough pathological examination. Therefore, the answer is A. wide surgical excision.
Answer for screen readers
The appropriate management for atypical ductal hyperplasia (ADH), especially with a family history of breast cancer, is typically wide surgical excision to completely remove the affected area and allow for thorough pathological examination. Therefore, the answer is A. wide surgical excision.
More Information
Atypical ductal hyperplasia (ADH) is a benign breast condition that increases the risk of developing breast cancer. The risk is higher when there is a family history of breast cancer.
Tips
It is important to note that while simple mastectomy may be considered in some high-risk cases, it is not the standard initial management for ADH.
Sources
- Atypical Ductal Hyperplasia - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
- Atypical hyperplasia of the breast: Clinical cases and management ... - ccjm.org
- Contemporary management of atypical breast lesions identified on ... - abs.amegroups.org
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