When Does Atypical Ductal Hyperplasia Require Surgical Excision?

Jennifer M. Racz, Amy C Degnim

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Atypical ductal hyperplasia (ADH) is a proliferative, nonobligate precursor breast lesion and a marker of increased risk for breast carcinoma. Surgical excision remains the standard recommendation following a core needle biopsy result consistent with ADH. Recent research suggests that women with no mass lesion or discordance, removal of greater than or equal to 90% of calcifications at the time of core needle biopsy, involvement of less than or equal to 2 terminal duct lobular units, and absence of cytologic atypia or necrosis are likely to have a less than 5% chance of a missed cancer.

Original languageEnglish (US)
Pages (from-to)23-32
Number of pages10
JournalSurgical Oncology Clinics of North America
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • Atypical ductal hyperplasia
  • Core needle biopsy
  • Epithelial proliferative lesion
  • Surgical excision

ASJC Scopus subject areas

  • Surgery
  • Oncology

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