Bilateral mastectomies for atypical ductal hyperplasia (ALH)?
Hi, I'm new here & recently diagnosed with two radial sclerosing lesions, one of which the biopsy showed contained atypical ducatal hyperplasia (ALH) in the same breast. The other was benign, but I still have to get both of them surgically removed. My breast surgeon ran 'my numbers' through the database and told me my lifetime risk is 40%. I'm 47, pre-menopausal with very dense breasts and have microcalfications in both breasts. My mother had breast cancer and survived. But -- aromatase inhibitors ruined her quality of life. I would rather get mastectomies than have to go on tamoxifen & radiation. I'm told I'm a perfect candidate for direct to implant reconstruction. So it sounds like I could get breast tissue removed one day, and the next day walk home with slightly larger, perkier breasts with all breast skin, nippe & subcutaneous fat intact. I don't care too much about loss of sensation. Is this crazy? I feel like if I wait for the invasive cancer to come, then I will end up on chemo, radiation & have to get the mastectomies anyway. So why wait? If I do it now, it seems I have more control. But it's super scary to do this & part of me wants to bury my head in the sand and just get the two areas removed & see what happens. So what did other people do?