Architectural Distortion: screening, diagnostic, & ultrasound
I was just hoping someone had a story of an architectural distortion found on their screening, diagnostic, and ultrasound, and it NOT being cancer. I had a biopsy today, so I am just waitng. I see the chances are higher the AD is malignant if it has an ultrasound correlate, but I was hoping to hear of a story that proved that wrong?
Thanks!
Comments
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Hi @kh4976, I’m sorry that you are in the stressful situation of waiting for a biopsy report. The published data on AD varies widely but generally it is malignant in 10 - 50% of cases. It is more likely to be cancer if there is an ultrasound correlate or suspicious calcifications are present. Those would move the probability closer to the 50% mark meaning half of those cases are benign.
AD can also be caused by a radial scar, a benign hardened breast lesion which grows in a tissue environment favorable for breast cancer. If a radial scar is found in a biopsy an excisional biopsy (small lumpectomy) is often done to check that there is no cancer nearby.
My breast cancer originally presented as AD. Since I have been on this site I recall about five women who posted with AD and eventually underwent excisional biopsies that were benign. They are off living their lives cancer free so you will not be hearing from them. However, they are examples of the possibility of a benign result in your situation.
Everyone’s situation is unique so there is no way of predicting your result. Hopefully it will be benign but if not you will find support and information here. All the best.
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I am still waiting to get into the breast surgeon. The lab is taking it's time getting the slides of my biopsy over. I just read my pathology report and it reveals ADH, LCIS, and microcalifications of my left breast. I cannot find anything with the three of these at once. I am extremely worried.
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ADH is a precancerous condition, LCIS is benign but is a risk factor for developing breast cancer, and microcalcifications on their own are benign. If you had a core needle biopsy sometimes an excisional biopsy (small lumpectomy) is done to remove the ADH atypical cells. Because you are at risk for developing breast cancer you will be monitored and may be offered hormone blocking therapy to help prevent it. Your breast surgeon will have a plan when you have your appointment. Unless there is something else in the pathology report it looks like things were caught early. I hope your appointment goes well.
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