Chief of Breast Surgery Dr. Roshni Rao talks gene test study for breast cancer
Can Some Women Safely Skip Breast Surgery?
Certain lesions probably won't progress to cancer, study finds.
By Kathleen Doheny, HealthDay News
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TUESDAY, July 30 (HealthDay News) —Women with certain breast tissue abnormalities that raise their risk for cancer can safely take a wait-and-see approach rather than rush into surgery, a new study suggests.
Previous research into two breast conditions — atypical lobular hyperplasia (ALH) and lobular carcinoma in situ (LCIS) — have turned up conflicting results regarding the need for surgery, said Dr. Kristen Atkins, associate professor of pathology at the University of Virginia, Charlottesville.
Both conditions indicate a noninvasive proliferation of cells in the breast. And each one raises the risk of developing breast cancer, Atkins and others agree.
But it now appears that when the patient's pathology report and the radiology report are in agreement, the lesions are unlikely to progress to cancer, according to the study, which was published online July 30 in the journalRadiology.
Women with either condition should be followed closely, the researchers said. Closer observation might involve repeat imaging every six months, or yearly mammograms with supplemental MRIs or ultrasound.
The risk of cancer developing "is not to that area [where the lesions are found]; it's to both breasts over the course of a lifetime," Atkins said.
Some studies that tried to quantify the increased cancer risk associated with these lesions are dated.
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