Atypical hyperplasia of the breast: Clinical cases and management strategies

Suneela Vegunta, Dawn M. Mussallem, Aparna S. Kaur, Sandhya Pruthi, Christine L. Klassen

Research output: Contribution to journalReview articlepeer-review

Abstract

Atypical hyperplasia of the breast is a histopathologic lesion identified incidentally on image-guided breast biopsy. It is associated with a substantial increase in lifetime risk for breast cancer. Clinicians should counsel women with atyp-ical hyperplasia regarding risk-reducing strategies, which include preventive endocrine therapy options, enhanced surveillance imaging, and lifestyle modifications. In this review, we describe 5 different but common clinical case scenarios for atypical hyperplasia of the breast and review management strategies for each scenario.

Original languageEnglish (US)
Pages (from-to)423-431
Number of pages9
JournalCleveland Clinic journal of medicine
Volume90
Issue number7
DOIs
StatePublished - 2023

Keywords

  • For patients with atypical ductal hyperplasia identified on core needle biopsy
  • owing to significant risk of finding an associated in situ or invasive malignant lesion
  • surgical consultation is recom-mended to discuss if surgical excision is warranted based on radiology and pathology concordance

ASJC Scopus subject areas

  • General Medicine

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