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Researchers
report that women with a type of condition called atypical lobular
hyperplasia, believed to be a precursor to breast cancer, are
more likely to develop cancer in one breast than the other.
The Vanderbilt
University researchers studied 252 women with the atypical lobular
hyperplasia lesions, and 50 of them subsequently developed breast
cancer. Almost 70 percent of cases occurred in the breast where
the lesions were found.
The disease
appeared in the opposite breast in only 24 percent of the cases,
the researchers reported in the journal The Lancet.
Prior to this
study, doctors believed that atypical lobular hyperplasia in one
breast meant a much higher rate of breast cancer developing in
either breast, often recommending a double mastectomy to prevent
breast cancer down the line.
Dr. Sunil
Lakhani of the Institute of Cancer Research and Royal Marsden
Hospital in London, writing in the same issue, says the Vanderbilt
study provides "evidence to counteract the myth that the
risk of invasive carcinoma after a diagnosis of lobular in situ
neoplasia is equal in both breasts."
"Invasive
carcinoma after atypical lobular hyperplasia is about three times
more likely to arise in the breast diagnosed with atypical lobular
hyperplasia than in the opposite breast without these initial
findings," the researchers concluded.
Other
sources: The Lancet
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