A high-risk breast lesion can increase the likelihood of developing breast cancer. While these lesions are not cancerous, they can indicate a higher probability of future cancer development. 

At Western Surgical Care, Dr. Moore and Dr. Pride offer breast surgery and reconstruction for breast cancer patients. Our team is dedicated to identifying and monitoring high-risk breast lesions for early intervention and preventive care. 

Understanding High-Risk Breast Lesions

High-risk breast lesions are abnormal tissue changes that elevate breast cancer risk. Though benign, careful monitoring through regular screenings and follow-ups is essential for early intervention and effective management.

How Are High-Risk Breast Lesions Detected?

High-risk breast lesions are often discovered during routine imaging tests or evaluations for other breast concerns. Common diagnostic methods include:

Mammograms

Mammograms use low-dose X-rays to detect abnormal tissue changes. While they may not always confirm whether a lesion is high-risk, they help identify areas that require further investigation.

MRIs

Breast MRIs provide a more detailed view of the breast tissue, especially in patients with dense breasts or a strong family history of breast cancer.

Biopsies

If imaging tests indicate a suspicious lesion, a biopsy is performed to analyze the tissue. This may include:

  • Core needle biopsy – A small tissue sample is taken with a hollow needle.
  • Surgical biopsy – A larger tissue sample or the entire lesion is removed for examination.

A biopsy helps determine whether the lesion is benign or high-risk and informs decisions about further treatment.

When Is Surgery Recommended?

Not all high-risk breast lesions require surgical removal. However, breast surgery may be recommended in specific cases, including:

Presence of Atypia

Lesions with atypical cells, such as ADH or ALH, can increase breast cancer risk factors. Removing them can lower the chances of progression.

Strong Family History of Breast Cancer

Women with a family history of breast cancer or known genetic mutations (such as BRCA1 or BRCA2) may consider preventive breast surgery to reduce future risks.

Large or Growing Lesions

If a high-risk lesion is increasing in size or causing noticeable changes in the breast, surgery may be advised.

Inconclusive Biopsy Results

If the biopsy results are unclear or the lesion has suspicious features, removal may be necessary for a more thorough examination.

Breast Surgery Options

When surgery is necessary, different breast surgery options are available depending on the lesion type and patient’s risk level:

Lumpectomy

A lumpectomy removes the abnormal tissue while preserving most of the breast. It is a common choice for high-risk lesions that require removal but are not cancerous.

Mastectomy

For patients with a significantly increased breast cancer risk, a mastectomy may be considered. This procedure removes one or both breasts to prevent cancer from developing.

Oncoplastic Surgery

Some patients may benefit from reconstructive techniques combined with a lumpectomy to maintain breast shape and symmetry after surgery.

Preventive Mastectomy

Patients with a high genetic risk may choose a preventive mastectomy to significantly lower their chances of developing breast cancer in the future.

Does Insurance Cover Breast Surgery?

Breast surgery can be covered by insurance as it is medically necessary for treating breast cancer. At Western Surgical Care, we offer financing options even for those with no insurance plans. Our priority is to help patients recover from high-risk breast lesions or breast cancer.

Request a Consultation

If you have been diagnosed with a high-risk breast lesion, discussing your options with an experienced breast surgical oncologist is the best way to move forward. 

Dr. Joyce Moore and Dr. Robert Pride at Western Surgical Care specialize in advanced breast surgery techniques and personalized treatment plans. Request a consultation with our board-certified surgeons today to begin your treatment.