In ladies who have a biopsy that shows hyperplasia, it depends if it's what's called Atypical Hyperplasia or Usual Hyperplasia, so it really needs to be discussed with the Surgeon to decide is she at increased risk, which is the case if it's atypical hyperplasia. In those patients, we typically then do an open surgical biopsy to be sure there's no cancer, because in doing an open surgical biopsy, you provide a lot more tissue for our Pathologist to examine.
Well, clearly the atypical hyperplasia patients, because as we already talked about, they definitely have an increased risk of breast cancer, so those are the patients that that diagnosis alone, we would offer her going on medication to lower her risks, but in addition, we'd want her to undergo a further evaluation to make sure there's no other factors in her profile that might make us want to do a blood test, checking for a genetic panel. Those patients, for sure, are followed more closely. The cyst patients, not really. They should still do their monthly breast exam, have their yearly mammogram, and physical exam, and so on. The adenoma patients, we follow them for a year or two just to make sure there's no growth in that adenoma.
