Need a Hadfield procedure

Hello,

I have been told I need a Hadfield procedure due to debris behind the duct in ultrasound which came back from biopsy as a B3 papillary lesion. I have a background in public health and primary care so instead of the usually googling I've been researching NICE guidelines and reading research papers. I don't understand why they've gone straight for TDE instead of vacuum biopsy. I presume there's so degree of atypical cells as I don't have constant discharge or recurrent mastitis. Can I request the histology report from the biopsy? Also, should I get a letter with the biopsy results on? My head was absolutely gone when I got the results I went from "Oh, we're not worried, we'll ring you on Friday 29th with your results" to a phone call on Wednesday 27th after their MDT saying "You need to come to hospital for your results tomorrow morning". So, I don't think I remember much of what was said. Plus I'm neurodivergent so I really need all the information possible to calm myself and rationalise it in my brain. 

Thanks in advance for reading and commenting. 

  • Hello and thank you for contacting us.

    I am sorry you have this going on, I can understand the need for more information.

    I am afraid we cannot give an opinion as to why your doctors have chosen a particular treatment for you, do talk to them when you can as they are the specialists.

    However, what I can say is a B3 classification of a papillary lesion means the cells are borderline, this is also termed as of 'uncertain malignant potential.' This means the cells are looking abnormal (atypical) but they need to have a clearer view of what that abnormality is.

    A Total Duct Excision (TDE) is often used when they want a full removal with clear margins as opposed to a vacuum which can leave some residual behind which would then require further surgery if the pathology results came back cancerous.

    This hospital trust has created patient information on a Hadfield procedure if helpful, your hospital may have its own.

    Not all breast conditions mean cancer, do also read about Intraductal Papilloma on our website.

    At your next appointment do ask about seeing your biopsy results, I would expect they would show you and go through them with you as you have a particular interest.

    Take care and if you would like to speak to the nurses then call 0808 800 4040. Lines are open mon-fri, 9-5. 

    Sarah.