Mastopathy: Classification

Classification according to Prechtel

Degree according to Prechtel Histology Frequency in % Risk of carcinoma
Simple mastopathy (grade I) Simple mastopathy: nonproliferative lesions. 70 % not increased
Simple proliferative mastopathy (grade II) Proliferative lesions without atypia: simple proliferative mastopathy such as adenosis, epitheliosis, papillomatosis 20 % 1.3 to 2-fold increased
Atypical proliferating mastopathy (grade III)* . Ductal or lobular atypical hyperplasia* * : atypical proliferating mastopathy with atypical epithelial proliferations 10 % approx. 5-fold increase*

* Thus, in the case of an atypical form, one in ten women with evidence of atypical hyperplasia will develop breast carcinoma within ten years of definitive diagnosis. Atypical hyperplasia is therefore considered a precancerous condition (precancer).

* * atypical hyperplasia of the lobules (synonyms: atypical ductal hyperplasia, abbreviation: ADH) According to a cohort study, the ten-year risk of invasive breast carcinoma (breast cancer) following the diagnosis of atypical ductal hyperplasia is overestimated. The cumulative risk of invasive breast carcinoma was 2.6-fold higher than in women without ADH at baseline (95% confidence interval between 2.0 and 3.4). Note: The transition of atypical hyperplasia to true in situ carcinomas (lobular and ductal carcinoma in situ; DCIS and LCIS) is smooth.