Breast Nodules found. Need for concern?

I am 28 years old and I found a lump, and an ultra sound showed a nodule, most likely benign, needed another ultra sound in 6  onths to check.  I then found another lump in the same breast.  I asked my OBGYN for another ultra sound, as my husband and I want to try to start a family.  They recommeneded I go to a surgean now, instead of waiting 6 months just to be sure.  This way I do not have to worry about getting pregnant and then the nodule turning out to be something to worry about.  However, they did not order another ultrasound for the other lump I found.  I am going to the surgean next week.  Will he be able to tell if the new lump I found is something to worry about, or will he have to send me for another ultrasound?  Am I doing this the right way?   I know I probably have nothing to worry about, but I feel it is better to find out for sure before I start to try and get pregnant.  Thing is, I am scared and would like both breasts looked at in full.  Is there anything you could maybe recommend that I talk to my surgean about when I go next week?  I thought the more information I could get before I go to him would be the best thing for me. I was on the pill for 10 years and then went off, and my body seems to be reacting to this.  I never had lumps before, and now am noticing that they are there.  I do not expect you to have a full answer for me, I am only looking for opinions if I am doing this the right way, and if there is anything I should need to know to ask for when i go next week.  Thank you for all yor help.

Sara

[CCF-RN,MSN-rf]

Dear rns91294:  It sounds as though you are, indeed, doing the right thing by getting a surgical evaluation for your new lumps.  The surgeon should examine both breasts, review the imaging studies and make recommendation as to what additional testing, if any should be done.

[surgeon]

I've said it many times here (but I'm not an "official" answerer, so wait for that): ultrasound for a feelable lump is a waste of time and money. What you learned from it is that the lump is solid, not a cyst. That's all. But if you'd had a fine-needle aspiration (FNA) (inserting a thin needle -- usually nearly painless) you'd have learned that without the ultrasound, and it would have in addition taken a small sample which could have been looked at under a microscope. Getting another ultrasound will not give you new or useful information: you already know it's not a cyst, and that's the only accurate info you get from one. Seeing the surgeon is a good idea; maybe he'll suggest FNA.

[rns91294]

Unfortuantely, the first ultra sound I did have was only for the one location where I felt something.  They did not examine the entire breast, which I wish they had.  I am hoping the surgeon will be able to examine both breasts, even without the ultrasound of the entire breast.  Thank you for all your help, as I thought an ultrasound would have been needed for my new finding, but it seems that the surgeon would be able to evaluate it without one.  However, since I do not have a full image of both breasts, nor do I have a mammography, I feel he may send me for further testing, which is okay, as long as it is necassary.  Again, thank you for all your help.  I was concerned that going to the surgeon may have been a waste of money without the full ultrasound, but it seems as if I am indeed doing the right thing.  Thank you.

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