breast reduction and abnormal mammo and ultrasound

[luckylandry]

hi, im 36 yrs old, i had a breast reduction about 9 yrs ago. I have a strong family history of bc, every woman in my family except my aunt, mom and sister have been diagnosed.. my grandmother was 32 yrs old when diagnosed, she was the youngest. I have had mammograms for 10 yrs and always needed an ultrasound, because of dense tissue. 6 months ago i had one and they said i had an hypoechoic nodule, 4x3x5mm BIRAD 3, i needed to followup in 6 mnths... just had my second screening and now the finding is an hypoechoic nodule within deep tissue 1-2 o'clock @ 8x5x8mm BIRAD 4. they attempted to do a fine needle biopsy with ultrasound, but they hit a roadblock with the scar tissue from the reduction, are these 'nodules' common in reductions, how will i get this biopsy if is surrounded by scar tissue? should i be worried? why has it almost doubled in size? what are the percentage that this is benign?

[Cleveland Clinic]

Dear luckylandry:  Scar tissue is normal after any surgery or trauma.  Scar tissue will not prohibit a biopsy but may alter the technique needed to obtain the tissue.  There is no way to predict what this "nodule" may be or guess at the probability of whether or not this could be cancer.  The information right now suggests that it is suspicious enough to warrant biopsy.  You should discuss with a breast surgeon the best technique to use for this given your specific circumstances.

[SueYoung55]

You should consider getting tested for BRCA mutations. Simple blood test but the BC in your family makes it a very strong possibility. Best wishes

[luckylandry]

the biopsy was awful, i bent the first needle and the second needle got stuck i was probably stuck 15 times before they gave up.... i go to the breast surgeon today... thnx for ur help