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Breast Pain/Lump/Itchy

So here goes....
I had painful breasts about a month ago and I usually don't think anything of it only this time I found a rather large lump.
I experienced stabbing pains in my left breast (lump is situated in the left) and general pain as well. Then the itching started, intense itching. I had a diagnosed fibroadenoma four years ago on my right breast which was left to it's own devices and has since gone.
The lump this time is 3.5 cm according to my doctor. I am going for an ultrasound tomorrow and he has booked me in to see a specialist next week.
I am wondering if anyone else can relate or explain why I need to see a specialist after the ultrasound as this is not common in Ireland ( I am in Canada).
Thanks in advance
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