Radiology Report breast biopsy

[RVingGal]

I am at my wits end! I had my scheduled mammogram. It showed  an "architectural distortion" in my right breast since the previous years mammogram of 2 cm. No lump. I have always had fibrocyctic breasts ( I might add that I took 2 very bad falls and broke my elbow in 2 places, surgery required, as well as severely bruised my chest and breast 10 mos. ago). I had a compression mammogram and untrasound that were still inconclusive. One radiologist recommended a stereotactic biopsy, the second opinion recommended a breast MRI. My insurance would not pay for an MRI so I had the biopsy last week. Today I got the results and it says: " Pathology indicates benign fibrocyctic changes (FC). Pathology results are discordant with mamography findings. A surgical excision and a wire localization are recommended."

My question is, why is this needed? if it is benign why does it need to be removed? Is this just the pathologist covering his self? Even my Internist is unsure what to recommend I do. My first thought is if it's benign leave it alone. I don't want to keep going from doctor to doctor. I also do not want to have unnecessary surgery. I am 56, well past menopause and have no breast cancer in my family. Any and all advice would be appreciated.

[RVingGal]

Thanks for your thoughts. I did ask the radiologist right after the biopsy if he thought he got the exact area and he said "yes" and that he placed a clip, re-mamogrammed after the procedure, compared it to the "before" picture and said it was dead on. They took 7 core samples of tissue. My first thought is that since "something" shows on the mammogram they are recommending the excision as a "cya" if you get my drift. I have major underlying conditions that put me at high risk for stroke or death when put under general anesthesia.
That is another reason that I have pretty much decided to take a "wait and see" with a follow up mammogram in 6 months. I would appreciate anyone else's experiences on this as well.
Thanks!

[japdip]

My take on the report is that the area biopsied may not have included the area indicated on the Mammogram. The wire localization with surgical excision would definitely involve the area mentioned on the film. The wire would be placed under imagery into the exact area of concern and the excision would include the area of the wire placement. It seems that the area of concern may NOT have been the area that was biopsied.  I wonder if the Ins. Co. wouldn't rather pay for MRI than for the Surgical Procedure .... you might inquire about that before making your final decision.  ( Just a thought)      Regards ....