Phyllodes Tumor Diagnosis Advice Needed

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I had a lumpectomy of a benign phyllodes tumor with clear margins on 6/14/23 followed by a bilateral breast reduction on 6/22/23. On 10/19/23 I had an ultrasound of a new lump that I found in August of 2023. An irregular hypoechoic solid lesion was identified, but the findings were indeterminant so a needle biopsy is recommended.  The lump is not on the scar line so I'm assuming I can rule out scar tissue.  It sounds like a needle biopsy makes sense for next steps since it could simply be a fat necrosis.  I'd just like to avoid the time and cost of a needle biopsy if I'm going to end up needing this thing surgically removed in the end.  But I also don't want an unnecessary surgery.  Any suggestions or advice on next steps would be much appreciated.  I have the needle biopsy scheduled for 10/30/23.

  • Hi Gophers1, sorry to hear of your diagnosis. Whilst I understand what you are saying, your medical team will want to complete the biopsy as this is much less invasive, complex and risky than surgery. They won’t want to operate if it’s not necessary. They will be able to get a good picture from the biopsy as to what the lump is and can make a decision about what the next steps would be and discuss this with you. 
    Wishing you all the best.

    Hugs from cuffcake x x x x x