Hi all, hope everything is going well
I am 29 years old and I was diagnosed with stage 3 hormone receptor-positive breast cancer with high ki67 scores (%80) and I completed my 16 rounds of chemo in January (with 4 rounds of AC and 12 rounds of paclitaxel). I had two lumpectomies, one in February and the other in March, and it resulted in clear margins. I’ve started hormonal therapy and radiation for a month but I felt a new lump in a completely new area on the same breast. The ultrasonography found a suspicious tumor-like lump 10x13x15mm. I also had an MRI yesterday, waiting for the results, and I’m really anxious about a recurrence since it looks very possible to have one, and it is way too soon to have. My question is: if this does turn out to be a recurrence, would I need to go through the same treatments again, including surgery and all rounds of chemotherapy? I am really hoping that surgery alone would be enough. The thought of starting chemotherapy all over again is making me very anxious. Thank you for any advice or shared experiences.
Sorry no direct experience but sending you best wishes and positive thoughts x
The main factor, if it is a recurrence, would be the type of cancer - and it could be different to previous - which would direct the potential treatment(s) available.
Easier said than done, of course, but take it one step at a time. It might just be something benign and you would have wasted your energy on stressing about something that didn’t happen.
Fingers crossed. 
thank you so much for your wishes 
Yes, I guess if it’s bad news, I need to wait for the biopsy results for a better look at the tumor biology and thus treatments accordingly. As it’s said to me, it seems like something malign in ultrasonography (95%) But timing really scares me since it’s been only three months after the surgery and I need to wait for the results for a possible treatment. I really wish it turns out to be something benign. Thanks for the wishes
Hi @arabella1 sorry you find yourself back in the long waiting game for results again.
I had a recurrence, not as quick as yours granted, but the first time round I had surgery, chemo, radiotherapy and a few months of letrozole. When it came back 3years and 3 months later I had surgery and 4 months of tamoxifen only. My cancer type was the same both times.
Like @silvertong said in part it will depend if yours is the same type, the size etc. I think technically if it’s a different type they class it as a new primary and treat specific to that type. If it’s a recurrence of the same type then I think it’s decided more on a case by case basis according to what they find.
Before I knew what my second time round would entail I remember thinking I wasn’t sure I could do chemo again so I have to admit I was glad when I didnt have that option anyway. I hope the wait isn’t too long for you though and you can get some answers soon. 
Thank you so much for your answer, and I’m glad that you didn’t go all through the chemo cycles again, even though the surgery is bad enough I guess when it comes to chemo we feel relieved that surgery alone is enough. I hope everything is going well for you and I hope, like you, I can get rid of this thing with a surgery thank you for the wishes 
Hi, I too had a recurrence of Lobular breast cancer, first time in 2018, the next Dec 2025.
I didn’t have chemo first time around but had 23 sessions of radiotherapy and put on Tamoxifen for 5 years. This time I couldn’t have radiotherapy again because I had already had it, instead I had to have a mastectomy. So even if it is a recurrence it can be treated differently.
I really hope it isn’t a recurrence and it’s fat necrosis or similar, I went 4 times to the hospital with suspected recurrence and had to have biopsies but they came back as fat necrosis so hopefully it’s just that 
.
I wish you luck. Please keep us updated. Take care of yourself