Recurring cancer after masectomy

I had a double masectomy chemo, radiation in 1999, about 25 years ago. They found a small mass just under 5mm (ultrasound) in same breast as original. If it is cancer at the masectomy site, is it automatically a stage 3? I haven’t gotten my biopsy date yet but radiologist categorized it as a 4. Also, I had a fat transfer around my breast a couple years ago so I’m hoping it’s a fat necrosis. But it is spiculated, irregular & hypoechoic. I am terrified.
Thank you.


@kimrams I’m so sorry you are having to go through all that fear again. It must be so frightening. I think you should call the helpline on 0808 800 6000 because the Breast Cancer Now nurses are brilliant. I called 3 times in the first few months when I was frightened and they were great. Please feel my hug from Surrey.



Thank you for posting. It sounds like you are having a difficult time, and it is natural to feel scared after the recent biopsy of your mastectomy site. Many people say that the uncertainty experienced waiting for a biopsy result is one of the most anxious times, especially if they have had previous treatment for breast cancer. As you are feeling terrified it may help to talk to us on our helpline. The helpline team have time to listen, talk things through and signpost you to more support and information if necessary.

You mention that the radiologist had categorised the area as 4 on ultrasound, however it is important to remember that an ultrasound assessment alone can’t diagnose a cancer and breast assessments also need a clinical examination and a biopsy to give an accurate diagnosis.

Fat necrosis is common after fat transfer. However, whilst this is a possibility, it is difficult to say for certain whether this is the cause of the mass seen on the ultrasound.

It’s important to remember that even if the results show breast cancer, it does not automatically mean it is stage 3 and that for many treatment can still be given to remove it and reduce the chances of any further recurrence.

As mentioned, do call our helpline if you would like to talk this through or have any further questions. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000, (Relay UK -prefix 18001).

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Best wishes


Breast Care Nurse

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