biopsy nxt weds....need some thoughts

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In 2005 I was dx with DCIS and >1mm invasive lob. no lymph involvement.


treatment was lumpectomy with radiation. Last year the skin on my bad boob (Rigt) was changing sorta orange peel, color darker. had mammo...found small group of microcalcifications of indeterminate morphology in the lumpectomy bed also diffuse skin thickening. BiRads 1 had biopsy came back breast tissue with mild fibrosis and 0.3 cm hyalinized and partially calcified fibrodenoma


1 yr 4 months later (now) skin even thicker and darker, raised rope like skin under breast, nipple is swollen with some clear discharge and EXTREME itch.


mammo was done, magnified mammo done, found new large group of pleomorphic, fine linier branching calcifications in the region of lumpectomy sight


area 3.7x1.9 cm increased thickening of nipple areolar complex mild distortion and thicking of skin


what is anyones take on this? I think it is DCIS again and maybe something was missed last time


thanks for any and all input


PS BIRADS this time is 4

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