BS just told me I should have second biopsy??

I have had a similar experience.  My 2nd opinion BS suggested a biopsy of a 2nd area, and my first BS never mentioned it.  I ended up staying with my original BS and did not pursue the 2nd biopsy because I was planning to have a mastectomy either way and figured it did not matter. That was my inexperience at play, as now, 6 weeks later, I am regretting that decision and wishing I'd followed through with that 2nd biopsy.  Now I am going into this mastectomy and immediate DIEP a bit blind since we really don't know what that 2nd area is.  I did not know better then, but now I do and wish I'd gone with what 2nd surgeon said.  I am upset that they did not biopsy both areas, and that it was dismissed when I brought it up.  Live and learn, I guess.  I am impressed that your new surgeon was willing to do the lumpectomy and biopsy the 2nd area at the same time...I was trying to get that done, but was told they would not do it.  I am already 2 months out from diagnosis and have BMX surgery scheduled, otherwise, I'd have it done now.  How fortunate you are to have found this new BS!  Good luck to you.    

sejnboys ~  We were posting at the same time, but I wanted to comment on your situation.  If you were planning on having a mast anyway, I'm not sure what difference a second biopsy would make in your case.  They will send all of your breast tissue to pathology, so your final path report will tell you if anything else was there.  On the other hand, if you have second thoughts about the choice to go with a mast, it's not too late to postpone your surgery.  Afterall, this is your body and a huge decision, and if your bc is purely DCIS, a slight delay isn't as concerning as it would be if your bc was known to be invasive.  Just some thoughts....   Deanna

Kitch -

Was this second area mentioned in your radiology report?  Did you ask about it?  Do you have your radiology report? 

As you're learning, a lot more of this than you'd like is your own responsibility.

Of course, even assuming you'd asked about it, surgeons 1 & 2 probably felt it could safely be ignored.....and the radiologist?....dunno.

There's a lot of disagreement among MDs when it comes to treating DCIS.  Bottom line seems to be they really don't know all that much about what they're doing, they're just making educated guesses.  

This BC stuff is so complicated.  I'd originally made the decision to go with mx as I was waiting for my BRCA results, knowing if it was positive I'd do the bmx without question.  My results were negative (thank goodness!)  but I still felt that I would do the bmx, and I knew I wanted to do immediate reconstruction.  I've met with three BS and all were a bit perplexed about this second area, not even able to say they thought it was cancer, but were concerned.  This second area is a good bit larger than the biopsied DCIS area, and is the reason they recommended the mx in the first place.  So my concerns about knowing what this second area is, are 1) if it turns out to be something that I will need rads/chemo for, that is not good for the reconstructed breast, and 2) if that area is not even cancer and the actual DCIS is very small, then maybe I'd make a different decision knowing as much as I do now.  I think I feel strongly enough about my reasons for doing the bmx, that the results would not change that.  But I would still like to know what that area is before going into the DIEP, as I will decide to wait on that if it is something more invasive.  I was feeling as though my hands were tied because I was already scheduled for bmx on 1/12 and I had all my family care plans coordinated and such.  But the Universe seemed to have stepped in today, as my PS called this am to postpone my surgery.  While I've been so very frustrated today trying to make this 1/12 date work, I am now thinking maybe this is an opening I should use.  So I am going to find out tomorrow morning if I can go ahead and have the biopsy now before my rescheduled bmx w/ DIEP date (whenever that may be...I don't know yet).  I don't know....maybe I am way over-thinking all of this, but it just feels better to me if I knew ahead of time, even if it means another biopsy.