Recurrence, local recurrence?

Hello all.

It's been a long while since I've posted.

I've got some questions about recurrence. I am BRCA positive, strong family history of pancreatic and breast cancer. I was diagnosed stage IV de novo with mets to bones when I was 32 years old. I have been lucky as I am looking at my 39th birthday coming up in less than a month!

But, I was not given a mastectomy option at my original diagnosis because the priority was getting bone mets under control as quickly as possible. My original breast tumor was on the right side. I did well following chemo, lumpectomy, ooph, radiation, regular Zometa, etc....I stayed on the AI for four years and had a recurrence in my left breast (Original was in my right breast). The recurrence was in the left breast lymph nodes, there was no left breast lump. I did more heavy chemo and then had the lymph nodes on the left removed and was then radiated. It's been almost two years since then. I am not sure if it is timing or if I have a reason but I feel very nervous waiting until the end of October for my mammogram. I am feeling a painful lump on the left side near arm pit. I showed my onc when I went in for my monthly treatment and he didn't seem concerned. Also - after about a year of no hot flashes I am profusely sweating constantly! It is like I felt in the very beginning almost seven years ago! I am also really, really tired. Anyone have any advice to offer??? Should I push for a mammo sooner?? Any advice to allow me to talk myself OFF this ledge would be great!