How much does surgical scar tissue change over the years?
I cannot find my previous posts, but I was here in 2018 when I had a Birads 5 mass. My physician and radiologists told me to prepare for a cancer diagnosis. I had two benign core biopsies which were discordant, a normal breast MRI and finally an exicisional biopsy / lumpectomy at the end of 2018. The diagnosis was "Hypoglandular fibrous breast tissue with usual ductal hyperplasia and unremarkable calcifications." I have 2 inch surgical scar.
At the end of 2021, I had a diagnostic mammogram and ultrasound because of pain & discomfort in the lumpectomy breast. It was diagnosed as Fibrocystic changes. I didn't receive a copy of the report, but the details shared with me did not mention anything about scar tissue from my 2018 surgery. It did, however, recommend that I could follow the normal screening schedule of 2 years since I was nearing 40.
At the end of 2023, I began to experience increased pain & discomfort in the same breast. It was time for a screening mammogram but I instead visited my doctor for a clinical exam due to the pain. The lumps she felt were extremely painful to the touch and we both assumed cysts. She also noted there was no glandular swelling in my armpit. Still, we both agreed on a diagnostic mammo and US.
I had a mammogram, then ultrasound, then another mammogram with skin markers and spot compression. They found a 16x8x7 mm mass that is more solid than the others with indistinct margins at 2:30. My previous mass was at 3:00. Apparently the radiologist noted "potential post surgical changes" aka scar tissue as a possible cause but I still have to have a biopsy. I did not ask for a copy of the report or Birads score because of the anxiety lingering from 2018.
Has anyone here had a surgical procedure that caused changes throughout the years? I am concerned because this mass was not noted on my images from 2021, 3 years after my lumpectomy.