instruction: hi doctor I am 30 years old I have brca1 genetic mutation that is still undergoing more research as they are not sure of the exact risk yet my mom had breast cancer at the age of 56 and her cousin had the same at the age of 46 they were both positive to hormonal therapy another cousin had ovarian cancer at the age of 49 they are all cancer free now I have a fibrocystic breast and one fibroadenoma confirmed with a biopsy three years ago I had an ultrasound scan three months ago and found more cysts and nothing major to worry about I had another ultrasound a week ago as I felt a new little lump that lump turned out to be another cyst but the doctor found another lump she had not seen three months before it has regular borders and it is moveable but it has some vascularities she says it cannot be a cyst and could be a fibroadenoma but it has to be confirmed by a biopsy which I will have next week I know that sometimes triple negative breast cancer lumps can be mistaken for fibroadenoma but how likely is that chance I am feeling quite anxious and worried with a fibrocystic breast is it possible to have a fibroadenoma appear this fast or is it possible that an ultrasound would have missed it last time
output: hi welcome to icliniq com since you have brca1 breast cancer type positive with a strong family history of breast cancer there is always a risk of developing cancer you need to have a regular followup ultrasound sometime may miss early changes since you have a high tendency of developing cancer you can undergo a complete mastectomy it is a tough decision for you but it is worth