In 2003 I was diagnosed with DCIS in left breast when I was 44 ( pre-menopausal). I had a lumpectomy followed by 6 weeks of radiation therapy. No chemo. Attempted Tamoxifen, but I was allergic to it and since I was pre-menopause there was not an alternative. In 2011, I was diagnosed with ADH in my right breast, had a lumpectomy, no radiation. I have faithfully had annual mammograms every single year. At the end of January 2017 at the age of 58 now, I felt a difference ( a lump) in my left breast. Really? Could that be a lump? Are you sure? All these questions & insecurities popped in my head! Could it be that this difference is a common in radiated breasts as they age? Could it just be scar tissue from radiation 14 years ago? My mammogram was already scheduled for 2/14/17 (Valentines Day), so I didn't call the doc as it was just 14 days away. There is a question in bold letters when you register for your screening mammogram. It says have you noticed any change in your breast since your last mammogram? What should I do? Do I mark it yes? Again, was that really a lump I felt, or was it scar tissue? So, I didn't mark yes or no. They called me back and said..."Karen... you didn't answer the question?" I said I don't know how to answer it! So, they called a mammo tech to come back and talk to me. I explained my situation and my concerns and my insecurities at not knowing if it was truly a lump. Surely the mammo would alert us if there was a real concern. She said... we need to call your oncologist and get the orders changed from a screening mammo to a diagnostic mammo. Really? Can I take back what I told you? I've done it now. She replied..."no ma'am... you can't". So I had the diagnostic mammogram, followed by an ultrasound, followed by a biopsy. The biopsy revealed invasive mammory carcinoma in left breast. It is 9 mm in size and it is a malignant tumor. How can this be? I did everything I was told to do! I did the lumpectomy & radiation and I asked in 2003... should I have a mastectomy.... all my docs said "not recommended". In 2011... when I had the ore-cancer in my right breast.... I asked the docs... "should I have a double mastectomy now? This is scary to me each time I gat an abnormal mammogram. And they all said..."no"! Karen... the good thing is we are catching it on the mammograms before it becomes invasive. I said ok. I trusted them! Now, here I am a 3rd time, 14 years later from my 1st diagnosis, at 58 years old, and now I have a second primary cancer in my left radiated breast!!!!!! So, this morning I am off to have a Breast MRI, followed by an appointment with a plastic surgeon next week. I have already met with my oncologist who has done the BRACA gene mutation test. Results in 3 weeks. I have met with the breast surgeon yesterday. They don't know if it is in my lymph nodes yet. The oncologist said I fall in the 6% of people who have radiation who get a local reoccurrence. I am somewhat mad and scared and tired and disappointed because I feel like all the medical protocols, recommendations FAILED ME! I trusted you when you said..."Karen... the mammograms are catching this in the early stages." So my advice ... be persistent. Ask for the gene test to be done early because that is an important piece of information. I wish I had done that in 2003. I am waiting for the results on that test now. So... I am going to insist on a double mastectomy. This time... I am doing it my way!