Possible Breast Cancer 12 Years Post Hodgkins

Long Term Hodgkin Survivor too
Amacart,

I too had Hodgkins in 1989 treated with mantle radiation and relapsed in 1994 treated w/ABVD. In 2007, a breast biopsy for calcifications post MRI (I insisted on adding MRI's to my followup plan). It was 2007 that I had a feeling I needed to take control of my health. My biopsy came back Invasive Ductal Carcinoma, stage 1, only option, double mastectomy. This did not bother me as I wanted a prophylactic mastectomy years earlier to avoid the almost inevitable dx of breast cancer for many Hodgkins Lymphoma survivors treated long ago. I never pushed hard enough for this.
My tumor was sent out for oncotype testing resulting in a score of 8. This meant that chemo would reduce my chances of a recurrence by 2%. I opted out, as I have heart damage from the previous rads and chemo. As for tamoxifen, I had gyno problems and a TIA, so I stopped it after 2 months. Radiation is not an option for us. (I think some pinpoint targeting of rads by a specialist may be an option?)That was 4.5 years ago. So the "only" tx for the Breast Cancer was mastectomy, no reconstruction, I was 47.
Luckily my original rad oncologist made sure I had annual mammos since I was 30. Unfortunately, I never asked for the reports , I had the same area for concern mentioned for 3 mammos. If I had a Long Term Adult Followup Doc at that time, he would have insisted on a biopsy 3 years earlier.
As for a stress echo, I have been getting them for about the last 15 years because of my rad oncologist. It wasn't until 2 years ago that I found the LT doc I mentioned, who sent me for a stress echos in the presence of a cardiologist who has extensive knowledge of our radiated/chemo'd heart. Also, the previous echos were done with radiation, a no no for us survivors. I gathered those results too and was shocked to read "poor study as the patient is too thin". I was never sent back to get a proper study. (The stress echo I get now is an ultrasound and treadmill test that takes the tech 6 times longer to do properly.)
A long winded response to you to say, don't let any doctor claim to know how to follow up on a long term survivor of HD unless they have experience in that area.
What is the reasoning for the biopsy on Monday and a lumpectomy on Wed? For me, no decision was made until the results of the biopsy. I did know one thing before, if it was cancer, all my docs suggested double mx and I agreed. I do know other HD survivors that had lumectomys with close follow ups. Also, many have had prophyalactic mx's before any cancer dx. Additionally, the leading BC specialist at Fox Chase and Memorial Sloan Cancer Center confirmed the decisions of my local doc and myself.
Hopefully, you will avoid all of this by getting a benign result, if not, you may want to take the time to get a few opinions for your unique circumstances.
Finally, a few years after my BC, after much searching, I was led to the specialist at Memorial Sloan Kettering Cancer Center that is aware of our unique circumstances as a survivor. There are many similar clinics throughout the states. When I met my doctor he explained to me that all radiated HD survivors have tachycardia and the reasons why and when to consider meds. Up to this point all my docs said I had an anxious heart. Now I feel i have the best medical team in place to manage any potential side effects from treatments.
It sounds like you are assembling your team too. I wish you all the best and try not to worry while awaiting this biopsy.
Cathy