@Nards honestly it is a tough call, the fear never goes away! I had a recurrence at 4yrs after having done rads and tamoxifen. 2015 I had recurrence similar size, lymph node removal and clear, chemo and now on Arimidex. I know of those awful biopsies you speak of and found them completely useless!!!!! having done this twice now, I would only opt for a lumpectomy than the path I did of 2 different type biopsies that didnt work anyway, waste of time and pain! Its really an individual choice in terms of do you just do Mastectomy and be done with it, am sure there are heaps that do. My recurrence was in the same breast and due to that I decided on Mastectomy and Diep Flap Reconstruction which I am only 9 days post currently. I am all clear and healthy and very happy with my decision to keep my right side as its never been an issue. Id find out first exactly what the spots are and correct diagnosis before making a huge decision. Hugs Melinda xo