Thanks Kath and Jenny. When I saw the surgeon she said I couldn't have recon because I have inflammatory breast cancer and it often recurs - as indeed it has after the ultrasound said it was just scar tissue last year. Also that I would need radiotherapy to the chest wall. Then after having the core needle biopsies the breast nurse said I may need chemo first if my triple neg receptors change. Getting more complicated and time consuming for a stage 4. My results should be ready on Mon, the nurse said she would speak with the surgeon at clinic on Tues, and she will let me know the results and the surgeon's thoughts at treatment on Wed. It is a very long wait, I had ultrasound August 1. Oh well.