I had a 5mm nodule punch biopsied on my left side sternum. The report said “Invasive ductal carcinoma, final Nottingham grade 2 (Tubule score 3, nuclear score 2, mitosis score 1) Total Nottingham score 6. Dermal lymphatic invasion is present. I then had a lumpectomy 2 weeks later that said Final Result: pT4d—which no one noticed (not even tumor board) but me that it meant inflammatory breast cancer. When I told my surgeon, she said it was a “typo” and that it was IDC—pT4b. The oncologist called me and said I needed dose dense AC/T chemo right away. Before the lumpectomy I had a mammogram, US, PET/CT and MRI—all with no findings of carcinomas. Six months later I had another PET/CT which was clear. The breast surgeon said she saw a recurrence on the lumpectomy scar line and did another punch biopsy with the same results as the first. Again recommending dose dense chemo. I decided to see a dermatologist and had her do a punch biopsy directly next to the last one. The results were: Histologic sections show irregular lobules and thin linear aggregates of atypical squamous epithelium extending into dermis and subcutaneous fat. There is no connection with the overlying epidermis. I was referred to a different oncologist who said if I wasn’t planning on taking chemo, then what was I doing there? This was after she spoke with the original surgeon. This all seems very unusual and contradictory and I don’t know what to think. Any help would be greatly appreciated. (I also have severe rheumatoid arthritis for 13 years).