Recent mammogram abnormal finding, is biopsy needed?

50 yr old black professional and healthy female. Hysterectomy 5 yrs ago but still have overies. Current meds for htn norvac 10 mg qd past 2 yrs, estrace interval vagingal cream 3x weekly for the past 2 yrs. Had breast swelling of both breast and breast pain in both breast. Breast were tender like if you are pregnant. Not pregnant.
Recent mammogram abnormal finding, same day had breast ultrasound small mass of concern in right and left breast. Biospy (scheduled). Needle. Is this safe and needed. Also can I avoid titanium marker. I keloid and think marker is dangerous.

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