What size is your tumor(s) and where are they located? Will lumpectomy leave a decent cosmetic result? (If this matters to you). With a mastectomy would you reconstruct? With mastectomy you probably won't need radiation, with lumpectomy you will... These are some of the variables used in making decision... It's yours to make. I'm 38; IDC stage 2 grade 3 3.5 cm tumor at 4oclock on right breast, triple neg, BRCA neg. I opted for breast conserving lumpectomy. Did chemo first to shrink tumor for a better cosmetic result. (Had complete response!) I have surgery next week. This was the route I chose and it was the right plan for me... You have to weigh the pros and cons and do what's right for you. Best of luck!2
It's hard I'm going with the mastectomy. 42 also triple positive I think grade 3 I think I believe my doctor when he says he doesn't want to see me back in a few years. Diagnosed 10-2-121
We all have different reasons for choosing the type of surgery we did for ourselves. I will tell you what made me choose a mastectomy.
Attaining clear margins was not guranteed with a lumpectomy. If not, I would have to keep going back for more surgery. I was already terrified of surgery and being put to sleep.
If I chose a lumpectomy, I would have to have a course of radiation treatments and chemotherapy. I live on an island and the only way off is by ferry boat. The daily trips would take many hours and be expensive.
My surgeon said she could not get a good esthetic outcome with a lumpectomy. My breasts are small and the tumor was toward the middle of my chest. It would have looked like a shark bite!!!
I didn't hesitate choosing a mastectomy with no reconstruction. The women that I talked to who had reconstruction had so much pain from the expanders.
Another reason for me to choose a mastectomy was my age. I was 59 when I was diagnosed with breast cancer. Since I had always had small breasts, they were never a big part of what made me feel feminine. Now my breast was a harbor for disease.... I just wanted it GONE.
Those were my reasons for choosing a mastectomy. I am happy with my decision. My prosthesis fits well and after 5 years, feels like a part of me. It is comfortable and I wouldn't think of not wearing it. I live a very active life and I feel great. Your decision has to be right for YOU. Take care, Sharon
To add to all the wonderful words that you've already gotten, you MUST feel good about your surgeon as well. A doc worth his weight will advise you on what is the best way for you to go. Ultimately the decision is YOURS however.
My doc told me that with my tumor (6mm) he would do a lumpectomy. He felt a mastectomy was too radical for my particular scenario. He got clean margins and took two lymph nodes, only one of which was positive. The tumor was high up on my chest. It was in the 12:00 position but way up high where there isn't a lot of tissue. I also have implants because I was very small chested so at the age of 45 I decided to get cleavage. ;) My doc was brilliant and I now have a small scar - about 2" on my chest and one under my arm. You can see my scar because it is up so high but I wear it proudly. Good luck to you and let us know how you make out. Cheers, Roz0
We can't make that decision for you Julie. We can only support yours.0
You should also have a breast MRI to check whether or not you have smaller calcifications of cancer "sprinkles of cancer" in another quadrant of the breast. This may not get detected with a mammogram and is an important factor to help you determine whether or not to have lumpectomy or mastectomy.0
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