Lumpectomy or mastectomy? I'm 42, stage 1, grade 2, triple positive, brca neg.

Asked by

anonymous

Stage 1 Patient over 1 year ago
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  • anonymous
    Stage 2A Patient

    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!

    over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      US showed it at about 1 cm located at 10:00 on the right side. I can't seem to make a decision. Had an MRI last week that I have to redo - radiologist couldn't read it. I guess those results will help me make my decision.

      over 1 year ago Flag
    • anonymous
      Stage 2A Patient

      It was a difficult decision for me too! Best of luck! Let us know what you decide!

      over 1 year ago Flag
    • Comment
  • anonymous
    Stage 3C Patient

    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 10-2-12

    over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      Leah, I am 42, triple positive, stage 1, grade 3, gene variant and did a double mastectomy. Diagnosed 7/12/12. Let us pray for the woman who finds out tomorrow that she has breast cancer.

      over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      I agree with the doctor on not wanting to see them again. I was originally going with the mastectomy but oncologist recommended lumpectomy. Diagnosed Sept 6.

      over 1 year ago Flag
    • anonymous
      Stage 3C Patient

      I just read your profile. I had an excisional biopsy. Large part was 2.7 and never showed up on a mama gram. It was me feeling it and an ultrasound. I'm glad yours is Conciderably smaller and it is alot of waiting and not really letting us...

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      I just read your profile. I had an excisional biopsy. Large part was 2.7 and never showed up on a mama gram. It was me feeling it and an ultrasound. I'm glad yours is Conciderably smaller and it is alot of waiting and not really letting us know exactly what they think, but they can only give us so much information.

      over 1 year ago Flag
    • Comment
  • anonymous
    Survivor since 2007

    Julie,
    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

    over 1 year ago Comment Flag
  • anonymous
    Stage 2A Patient

    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, Roz

    over 1 year ago Comment Flag
  • anonymous
    Learning About Breast Cancer

    We can't make that decision for you Julie. We can only support yours.

    over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      I agree with Blair. Keep in mind that you do have the option of one or the other. Options are a good thing. Some women have more advanced cancer and do not have those options. I had those same options. Here are a couple of points to think about:...

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      I agree with Blair. Keep in mind that you do have the option of one or the other. Options are a good thing. Some women have more advanced cancer and do not have those options. I had those same options. Here are a couple of points to think about: (1) will you continually worry about reoccurrance in the breast, if yes then you may want a mastectomy to reduce the risk and your worry. (2) radiated skin is difficult to stretch so if you do a lumpectomy and need radiation, and then it reoccurs you may not be able to easily reconstruct the breast because its radiated skin. (3) it takes more time to recover from a mastectomy surgery than a lumpectomy. (4) the decision you make will be the RIGHT one. God bless you.

      over 1 year ago Flag
    • anonymous
      Learning About Breast Cancer

      I had grade 1, stage 2, 2 cm. I lymph node with microscopic amount. Had a lumpectomy and a month later had to have more tissue removed for margin reasons. 2nd operation came back clear. Was not fun having a second operation but I am glad my...

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      I had grade 1, stage 2, 2 cm. I lymph node with microscopic amount. Had a lumpectomy and a month later had to have more tissue removed for margin reasons. 2nd operation came back clear. Was not fun having a second operation but I am glad my breast is intact. It's not perfect but neither am I. For my situation, it was the best choice. Wouldn't change a thing. Week 7 of radiation, I'm not complaining. Good luck!

      over 1 year ago Flag
    • Comment
  • anonymous
    Stage 1 Patient

    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.

    over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      I had an MRI last week that now has to be redone because the radiologist couldn't read it. You are right - those results will probably answer a lot of my questions.

      over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      I had an MRI last week that now has to be redone because the radiologist couldn't read it. You are right - those results will probably answer a lot of my questions.

      over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      You may also want to consider genetic testing for the BRCA 1 and BRCA 2 gene. If you have a gene mutation, then you have the breast cancer gene and there is a higher risk of reoccurence with just a lumpectomy. I had it done. I have a BRCA 2 gene...

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      You may also want to consider genetic testing for the BRCA 1 and BRCA 2 gene. If you have a gene mutation, then you have the breast cancer gene and there is a higher risk of reoccurence with just a lumpectomy. I had it done. I have a BRCA 2 gene variant which means that they aren't sure if it caused breast cancer. I listened to a Komen lecture on video last night. And study says that 41% of patients make the final decision. 33% had the dr make the decision. and the remainder said it was a shared decision. Please remember that it is your body.

      over 1 year ago Flag
    • anonymous
      Stage 1 Patient

      Leah, this is not only a factual decision. It's not just about getting your facts and making a decision. It's also an emotional decision. You have to ask yourself, "which operation will I be more comfortable and secure about?" Remember you are...

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      Leah, this is not only a factual decision. It's not just about getting your facts and making a decision. It's also an emotional decision. You have to ask yourself, "which operation will I be more comfortable and secure about?" Remember you are fighting for your life. So take care of the overall person.

      over 1 year ago Flag
    • anonymous
      Stage 3C Patient

      I totally understand that. I was putting up my personal choice and decision based on me, because there are way more facts that can be brought into the equations.

      over 1 year ago Flag
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