Lumpectomy or Mastectomy

Hello all. 

I have recently been told that I have ER+ DCIS low-intermediate.

I have been given the choice of lumpectomy with radiotherapy and medication or a mascectomy. The issue I have with a lumpectomy is that I already have inplants and the radiotherapy will damage it, so I'd need a new inplant after the radiotherapy. The other issue is that there is a lot of this same disease in my family, mother had double mastectomy and chemo after the lumpectomy found the cancer had spread. My auntie also had the same but unfortunately died of it as did my nan. I've had a BRCA test but not yet had results back. We all think they will be negative as my mother and auntie were. My grandmother from father's side also had breast cancer and another auntie on my mother's side had bowel cancer.

I have a really low grade, some would say it was nothing. But I'm torn between just having a full mascectomy and reducing any further risk, based on other families history or trying the lumpectomy first. I really can't decide.

I have a real emotional attachment to my breasts too. The thought of one being different from the other really bothers me, like really bothers me. I'm leaning more on  double mastectomy side just so that I'm in a safer position and have both breast reconstructed at the same time.

Could really do with some advice or other people experience of the same sort of thing. 

Im 47 and very young at heart.

  • Hi there 

    So sorry you've had to join us in this cancer journey. .  I wish I could give you some advice, but everyone is so different ... all l would say, is get all the pros and cons for both ways and weigh them all up ...

    You are the only one that can choose, but hopefully you'll get other views on here too ... l had a total right masectomy nearly two years ago ... I wanted to make sure it was out of my boob ... so to me it was a small price to pay to still be here ... saying that, if I were a lot younger I'd have felt differently ... I'm 64 so loosing a boob now was a good choice for me ...

    There's lots of us breast lasses on here ... if you look on "the good and bad" thread you can read lots of our journeys on there ... although it was started for @sandra123 journey, it's grown into lots of journeys .. and they make everyone welcome if you wanted to join in ... they are amazing ...

    Sending you a vertual hug.... Chrissie xx

  • Thank you so much Chrissie. 

    It good to hear how well you have coped with your mascectomy. I'll check out that thread now. I really appreciate your response. I've not known where to reach out to and it's all a little scary. I keep denying it's even there and therefore not processing or accepting it or talking to anyone about it. I worry about the time I'll need to take off work and how I'll cope financially, how I'll cope physically. My final surgery appointment is coming up on the 1st April so it's all coming to a head and I can feel my emotions building up beneath the surface. I have to face a choice of options that I want none of. I feel a little powerless.

    Thank you again

  •  

    Miss may,

    hello there, I'm a complete and utter control freak and so my breast cancer ( in the beginning) left me floundering. As soon as I decided I had no choice but to hand myself over to the experts  I felt relief.....

    I can't help thinking a lumpectomy may not be ideal , as you say the rads will more than likely spoil your implant....look at the long term picture....even if your talking a couple of years....your still young and have time on your side....what does your surgeon think? Or won't you know until 1 st April? 

    So much thinking to do.....but ultimately it's down to you....all I can repeat is think of the bigger picture and the long term......good luck Hun...let us know how you get on? Xxxx

     

  • Thank you. My surgeon wants to go with a mascectomy and at first said he wouldn't do both as the left side is still healthy. But I read a leaflet that stated I had the right to a double. 

    I just want rid. I don't want to be connected to the clinics and there's that fear when all the three ladies in my family all started with the same messages from the clinic.. It's early stages, you'll be fine.. Then boom. They weren't. I don't want to risk that. So off they must. But that decision, that's taken me months also changes on a day to day basis. I want to know hwo others get on with reconstructed mascectomy 

  • Hi ya ...

    You stick to what you want ... l was like you, I wanted it all off ... and l was so scared the first time I looked down on my scar ... I was ready for anything ... but you know, all l felt looking at my scar was "your out my body, and in a dish far away ... that guest that was growing UNINVITED in my boob "  and all I felt was relief ... and every time l look at my scar, it reminds me of the journey l have been on .. and l think it was a small price to pay to still be here nearly 2 years on ... 

    And every minute I spend with my granddaughter (in pic) I'm so gratefull... to still be able to hear her say "l really love you nanny"  and be around those l adore ... so let's stick two fingers up to cancer. . It can have my boob ... and I'm still here kicking it's *** ...

    You can do this ... wer all here to help you along ... and for me the easiest part was the masectomy ... l only needed a couple of paracetamol. . So you hold on ... and keep that in mind ... it's about getting that uninvited guest out of your boob ... Chrissie

  • Oh gosh that was so lovely to read. Thank you so much. What a great attitude to it