Urgent choice

Hi. I’ve been diagnosed with invasive ductal carcinoma and at present have two options: a central segmentectomy plus radiotherapy or a full mastectomy without radiotherapy. I suffer from general anxiety disorder and fear I’ll be worrying about cancer recurring (it came so quickly, showed up neither in mammogram or ultrasound, and even the consultant was surprised at the biopsy results). I’d really like to know how people feel about living with a full mastectomy, especially if it’s not 100% necessary. I didn’t have boobs till after menopause, always being a 34A max. Then at last I felt womanly, with an actual cleavage! I don’t think I’m that vain to hold onto it and my instinct says go for the full mastectomy and remove further worry but I don’t have.a great relationship with my body and worry about making an irrevocable mistake. I have to decide in the next few days as I get the lymph biopsies results on Friday and, if they are ok, then surgery will be the following week. They are not rushing it - I am, my anxiety is off the scale and I want it over and done with. 

  • Questions that spring to mind are: 

    Have they offered you a reconstruction? (And if so which options & pros/cons). Personally I was not too bothered about the mastectomy as long as I could get reconstruction. I’m glad I went for reconstruction as it has helped me retain my body shape. 

    (How) could the lymph node results affect your options? 

    Ultimately I guess it’s going to come down to how you feel about the benefits and risks of each option and how this weighs against what’s most important to you. 

    These are big decisions not to be taken lightly and quite rightly you don’t want to feel rushed into a wrong decision. If you’re feeling at all unsure I’d ask if you can have another meeting to discuss your options and to ask as many questions as you need to help clear your mind.