Survivor since 2012
Oy, that's a tough one. I've had BC twice, 11 years apart. The first time was a mastectomy and rads, no chemo. The second one, last year, was a mastectomy and chemo. My onco DX was very high so chemo was a no-brainer. However, my nodes were all negative.
Your onc will give you the best advice. if you feel at all uncomfortable with that advice, or you want a second pair of eyes, get another opinion.
I went for aggressive treatment both times. For example, the first time I was told I could get by with a lumpectomy. I went for the mastectomy. The first time, after the mastectomy, they found the cancer was invasive rather than DCIS. Stage 1B. That's why I had the rads.
The second time It ended up not being as bad as they thought, but I didn't care if they went the extra mile. What I can tell you is getting BC twice is very scary. If there was anything that could be done to decrease my hances of a recurrence, I wanted it done -- especially the second time.
Best of luck to you!