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