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I have 3 atypical and 1 stage-0 DCIS lump. I have the option of Lumpectomy or Masectomy w/reconstruction. lumpectomy would require 6 weeks of radiation. The mastectomy requires no radiation Any recommendations which might be more beneficial?

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Asked by

anonymous

over 5 years
 
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    anonymous
    Learning About Breast Cancer
    Did your oncologist say each option was equally viable? If so then pick the one you feel most comfortable with, if not then seek a second opinion or go with what he-she recommends.
    over 5 years Comment Flag
  • Lou Cam Profile
    anonymous
    Survivor since 2013
    If there is not a medical reason that precludes lumpectomy, it will come down to your personal decision. For most early stage breast cancer the survival rate of women who have a double mastectomy is not greater than the survival rate of women who have lumpectomy and radiation. In a large long term non-randomized ( women chose their own treatment, treatments were not randomly assigned) study, some groups of women appeared to have a slightly better survival rate with lumpectomy and rads. , especially women over 50 with small estrogen positive tumors. One big exception that I read about recently is treatment for women who smoke. Radiation may not be as effective for women who smoke, and they may have a better outcome with mastectomy.
    over 5 years Comment Flag
  • sharon s Profile
    anonymous
    Learning About Breast Cancer
    I was stage two at diagnosis. They knew what they were dealing with and all suggested a partial masectomy for me at 42. with radiation. If I get a reoccurrence the hope is it stays in the breast tissue and not in the organs. If you have options go minimal. I had a guided MRI before surgery to mark clear boundaries. I had the lot. I am back to the usual and happy. I get checked every three mths I had triple positive BC. I would ask lots of questions why this vs that until you are understand why
    over 5 years Comment Flag
  • Betti A Profile
    anonymous
    Survivor since 2013
    Gather all the info. pros and cons and make the decision you feel most comfortable with. I had a mastectomy and still had chemo. and rads. I'm now on an Estrogen blocker for 5 years (minimum as my RT told me they're now finding 10 is better).
    over 5 years Comment Flag
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    anonymous
    Learning About Breast Cancer
    I had a lumpectomy & 6 weeks of radiation In August 2012. My cancer was found in microcalcifications & was stage 0 no lump just clusters. In March of this year mi had a mammo which ended up positivemicrocalcifications again. Dr said its hard to determine which are cancerous because all breast have Calcifications & 99% are non cancerous. I decided to have a double mastectomy with immediate reconstruction. In my case I would have been best to get a mastectomy from the beginning. No chemo.
    over 5 years Comment Flag
  • Gillian Ashworth Profile
    anonymous
    Learning About Breast Cancer
    It's really an individual decision. & it's a difficult one. I was diagnosed w stage 1 last October. A lumpectomy was recommended but I requested a double mastectomy w reconstruction. My surgeon and oncologist supported my decision. I also decided on chemo - I wanted to be as aggressive as possible. I know someone who was diagnosed w stage 1 8 years ago. She had a lumpectomy & radiation. Fast forward 8 years and she had a local reoccurrence that they believe has spread beyond the lymph nodes. It's devastating. She now wishes she had chosen a mastectomy. That may not have made a difference tho as even w a mastectomy you can still have another lump grow in the tiny tissue that's left, although your risk is reduced. Like mentioned, research as much as you can and ask your doctors lots of questions. I don't have any regrets on my decision & am content w my reconstruction so far. Really good luck to you. I know it's challenging...but you'll be ok.
    over 5 years Comment Flag

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