Lumpectomy or Masectomy
I am nearly finished 16 weeks of chemo - 8 weeks of fortnight AC and then 8 weeks of Taxol. I am also Hert 2 so started Herceptin on 26th August every 3 weeks for 48 weeks. Due to have surgery in about 20 days. I had a 4-5 cms tumor left breast which has shrunk with chemo to 1cm and nothing in between and 1cm - which oncologist thinks could be 2 x 2.5cms tumor joined together - wont know till surgery. Also had spread to Lymphn nodes so will take out about 2/3 which is 20 out of 30 lymph nodes. Oestrogen + 30% Progesterone - and Her 2 positive. Invasive ductal cancer grade 3. Options now are (1) lumpectomy with reduction (2) Bilateral mastectomy or (3) Double Masectomy (all with lymph node removal). The first option could be do lumpectomy with margin and lymph nodes and go back following week for reduction in that left breast and if pathology shows more needs to be done could do mastectomy week after? Any recommendations or thoughts?
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