Dilemma over treatment options

@MaryAnnie Hello and welcome to the Forum. I completely understand your dilemma! I had my first diagnosis in 2011 DCIS left breast, I had a lumpectomy very clear margins, rads and tamoxifen for 4yrs. I only had my Mum as family history breast cancer. It came back same spot 4yrs later in 2015 uuugh! but it was 2.5cm Stage 2, Grade 3 aggressive ER+ so another lumpectomy and lymph nodes removed, chemo and onto Arimidex. I did end up having a mastectomy but a year later preventative, of course the breast pathology was perfect uuugh BUT I couldnt deal with another recurrence. I was negative for Brca Gene testing so they all agreed only left breast would be necessary. My Plastic Surgeon wouldnt do an implant as I had radiation and the skin is too thin and damaged. He does more Diep flap recon, and I am so glad, I never wanted an implant so this was a better option for me and more natural in everyway. I was petrified to have surgery, but the result and feel of it Im super happy. Ive since had a revision, right breast lift to match and nipple recon. Only tattooing left but not fussed to do it to be honest. 

All I can say is...trust your gut, at the end of the day it has to be what you want and are comfortable with and what makes sense for YOU! In hindsight for me now after everything Ive been through, I would have opted for mastectomy/recon in 2011 and no treatment apart from Arimidex or the like. It would have saved me alot of heartache and recurrence. We dont have a crystal ball, so I guess I traveled the path I was meant to, but had I have known I wouldn't have been through the hell 2 years I have and now reduced quality of life thanks to treatment. 

All the best with your decision, hugs Melinda xo