Hi Fiona again. I chose a bilateral mastectomy for following reasons :
- Family history on Father's side of 3 Aunts with ovarian cancer and a cousin. Knew also gene positive was found in one Aunt and her daughter. This Aunt had 2 primary breast cancers as well. I await gene result.
- Despite 10 years of mammograms (I'm 51) my lump was not detectable...I felt it. I found out I had very dense breast tissue. My concern was that recurrence or new primary could go undetected.
-My breasts were large for my frame 14E and even with reconstruction or lumpectomy. ... due to position 1/3 breast probably would go...it would mean considerable surgery to the other now droopy breast.
- Being her2 I knew from many readings that clear margins can be difficult and recurrence common. I told the surgeon straight up I wasn't interested in going down that road. Also lumpectomy would mean me Staying in Adelaide for 6 weeks...500kms away from my hubby and children. If course if node positive it would not have been a choice but to do it...not for me.
- I had immediate reconstruction with tissue expanders...almost fully inflated and using a dermal sling. I await changeover...my scars are that of breast reduction. .except no nipples. I opted no attempt to save as too close to tumour margin for comfort. My surgery was done by a breast surgeon and the bilateral and scar and type were at his suggestion. I am very pleased with the result.
Hope this information helps.
Kath
