Hi there
initially my breast cancer surgeon talked about a choice of lumpectomy or a mastectomy but when further tests showed my tumour was 5.5 cm he said it would be very likely even if he did a lumpectomy I might need a mastectomy due to the absence of clear margins. Also my cancer was lobular not ductal ( the more common type) so it spreads more like a spider web than a neat lump.
I had the mastectomy and ended up having radiotherapy too based on the medical advice I received.
Most Doctors will aim to save the breast and do as minimal surgery as is necessary but in the end it’s your choice after being fully informed.
What city/ region are you in - you can add it to your profile and others in your area may be able to give you more targeted advice.
There is a lot of info on this website at times it can be overwhelming but it’s incredibly useful.
And remember the upside of breast cancer bring so prevalent ( one in eight women) is that our medical specialists are totally on top of what is needed for your treatment.
And no question on here is every too silly.
We have all been there one way it’s another.
Take care.
🌺