Hi socoda, I think this pagets thing is quite rare so trust me to get it at 74, so I am pretty certain I will go with the mastectomy I think it s the thing to do specially at my agebut won't be going for a reconstruction I will manage with the bra. I think you stop a lot of worries by doing the full thing don't you? I know its not the same with you having the reconstruction but how long,before you could do anything at home ect? Thanks for contacting me my op. Is the 10th. Nov. so I wil let you know but what you have said makes it sound right .