Hi Majo, I am similar to Cath. Only a smallish cancer 1.3cm but as I am small breasted there was a danger of not clearing the margins if I went for a lumpectomy. Cosmetically, it wouldn't have been a good choice either and a mastectomy meant I had a chance of avoiding chemo and radio. My surgeon suggested a nipple sparing mastectomy with immediate implant and fortunately his hunch was right and my cancer was a grade one, clear sentinel nodes. What I am finding from reading everyone's stories is that we all have different reasons for choosing a mastectomy or not. It is helpful to read everyones reasons but ultimately you have to be at peace with your decision. Ask lots of questions of your surgeon and don't be afraid to challenge if information is not clear. Wishing you all the best with your decision - let us know when you have a surgery date. There is so much experience and knowledge on this site majo, please make sure you ask - everyone has been there and is only too happy to help. take care, Jane x