Hi Majo, I was diagnosed with Pagets and chose to have a skin sparing mastectomy with an immediate implant reconstruction. I am a B cup so lumpectomy or wide local excision would have left me with little breast tissue. The possibility of not needing radiotherapy helped me decide on mastectomy. Pathology results meant I ended up needing both chemo and radiotherapy. It was a challenging year but I don't regret any of my decisions. The other ladies make good points about making a decision that sits right for you. We are all different. Ask lots of questions, get a second or third opinion if you need it. Breast care nurses are a good source of information. Take one day at a time.