Treatment options

Hi BDS, sorry you are facing bc at such a young age.I was 47 with my first bc diagnosis and let me say that ANY decision you have to make is a difficult one.I had a lumpectomy,full node clearance(all clear)and 6wks of radiation for a 2cm lump,same pathology as you.I had no family history. The darn thing came back in the same spot 7 yrs later despite clear margins. I’d been told there was an 8% chance of this happening- what are the odds hey! So I had to have a mastectomy and chemo and then Tamoxifen for 5yrs.NOW because of the radiation,I can’t have implants- my choices are limited so I remain lopsided(last 10 yrs). My motto is to hope for the best but prepare for the worst.Your chances of a bc recurrence in the same breast is highly unlikely BUT,in the event that it did come back,what would you want to do? We are all different and some women need reconstruction and some aren’t bothered.Age can also determine choices.At 47 I was horrified to lose a breast but at 54,not quite so.If I could go back in time,I would have followed through with Tamoxifen which I didn’t do the first time.- reason being the side effects were so hard to live with.
I personally think a mastectomy and chemo is a lot harder to do than a lumpectomy and radiation-also a lot more confronting- overkill if you don’t really have to do it.But do your research and ultimately go with what feels right for you at this time.