Forum Discussion

traceythomo's avatar
10 years ago

One breast or two?

I was diagnosed with HR+ breast cancer (Right breast only) about 3 weeks ago. Fortunately I was able to see a wonderful surgeon within 10 days of diagnosis. A lumpectomy was not an option so I have to have the Breast removed. I have asked for a double mastectomy because I have extremely large breasts and the left breast is larger and heavier than the right breast. At first I THOUGHT I was ok with just one breast being removed. After giving it some more thought I realised that I am NOT! I have bipolar type 2 Disorder and severe depression and I know that I will not be able to cope with just 1. Breast reconstruction is not an option (nor do I want it)because of safety risks so I will be left with a large, heavy and sagging breast. How do I get a prostheses to match that? I will be so out of balance I will like the leaning tower of Pisa!

Besides, I will be 50 this year and it is not as if I need them anymore! My kids are 18 &15 & a bit old for breastfeeding :)

My choice, right? Wrong. My surgeon, my breast cancer nurse and my psychologist have all had to recommend that my case reviewed by a medical assessment team at the hospital where I am to have my surgery. I now have to wait for my 2nd appointment with my surgeon to find out the answer. Will it be yay or nay? Why is it not my choice straight up?? Is this the norm and if so why? Has anyone else been in a similar situation?

I would love to hear your thoughts on this one :)

Tracey . 

6 Replies

  • My BCN pointed out, it is about saving my life so when it is put into that context, I realise that my medical team is right. Besides, fortunately it will be winter and covered in clothes anyway. Thank you all again, your thoughts were greatly appreciated. Tracey :)

  • Thank you all for your comments. I have found them to be very helpful and supportive. I have seen my surgeon and breast cancer nurse (BCN)and the assessment from the medical team is to have the right breast done now and the left later after healing and treatment. You're right, it wasn't something I wanted to hear but the risk for me to go under an anaesthetist for so long is to high because of my asthma, sleep aponea and weight. My surgeon also told me that it will be (hopefully)  about 4-5 months until the left removed. I thought I would have to wait 12-18 months.

  • Hi Tracey,

    Welcome to the Online Network. Both Christine and Tracy have given you some great advice. Just remember to ask as many questions as you need to to make the right decision for you. The Online Network will be here to support you all the way.

    ~Ann-Marie x

  • Hi Tracey

    It's understandable your concern about having one very large remaining breast.  Physically it could be very challenging for your body to adjust to the asymmetry, posture-wise etc. Psychologically it's a pretty personal thing. A woman fitting me for my postsurgical bra said she'd had cancer and a mastectomy but really wanted to keep her remaining breast. I think your team, especially if it includes not only the surgeon but your psychologist and breast care nurse, will have your best interests at heart and advocate for you. You do have a right to say what you want, but they have an obligation to you as well. 

    I had a bilateral mastectomy about 9 weeks ago - my boobs were 12DD and am really appreciating my new smaller speed bumps. Much more aerodynamic and no more mammograms.

    All the very best :)

  • Hi Tracey,

    Yes it is a very stressful time and I hear your struggle with both the decision and your condition, (my daughter is Bipolar as well) making it even more so to deal with it.

    I too am faced with a bi lateral mastectomy and reconstruction after my chemo ends. I made my decision to go ahead with it based on the fact that #1. After referring my case to his consultant board, my surgeon recommended it due to the nature and size of my tumour, Stage 3, Grade 2, Hormone receptive, Invasive Ductal Carcinoma, positive nodes, my tumour was 70mm (7 cm) . #2 My family history and the likelihood of it returning in my other breast and #3 Armed with all of that, it's really a no brainer for me. I too am large breasted (14HH) and the thought of having one only is just ridiculous as I too don't believe I could match it either! But "reduction" of that breast can be done.

    Yes it is your body, but like you have said there are risks.....The important thing here is to trust your team too, they are referring your case to ensure you get the best possible care and outcome for your situation and well being at the end of it. If it is not what you want to hear,  can I suggest you ask to have the remaining breast "reduced" to a more comfortable size to get a prosthesis to match? 

    Best wishes for your appointment and treatments. 

    -Tracy xx

    stay strong|breathe|believe

  • Thanks Christine. I really appreciate your advice. So I will "stand my digs" and make sure I do get what I want done. All the best to you and your daughter. 

    Cheers Tracey