I had an initial lumpectomy on the advice of the breast surgeon in October 2019. I had chemotherapy for 3 months after that and I am on 3 weekly herceptin for HER2+ BC until September 20. I was meant to undergo radiation in February this year, however decided to have bilateral mastectomies as I have dense breast tissues. The surgeon told me it was overkill given the low chance of recurrence in the same or other breast. Her advice was that even if another BC is found then it can be successfully treated and having mastectomy does not have any impact on the cancer metastising. I had the mastectomies as I felt I would have one thing less to worry about and I also did not want to have to go through mammograms, ultrasound and maybe MRI given that I have dense breast tissue.
I think this decision is very personal. Initially when I asked if I could have mastectomy, the breast surgeon had said that you are very emotional as you have just been diagnosed. Her advice was to have a lumpectomy and then if I wanted to have mastectomy later she would be happy to do the surgery.
I am happy with my decision, however there are many other ladies who are more than happy with their decision to have the breast conservation surgery.