Forum Discussion

michelle2427's avatar
10 years ago

What to do

Hello all

I haven't been on for a while, so hope all going ok for everyone

I'm now at the stage where I have to choose mastectomy or lumpectomy. My Dr is saying my best option is mastectomy and I would have been ok with this if all options where explained to me many months ago.

I have a HER2 positive aggressive cancer at 8 o'clock and a smaller cancer at 12 o'clock. My last MRI has shown the larger cancer is not present, but if I choose a lumpectomy I will have to have this area removed. The other cancer has shrunk from 1cm to 5mm.

So here is my dilemma. Im in the public system and was told many months ago, if I choose mastectomy I would have an expander put in and then 6 months later have a prosthesis put in, well this did not sit right with me. I was also told flap reconstructions wasn't done at the hospital I go to. I was 4 days out of chemo at this appointment and thought because I was in the public system I could not even consider a flap reconstruction.

So I went home and decided to do some research and found I could have this option. I am a little disappointed that when we see a specialist like the breast Dr, it is hard to make another appointment. I was deterred from making another to discuss other options, many missed phone calls followed and communication brake downs with the receptionist. At my last appointment I was told it is too late to look into a flap reconstruction.

Having breast cancer and getting my head around what was happening, I originally went into this deciding to go with what Im told because the Dr's know best, however some things didn't add up, the more I got use to chemo and all the processes I had to go through, the more I started questioning the system.

I have only recently had a long talk with my breast nurse about not being given all options, my dilemma being i don't want the reconstruction I was offered, and I would have more than likely chosen flap over prosthesis, and now lumpectomy over prosthesis.

I am now being told by my breast Dr that if I have mastectomy and expander put in, I can have flap reconstruction down the track. Is this true, does anyone know? Has anyone had this done? I was told earlier on that once I choose an expander I could not have flap reconstruction. Perhaps the people who run this site can let me know this one. I have till the end of the week to find out. I will see if I can talk to someone in the public system about this before the end of the week, so I can make a more informed choice.

i don't think it should matter if your in the public or private system, having a breast removed and or reconstruction is a huge deal, and a rest of your life decision to make. Laying all options on the table would have been great earlier in the piece, so I had time to decide.

I had 8 months chemo before getting to this stage, I couldn't imagine having to make this decision first up, like others have, and chemo after.

I have had the best oncologists, nurses and doctors, however along the way I found those few things that could have been improved.

 I have sought a lot of alternate therapies along the way, healthy eating mainly and found doing both chemo and natural has help me immensely. Having a public system that offers body, mind, spirit and natural eating tips etc, as well as being able to talk to someone and delving a little deeper without the same standard answers (I found someone in the end) may have made my huge decision a little easier. 

What to do, What to do???

18 Replies

  • Having tissue expanders will not make it difficult to detect recurrance as the implant is below the muscle leaving it and the remaining skin available for regular self examination.

  • I too am her+. I wanted a diep flap but after discussion with breast surgeon had a bilateral with tissuexexoanders ibserted with change over pkanned fir after chemo finished...which is soon. The concern the surgeon had was the delay in treatment... my cancer was a stage 1 but a grade 3. Also the tissue expander also meant I had a breast mound there if I required radiation. Which I don't. After the pain of recovery of the mastectomy and tissue expanders I was relieved I hadn't  had my tumny done as well. Even though not complete they look pretty good I think.

    You can have a diep done later, many ladies on this site have done this. I have kept this in mind if in the end I have issues with the implants which I am not expecting.

     

  • Hi I can't help you with advice about the public system as I went private. I had 2 surgeries to get my cancer and they couldn't get a good margin so was advised to have a mastectomy. I had chemo first and then had mastectomy with immediate reconstruction with (tramflap ). This was very long surgery, I'm really happy with the result. I agree just because you are a public patient you should be able to have a choice it is a part of your body you are losing. Good luck hopefully you will get some answers

  • Hi Michelle - I read your post to  Brenda and your comment about Type 1 diabetes.  I had  a sister in law who was type 1 from the age of 9 and I have a nephew who is also type 1.

    Diabetes can make medical  issues a little more challenging.

    I've had a mastectomy with expander and implant and very happy.  It is a personal choice and a decision that you will come to and I am sure be very comfortable with.

    Take care

  • Thanks Brenda

    Are you having chemo first also, then op? Are you considering breast removal, then reconstruction later when cancer free?

    Thanks Brenda I always love to hear others thoughts.

    For some strange reason I'm not scared that cancer might come back, I have a feeling that Im going to be ok. However when the Dr tells me the reason I should consider mastectomy, I do have fear for a while, but can't help feeling Im going to be ok no matter what I choose. Strange hey, I think the feelings I keep getting and the Dr telling me all the scary details is what is making my decision hard. Do I believe them or me.

    Brenda I have had type 1 diabetes for 40 yrs, and when minor things have occurred, I look after my self better and think positive. Nothing major has gone wrong apart from cancer, Im thinking because of my diabetes, cancer does not scare me, it is just another illness that needs to be concurred. Although because of what the Dr says, I do have a little doubt come up when I think of lumpectomy.

    I have til the end of the week to decide

    Thanks again for your thoughts

     

  • Hi Michelle, welcome back! I have passed this onto our policy team to see if we can provide you with some more information. I am sure the members will be able to share their experiences with you to help answer some of your questions. Sounds like your breast care nurse has been a good sounding board, keep asking those questions.

    Ann-Marie

  • If I had HER2+ I would be wanting mastectomy and remove any risks of the cancer coming back and worry about reconstructions when I am sure I do have a cancer free future but that's just me.