Oh how shitty is that. A new primary is treated as if you never had cancer. So it's treatment is again based on pathology again. The only difference is sometimes chemo regimes are different as it is a bit taxing in the body otherwise.
So good news for you is it small.
I can only imagine the the thought of horror of going through treatment again and so soon. However this time you may look at different surgical choices given you have had bilateral cancer.
You can go for lumpectomy first with sentinal node biopsy, have treatment then decide which path to follow.
Either radiotherapy again or you may wish to consider a bilatetal mastectomy and reconstruction at same time.
It's a lot to think about. I have met a number of ladies 10 years or more down the track after bilateral breast cancer. It's not unheard of and treatment remains with excellent outcomes.
Genetic testing is most definetly something you should now be referred for.
Reach out to your bc nurse for support.
Take care. Kath x
