Hi everyone. Am newly diagnosed (2 weeks) and have a few questions. A routine mammogram has got me here with the details that a biopsy has found cancer cells. A visit to the specialist didnt tell me anymore information other than I need to have the breast off. Pathology will then tell me what I have and treatment needed. Is this normal? I thought I would know what type of cancer I had, aggressive or not, stage etc before surgery and not after??? Also, specialist only recommends having the one off. When questioning him he says their is a slightly increased risk of it coming back in the 2nd breast. I would love to hear from others who have had to make the decision of one or two off and how they came to that decision. At this point in time i am thinking of having both off so that I wont worry about it coming back but would love to hear what others have to say. Thanks in advance.

Hello,and welcome to this great online network!! I was very similar to you.i am almost 3momths past chemo now,but when I was first diagnosed!I found the lump,had a mammogram and ultrasound,then a core biopsy,then the surgeon told me it was cancer and I needed a mastectomy.After the surgery,I was referred to my oncologist,and she had all the pathology results that they do after the mastectomy.(they send it away for detailed testing) The oncologist then discusses your treatment with you.As for having both breasts removed,it is a very personal choice.I had a right mastectomy,and if I had known then,how I feel now,I would have definitely had both breasts removed.I am very small breasted,and it wouldn't have made much difference to me.I never wanted a reconstruction,so it would have just been easier.There is a lot to take into consideration,and if you are thinking about reconstruction,there is a group on here that I think would be the best place for you to get advice from.I am sure that other ladies will come on here with their opinions also,but at the end of the day,it is you that has to make such a personal choice.All the best,and stay on this fabulous network and let us know how you are travelling.Take care.xoxoRobyn

The process was fairly similar for me. I found the lump, had mammagram and ultrasound. My specialist did the biopsy (to confirm tumor was cancer and also to confirm second area was DCIS) and then recommended mastectomy. I received the pathology results a week after surgery from the surgeon. Then saw medical oncologist and radiation oncologist before further treatment. Just to be clear on one point, if you were to get cancer in your other breast this would be a totally new separate cancer not a recurrence. The cancer you have now cannot move into the other breast. Once you have had breast cancer there is a slightly increased risk of having a second cancer begin in your other breast. It is very much a personal choice about whether to have a double mastectomy and depends on many factors. I thought at one stage that I should have had a double but my surgeon was very clear that I needed to begin chemo as soon as possible. Having a second mastectomy increases your chance of complications (infection, etc) and could delay chemo if you need it. Also she said that I may feel differently about it given more time, which is absolutely true. At this stage I am glad that I did not have the other breast off (I was diagnosed in May last year and finished chemo 51/2 months ago and radiation almost 4 months ago). I have been through a lot and still have about a 20% chance of recurrence. For me at the moment, I am happy to wear a breast form on my mastectomy side and continue to recover through physio and lots of exercise. I am glad I have a 'good side' to sleep on. There is a lot to consider and weigh up before making these decisions. Many people feel that they need to do it for piece of mind. I don't feel that way as my chance of recurrence is much higher than my chance of getting a new cancer in the other breast. Get lots of information before making your decision. I hope it goes well no matter what you decide. Deanne xxx

Thank you ladies....very helpful and reassuring to hear you both had a similar start to me. Yes Deanne, I think I need to do a bit more research on one or two. Do you suggest where I can find good info about it as I am deliberately not looking at Dr Google. Had a very quick look on this sight last night but didnt find any info on it. Thanks again, Donna

My situation did not allow for a lot of time to research before i had my first surgery. I figured that it was more important to treat the life threatening cancer i had than to remove a healthy breast. As my surgeon said i could always have this done at another time or in conjunction with reconstruction if i chose. I asked my oncologist to give me the statistics as a guide. It is such a difficult decision but I wanted to base my decision on facts as much as possible. The fact is for me, removing my other breast is not going to do much to improve my odds of not getting breast cancer again. I think unless you have a high risk of getting cancer in the other breast (some people do) that you really need to think about what you will achieve by a second mastectomy. Will it give you peace of mind? Will it make a difference if you want to do reconstruction? These are questions that your surgeon may be able to help with. If in doubt don't do it now. Give yourself time to research, you can always have it done later, but once you remove your breast, even the best reconstruction will never make it the same as a real breast. If only we had a crystal ball! Best wishes and take care. Deanne xxx

Advice please... | BCNA Online Network

62 Replies

Chixon
Member
12 years ago
Home from hospital today!! My double mastectomy was surprisingly pain free...felt 'sore'...but only required Panadol . The drains were more uncomfortable ..I was very pleased to have them removed. I have my appointment with my surgeon for the Path results on Friday...so it will be good to know what the results are. Best wishes to all.xxx
Chixon
Member
12 years ago
Home from hospital today!! My double mastectomy was surprisingly pain free...felt 'sore'...but only required Panadol . The drains were more uncomfortable ..I was very pleased to have them removed. I have my appointment with my surgeon for the Path results on Friday...so it will be good to know what the results are. Best wishes to all.xxx
Chixon
Member
12 years ago
Thanks for your kind wishes. I will be back in contact in a few days.xxx
Yoga_nut
Member
12 years ago
Wishing you all the very very best....it will be a relief in a way to have this step behind you . You will feel so much love from your family and friends that you will be floating by the time they take you down to theatre. Thinking of you x Karen
TonyaM
Member
12 years ago
Best wishes for tomorrow,it will all be ok.love Tonya xx
Gerbera67
Member
12 years ago
The waiting was hard. I did my best to put it out of my mind and carry on as normal. Someone said to me worrying will make no difference to the outcome and that was so true and I tried to embrace that, but we worry none the less. This sight is great to post questions on and actually helped me make some decisions based on the advise of others who have 'been there and done that'.
Chixon
Member
12 years ago
Trying to keep 'good' thoughts. I have my double mastectomy on the 27th June...it is just the waiting that is hard...waiting for surgery and then for the Path. Results. It is such a great network to voice concerns. What great people you are..lots of luck to all. Chris. XX.
Chixon
Member
12 years ago
Trying to keep 'good' thoughts. I have my double mastectomy on the 27th June...it is just the waiting that is hard...waiting for surgery and then for the Path. Results. It is such a great network to voice concerns. What great people you are..lots of luck to all. Chris. XX.
Deanne
Member
12 years ago
An ultra sound will definitely pick up any obvious lymph node involvement, so if it did not detect any this is a good sign. However the only way to really check this is by removing the sentinel node and testing it under the microscope. Sometimes there are just a few microscopic cells there. The pathology report will detail this for you. Hope it is all good for you. Take care. Deanne xxx
Gerbera67
Member
12 years ago
I find that interesting Chris as I was not even offered an ultrasound of my lymph nodes. The surgeon just took a 'block' (whatever that is) out when they did my mastectomy and checked then. Sorry, cant really help answer that. Atleast an ultrasound is less invasive which can only be better.

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