Hi Karen,
I was diagnosed with triple neg last year following a routine breastscreen (my first!) that found four tumours in my left breast. Like you, my first thought was mastectomy.
My sugeon told me that she would happily give me one IF it would give me a better chance of survival BUT IT WOULDN'T. This was a revelation to me. It turns out that the survival rate for women having a mastectomy and chemotherapy is no better than the survival rate for women having breast conserving surgey, chemotherapy and radiation. Some women opt for a mastectomy to avoid radiation but I was going to need it regardless of the type of surgery I had.
One of the arguments that appealed to me the most regarding treatment was this: all of us have cancer cells circulating in our bodies (everyone - not just those of us with a diagnosis) and triple negative likes to spread, but it also prefers breast tissue. It was suggested to me that keeping breast tissue was a good idea because any recurrence was most likely to be in the breast and this was a much better option than, say, my brain or my spine or anywhere else for that matter.
My one year check up found some suspect calcification and I'm due to go back into surgery next Wednesday to have it removed. Someone recently asked me if I was sorry I didn't just go with a mastectomy. I'm not sorry. Although at the start I was in the "Just chop them off" camp, I now realise what a difference it makes to my body image and my recovery. Mastectomy is major surgery. It's also possible that if I'd had the breast removed I might now be looking at suspect cells in my other breast, or in some other part of my body.
My sugeon tells me she'll be able to remove the new suspect cells by going in through the same scar and that she'll then lift the breast so that it's a better match to my other (naturally smaller) one. I know there's a limit to how many times we can do this but I intend to keep as much breast tissue as I can for as long as I can.
I have kept a blog all the way through my treatment and it includes all of the tips I have for coping with various stages of treatment. If you're interested you can read it here: http://positive3neg.wordpress.com
There's also a very good site for triple neg here: http://www.tnbcfoundation.org It's not an Australian site but still a great place for informaiton and current research.
I'm a great one for chosing really good doctors and listening closely to their advice but ultimately I believe we all need to take responsibility for our own health and to make decisions that we're comfortable with. Other people in my situation have made different choices. Everyone finds their own path and you will too.
My very best wishes to you. It's not all bad. Personally, I've never felt more loved or supported. I hope you find some joy along the way.
Meg
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