Surgical options
Hi all, I have been diagnosed with invasive breast cancer and I have my first meeting with the surgeon on Thursday. I know to expect surgery soon but dont know if this will be lumpectomy or mastectomy. I know that this will be one of the things to discuss on Thursday but I am curious if there is a 'choice' - in a sense part of me just wants to be told which option but I wondered if anyone here made a decision one way or the other and how they felt about that? How long do you get to make any decisions if a choice is available? Am also put this query in the recently diagnosed thread as I have not posted before and not sure which is better for this. Thanks for any thoughts.
Another Re-Excision or Mastectomy?
Note: this is all behind me now and I feel great. I had four surgeries in the end, the last being a mastectomy. Recovery was pretty easy and I now have my external prosthesis, and noone would even know! Well, here I go again. I was diagnosed with DCIS in December. It has been a long path, but I eventually had a double lumpectomy on my right breast on 26 March 2026. A week later I was told that although they got clear margins, three of the margins on my largest lesion (4 cm) were less than 1mm. So, I had a re-excision on 15 April to get wider margins. I saw the surgeon this morning, who told me they found more disease and the new margins are still less than 1mm in two places. I have to have more surgery next Wednesday but have to decide (by Friday) whether to have another re-excision (and my breast will be starting to look a bit sad after that) or go straight to a mastectomy. She said it was quite feasible to try a re-excision again, to preserve the breast if I want to, but if they still find disease or don't get good clearances, then I have no choice but to have a mastectomy. If I have the re-excision, I have to have radiation treatment for 3 weeks, 5 days a week afterwards. If I have a mastectomy, then it's all done. No radiation and no lymph node involvement. Does anyone have any advice on what I should do / or want to share your story if you've had a similar experience? I know it's my decision, but your advice is appreciated, thank you.
Expander to implant surgery
Hi, I’m looking for feedback on how long everyone had to wait to have their second surgery to replace the tissue expander with an implant. I’m being told that I’m now on a waitlist for ‘elective surgery’ that could take 12 months. Is this normal? I feel like I’m living in limbo and can’t even begin to recover or move forward until the second surgery takes place. I’m in NSW. This is my second breast cancer after my lumpectomy and radiation in 2018. Both times DCISImplant Reconstruction After Radiation
Hi, this is my first post. I had a lumpectomy with radiation 10 years ago at 44, and I've recently undergone my 2nd lumpectomy on the same side due to the return of this hormone ER and PR+ BC. Due to having my lifetime exposure of RADS on my left breast 10 years ago, my option is mastectomy. I'm battling with my options (of which I'm blessed to have) and tossing between a double mastectomy with reconstruction using first tissue expanders and later implants, or going flat on my left side. My right breast is healthy. I only have enough fat for one very small breast, about half the size of my healthy breast. My main concern is having implants after radiation. The aspect of capsular contracture, skin or nipple death has thrown me for a sixer, and I would love to hear from you beautiful survivors about your stories of reconstruction after radiation. I have a wonderful breast surgeon who I have been blessed to have 2nd time around. She highly recommended the PC who has been transparent in the risks. Stories?Inquiry
Had left hand side mastectomy with sentinel lymph biopsy 3 weeks ago and results showed 4mm on the node and dcis 19mm and invasive ca 22mm found hence surgeon suggested axillary clearance which i have done a last week and still recovering. I dont get enough sleep as i kept waking up in the middle of the night. I have not book my post review as still processing all the information.Hormone Therapy
I had a double mastectomy two weeks ago and need to take letrizole. I have also been told to have a bone scan and PET scan. I have a few questions, firstly, when should I begin taking letrizole, do I wait till I heal more or start now? I am worried about the side effects while I am still recovering from the surgery. I have the same question with the two scans, (bone density & PET) should I do those now or wait till I have recovered more from the surgery? I know I should have asked my surgeon at my last visit, but I was concentrating on her explanation of the pathology results and didn't think of it. The last 5 weeks since my diagnosis has been a rollercoaster of emotions and I still shake my head that I am where I am! I know that I tend to worry about the 'what ifs?' too much, and probably delaying all the inevitable instead of just getting on with it. Thank you for your advice.
A-cup surgery options
I have very small breasts and I do a lot of running. My surgeon says she can easily do a silicon implant reconstruction for my unilateral mastectomy, but she didn’t have a sample of an implant that was small enough to match my size in her collection of samples or in recent patient images. I’m concerned that the end result will be annoying when I’m running and whether an aesthetic flat closure would be a simpler option for someone with such small breasts to start with. Can anyone relate and what did you decide?Struggling to make surgery/reconstruction decision
Hi everyone I have been diagnosed with high grade DCIS with an MRI showing a potential small spot of invasive cancer in my right breast. I have to have a mastectomy and I am booked in for surgery next Monday (8/9) but I am struggling to decide whether to have a bilateral mastectomy and what type of reconstruction to have. I have phone consultations with the plastic surgeon and the breast surgeon tomorrow and have to make the decision during these consultations. I am conflicted with what to do as I am waiting on the results of genetic testing (I had a tumour that was borderline cancer removed in December last year, which included removing an ovary and a fallopian tube) so am extremely fearful of having to go through this again. My initial reaction has been to get rid of both to be on the safe side which my surgeon was supporting but during a phone call with her yesterday she thinks my best option is to do only the affected breast and leave the other one. The reason she is recommending this is the left nipple can not be spared due to this breast being more saggy and the blood flow (don’t really understand it completely so that may not make too much sense) so at then end of the day if I choose to have the bilateral mastectomy I will have no nipples which she is worried I will regret. if I only do the one breast I may have enough fat on my stomach to do the flap surgery and they should be able to spare the nipple. I do not have enough fat on my stomach to do two breasts so would need to also take fat from my thighs. I have decided against this due to the scars that would be left in my thighs so if I have the bilateral mastectomy I would opt for implants. I would appreciate any input from anyone who has had a similar experience as I am at a loss what to do and only have tomorrow to decide. Specifically, if anyone has had to choose between a single or double mastectomy and has experience with nipple-sparing versus non-nipple-sparing procedures, or if anyone has had regrets about their choice, I would really value hearing your perspective. Any advice or experience would be a huge help right now. Thanks.
