I lost my husband in December 2024 suddenly and unexpectedly after being together for 48 years, I am totally devastated. I am 69 years of age.
I have just been diagnosed with a 4cm - 6cm Lobular Invasive Cancer. The cancer has not spread to the lymph nodes and the specialist has advised me that the cancer is curable.
My operation will take place on 17th September 2025.
I have 3 options to choose from:
a) Lumpectomy leaving a 34b cup against 34g cup. The specialist has advised me that he cannot be sure if he will get all of the cancer out due to size and location and may require a further operation - this is not an option for me.
b) Mastectomy and reconstruction at the same time giving me a 34d cup. With the option of reducing my right breast to a 34d cup when all treatment has finished on the cancerous breast. There is a risk with this operation as with any other operation. My body could reject the implant and all other related problems with this procedure. This will delay any chemo/radiotherapy if needed.
c) A mastectomy and no reconstruction. With the option to have reconstruction on both breasts in 12 - 18 months time if I want it.
They do not know if I will need chemo/radiotherapy until the tumour is out and has been analysed.
I go back to the consultant on the 12th September 2025 to give him my decision.
Option b) is a new option given to me by the consultant on the 5th September 2025. Can anybody please give me some help and advice about the pro's and con's of this option. Should I just have the mastectomy and then when all treatment is finished then consider reconstruction options.
Any advice with your own cancer journey would be most welcome to help me decide.
I am in a very fragile position and do not know what to do.
Thank you in advance.
Only you know what to do… and you will make the decision which is right for you.
i had a mastectomy with immediate reconstruction and it failed so it does happen but I do not regret my decision.
I had chemo before surgery due to it being triple negative BC.
good luck in deciding xx
Hi, I had a lumpectomy so wasn’t faced with the same choices as you but I guess in some ways it's good to have a choice but in other ways I think it could be frustrating. I wondered if you'd considered calling the lovely folks on the Macmillan chatline to discuss this. They won't advise you, but perhaps a professional listening ear would help you weigh up the pros and cons. You can call them on 0800 808 0000. Best wishes
Hi. I am 9 weeks on from a single mastectomy and immediate DIEP flap reconstruction after Invasive Lobular BC. I had 2 tumours and because there may have been cancer in between a lumpectomy wasn’t possible. Lymph’s clear. I’m coming up to 59.
At the time they thought radiotherapy was very likely due to size overall, so did not recommend an implant for that reason as it can affect the implant (they said it may shrink and go hard). I didn’t need any further treatment in the end as there was no cancer in between and the size of the largest tumour was 4cm. They said using the original breast skin gets a better effect though I’ve seen delayed ones looking great
its a big operation to recover from but psychologically I’ve never felt that I’ve lost a breast. They got the exact same size (32/34 DD). I ate lot of chocolate leading up to it as there was uncertainty if I had enough fat on the tummy (they do a tummy tuck) after having lost a stone this year on Weightwatchers!
It feels like part of me although looks vastly different as the other has drooped and this one sits high and firm and I had to lose my nipple. They will do further symmetry surgery in a years time when it all settles.
any questions let me know. Best of luck. Xx
Thank you for replying. I have seen my surgeon today and have decided on a mastectomy and to remain flat. I feel for me this is the best option and when I am well I will consider a reconstruction. I have been through a lot over the last 9 months. I am hoping like you that I do not need any further treatment. Good Luck with your recovery. xx
No problem. It’s good that you now have a plan and can focus on getting through that. I’m sorry to hear you’ve already been through a lot and hope this next bit goes well for you. Thank you for your good wishes on my recovery. Nearly there now (ish ) xx
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