I have to choose which surgery i have?

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I had an appointment with my consultant yesterday to discuss next steps which for me will be surgery

What i wasn't expecting was to have to choose which procedure I would be having, i have a choice between lumpectomy, therapeutic mammoplasty, or mastectomy the surgeon was leaning towards mammoplasty as the best option he wasn’t keen on doing just a lumpectomy as it would leave me misshapen due to size of breast and loose skin

I didnt want to have to have to have a mastectomy, im only 47 and I think having to loose my breast completely will affect me, I know getting the cancer out is the main priority and that has to come first but the thought of loosing my breast scares me is that being vain?

If I opt for the mommoplasty I know if I dont have clear margins I would have to have second or third surgeries possibly leading to mastectomy eventually anyway

So what do I do? just bite the bullet and have a mastectomy get it over with in one surgery and hope that I can overcome the loss physically and mentally or try mammoplasty and even if it doesnt work know I at least gave myself a shot 

I genuinely dont know what to do, has anyone else whos had to choose surgery options got any advice 

  • Hi  

    It is true they don’t always get clear margins and if they don’t, you need another surgery. That wouldn’t necessarily mean a mastectomy and of course you are more likely to get clear margins than not. Cancer outcomes are likely to be similar whatever you do. You say your surgeon is leaning towards mammoplasty, which means they have reasonable confidence that will work for you. We are all different but I think that’s what I would choose. A mastectomy will need significantly more recovery time plus are you happy to be flat or would you be looking for reconstructive surgery? 

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  • Thank you so much for reply I would have to be flat as m not suitable to have reconstruction after mastectomy so it really is all or nothing i totally wasn't prepared to have to make a decision ive got some time to think about it before I see my surgeon again thanks again for giving me a different way to look at things 

  • Hi .  I recently had therapeutic mammoplasty for grade 2 lobular invasive cancer.  3/4 tumours removed and 5 lymph nodes (2 positive). Clear margins. I was HER2 negative, oestrogen positive.  I was delighted with the result as the breast is smaller and uplifted .  The other one will be done to match later on.  I recovered quickly and went home the same day.  As my oncotype score was low enough I’m having radiotherapy, 11 down and 4 to go.  I’m 73 but my outward appearance is still important to me ,