mastectomy years after radiation

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hello, Im Lola and new here!

I am a 52­ year ­old working artist and single solo mother, with a significant medical history of three separate cancer diagnoses, each a decade apart.

In 2006 (age 31), I was diagnosed with Stage IIB Hodgkin lymphoma after presenting with fevers, night sweats, and cervical lymphadenopathy. I underwent treatment with the ABVD chemotherapy regimen. No radiation. Successfully in remission.

In 2015, (age 40) I was diagnosed with Stage I invasive lobular carcinoma of the right breast following evaluation of a palpable right axillary mass. Diagnostic imaging identified a suspicious lesion, and an excisional biopsy confirmed a 7 mm invasive lobular carcinoma that was estrogen receptor­positive, progesterone receptor­positive, and HER2­negative. I subsequently underwent breast surgery, including reexcision and sentinel lymph node biopsy, at Memorial Sloan Kettering Cancer Center.

In April 2026 (age 52)  I was diagnosed with ductal carcinoma in situ (DCIS), underwent a lumpectomy with clear margins and am now considering a bilateral mastectomy. The surgeons I've seen at MSK have advised nipple sparing is not an option. This has been difficult and caused me to pause. I saw a third op at Weill Cornell and they said somewhat the opposite (i can do nipple sparing) and gave me more options.

My decision is to do a mastectomy but the questions is what path of mastectomy to do , Diep flap , implant or hybrid., considering I had radiation on my right breast, which apparently has increased chances of certain complications such as capsular contraction, etc. 

I would really value thoughts or experiences, particularly related to mastectomy after having radiation ( my radiation was 10 years prior) and nipple sparing and methods with best results.

  • So sorry you are dealing with something else now.  Just one question was the DCIS in the right breast?  Did you get offered radiation this time as you did not have it?  Also was it ER or PR positive as you may be put on hormone blockers.  
    Take care. 
    I had bilateral lumpectomies in 2021 followed by bilateral radiation and hormone blockers.  So far all is well but I was 71 when all this happened so much older than you.  MSK Cancer center is wonderful.  My surgeon graduated from Weill Cornell and was fabulous.  
    Not easy decisions.

    Barbara