Have had surgery but need another operation to get bigger clear margin. It feels like I'm going back to square one. Just getting over the operation and two weeks to the next. As it's triple negative I still don't know if I'll need chemotherapy as well as radiotherapy and I really don't want it. My husband had chemo and developed pulmonary embolisms on several occasions and that was what actually was what I lost him to.
Hi Wildcat, sorry to hear this.
i just wanted to say mine was triple negative but I didn’t need chemo. It will depend on size of tumours and any spread to lymph nodes. Like you I was adamant I didn’t want chemo once diagnosed but as it turned out it was part of the treatment plan in the end so I didn’t have to make that decision. I had wide spread high grade DCIS so needed a mastectomy. Post surgery biopsy showed some small tumours so I didn’t have to have radiotherapy. It’s almost 3 years since my surgery and all good. Stay positive. X
Hey Wildcat
I'm so sorry about your husband and his experience with chemo is bound to go some way to shaping your decisions about how you proceed with your own treatment.
Chemo is almost always recommended for TNBC tumours due their aggressive nature, however it will depend a lot on your individual circumstances and they'll take into account things like size, grade and your age and general health.
My TNBC was 1cm so early stage and grade 3 so high grade and was removed with clear margins and nodes. Chemo was the next stage of treatment due to the high grade and my age (apparently 47 is young!), however the start date for my chemo was massively delayed beyond the recommended timeline for effective treatment and now I've had a biopsy confirm local recurrence just four months after my lumpectomy so I may now be looking at losing the breast rather than sporting the neat little scar I have now. Then there is of course the inevitable terror of not knowing if it's now spread beyond the breast.
I know this is really scary but I highly recommend you at least meet with the oncologist if they offer chemo and have a proper, open-minded discussion to weigh up the pros and cons.
Best of luck with your surgery and recovery. x
Hi Wildcat
I am sorry you lost your husband to pulmonary embolism and can absolutely understand how that makes you very anxious about the idea of chemo. Unfortunately TNBC is usually an aggressive cancer and chemo is likely to be recommended unless your tumour was very small - I think the usual cutoff is 5mm for a grade 3 tumour, which most TNBC are. You don’t have to accept chemo if you don’t want it but it’s worth knowing that not all chemo drugs are the same so their risk profiles may differ. Do talk to your oncologist about what happened to your husband. They should be able to provide specific advice about the drugs being proposed. Most people have an ok time on chemo. Obviously there will be side effects but you are unlikely to suffer everything listed on the drug sheets nor will you experience them all the time.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
I am a Macmillan volunteer.
I have metastatic Triple Negative Breast Cancer, in remission
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2026 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007