Confused lumpectomy or masectomy

I have just completed 16 rounds of chemo for invasive triple negative breast cancer  4 rounds of AC and 12 taxol, finished on sept 11 2014. im so happy to be done I  feel good despite the neuropathy and tiredness I'm suffering. I have an MRI and mammogram this Thursday then a meeting with the breast surgeon next week my dr is pro oncoplasty , lumpectomy with reconstruction. I am not sure i keep thinking a double masectomy with free flap construction is the way to go. I am a worrier and don't want to spend my life looking for lumps. I won't need radiation with masectomy however I realize it is a huge surgery. Any one have any advice, wish they had done some thing different. I value all opinions. My head is a fog :( thank you for your thoughts. Oh I'm 46 married with two boys 16 & 12 yrs 

Comments

  • disneyfan2008
    disneyfan2008 Member Posts: 6,583 Member
    Sorry I do not have any

    Sorry I do not have any advice.(two lumpectomies for me) but just saying I am thinking of you...

     

    I am sure others will have wonderful advice/ suggestions..

    Denise

  • 1surfermom
    1surfermom Member Posts: 396 Member
    Confused

    I can understand  why you would be confused. Your situation sounds alot like mine. I was diagnosed at 47, when my boys were 15 and 10. It was a very scary time and I just wanted to see my youngest get to the eighth grade ( he was in fourth grade when the nightmare started). He is now a sophmore in high school and my oldest is a junior in college. I also had neoadjuvent chemo, (AC, taxol and herceptin )when it was time for surgery I really didn't have a choice since I was part of a clinical trial and had to follow it to the letter. I had a lumpectomy and the complete removal of my lymphnodes under my armpit. I also had radiation which was time consuming but not too painfull. The recovery from the lumpectomy wasn't that hard,but the recovery from the lymphnode dissection gave me a frozen shoulder. With either surgery be sure to do the recomended exercises, I was kind of lazy and I believe thats what caused the frozen shoulder.  I am happy that I chose the lumpectomy it gave me a litte extra time to get on with my life and to start to feel normal again (although I am a bit lopsided). What ever you choose I'm sure it will be the right choice for you. If you want to talk more  feel free to  PM me. Love surf.

  • desertgirl947
    desertgirl947 Member Posts: 653 Member
    I chose a double mastectomy

    I chose a double mastectomy because I was wanting to do all I could do to keep from having more problems with my right side.  My left side was already a goner (ended up IIIA stage), but for the right (ended up 0 stage).  

    I did not bother with reconstruction because I wanted to just get on with life, primarily.  I did not want more surgery, more recovery, more discomfort, etc.

    The decision is yours.  Go with what you are comfortable with.  We all have reasons why we have made various decisions along the way.  Places like this, though, give you a little bit of an idea what others have decided and done, as well as why. 

  • camul
    camul Member Posts: 2,537

    I chose a double mastectomy

    I chose a double mastectomy because I was wanting to do all I could do to keep from having more problems with my right side.  My left side was already a goner (ended up IIIA stage), but for the right (ended up 0 stage).  

    I did not bother with reconstruction because I wanted to just get on with life, primarily.  I did not want more surgery, more recovery, more discomfort, etc.

    The decision is yours.  Go with what you are comfortable with.  We all have reasons why we have made various decisions along the way.  Places like this, though, give you a little bit of an idea what others have decided and done, as well as why. 

    Decision is hard...but
    I was like you. i wanted all of the cancer gone. I knew there was still a good chance, but felt if it cme back, I had done all I could do to not have ot back.
    Such a personal choice. Doctors reccomend, but we live in our bodies! Good luck on your choice.
    Hugs,
    Carol
  • joannstar
    joannstar Member Posts: 403 Member
    I chose to have a lumpectomy.

    I was stage 1, Grade C, TNBC, 4 lymph nodes removed clean. I had a second lumpectomy to get clean margins, 6 rounds of T/C and 33 rads. I was told that the statistics are pretty much the same for lumpectomy with radiation vs mastectomy. It has now been 4 years and my onc said that with TNBC after 3 years clear, the stats drop to only a 5% chance of recurrance.

    Very personal choice, but as a worrier myself, even with a mastectomy, I would still worry because not all the breast tissue is removed.

    Good luck with your decision.

    JoAnn

     

     

     

  • Anita L
    Anita L Member Posts: 5
    I also was diagnosed with

    I also was diagnosed with breast cancer 7/3/14.  I chose the double mastectomy.  When my pathologist report came back Triple Negative I was even more thankful for the route I had chosen!  I have a friend that is a RN, and she had told me for months before I felt my lump that if she ever found a lump they would both be gone.  She has seen to many recurrences, and most of the time it is silent when and if it returns.

    The surgery wasn't bad for me.  I was concerned going from a D cup to nothing, and wondered how self-concious I would be.  I discussed this with my doctor and he did the skin saving.  With my skin I could pass for an A cup now :)   I have not been self-concious either!  I do not plan on having reconstruction.  If I feel the need to look like I have boobs I wear a little padded bra.  

    I was suppose to start my chemo 9/5.  My PET scan showed a spot on my sternum, I had to have a biopsy on that, 9/11.  Waiting to hear the results :(  Scheduled to hear from that and have my first treatment 9/23.  I had a harder time with the thought of losing my hair than I did having the mastectomy.  Now that I have been so stressed about this biopsy, it's not even about my hair anymore.  I'm just ready to be well!!!!

  • disneyfan2008
    disneyfan2008 Member Posts: 6,583 Member
    I had DCIS in 2008 they never

    I had DCIS in 2008 they never offered me options-just Lumpectomy followed by radiation. 2nd Lumpectomy 2 yrs ago (ONLY scar tissue)

     

    Thinking of you...

    hugss

     

    Denise

  • GlowMore
    GlowMore Member Posts: 789 Member
    Hi Triple

    I am triple negative also....and I had a Lumpectomy...with 19 Lymph Nodes taken and 6 showed Cancer ...so that is why I had to do the chemo/radiation.   I guess they are doing it differently now...this was back in 2002  ...and I'm still here.

    For me the decision for the lumpectomy was pretty easy because I did not want to go thru the Radical procedure...but no surgery is 'easy' and we all have different issues during and after.  I was a Widow and lots older than you... I know that whatever you decide will be the right decision for you.   Sending hugs and encouragement for all good results. Glo

  • Penny3
    Penny3 Member Posts: 2

    I chose a double mastectomy

    I chose a double mastectomy because I was wanting to do all I could do to keep from having more problems with my right side.  My left side was already a goner (ended up IIIA stage), but for the right (ended up 0 stage).  

    I did not bother with reconstruction because I wanted to just get on with life, primarily.  I did not want more surgery, more recovery, more discomfort, etc.

    The decision is yours.  Go with what you are comfortable with.  We all have reasons why we have made various decisions along the way.  Places like this, though, give you a little bit of an idea what others have decided and done, as well as why. 

    Question

    Do you wear bra inserts?  I'm 58, newly diagnosed invasive lobular low grade. Onc said surgeon probably want do bi-lateral. See surgeon Wednesday? 

     

    Thanks, 

    penny

     

  • desertgirl947
    desertgirl947 Member Posts: 653 Member
    Penny3 said:

    Question

    Do you wear bra inserts?  I'm 58, newly diagnosed invasive lobular low grade. Onc said surgeon probably want do bi-lateral. See surgeon Wednesday? 

     

    Thanks, 

    penny

     

    Not sure if you are asking

    Not sure if you are asking the question in general or of any of us who did not opt for reconstruction.

    I have two mastectomy bras with inserts, which my insurance paid for.  I can do that once a year; however, I do not wear them much, and so they are not the least bit worn.  I also have what are known as knitted knockers.  I pin them in a regular bra so they stay put OR I stuff them in an athletic bra I have.  What I like about those are that they are not as warm/hot as the other ones.  I don't wear those very often either.

    Having a bilateral means that I am balanced, as far as weight on each side.  So, it does not both my back to not mess with the inserts.  I have heard/read that those who have only one side in play have to do something or else they have back problems. 

    I am thankful for the flexibility I have. 

    2012 was my year.  I have made adjustments to my thinking in many ways.  I will say that when I shop, I look for blouses/shirts that work for when I opt not to wear my prosthetics.  I stay away from plain colors, unless the material is textured.  I stay away from the tighter fit.  I do have some tops/sweaters that look better if I wear my fakes, and I will.  I work in a school, in Grade 1.  So, I have to look decent.  I also work with kids who could care less about what I have/don't have.  The staff I work with in my wing know my history, and so I feel very free in going bra-less/insert-less.

    e

  • Pixie Dust
    Pixie Dust Member Posts: 424 Member
    Everyone has good opinions

    I had no choice but to have a BMX. Cancer was in right breast but ONC wanted both removed. After I had biospy on left breast during surgery it showed that I would end up with cancer in that breast anyway. They gave a medical name for it but I forget what it is. I knew my right breast was going to have to be removed but not my left before they told me. I had already made my mind up that I was going to have a BMX because I knew if I did I would not have to think of cancer returning in left breast and it would make me feel better. I made the right decision after biospy. I thought after having my BMX it was not all that bad. They give you something for pain. If you do decide to go BMX you will have to have help with your children for a few days. I decided not to have reconstruction for several reasons. One is because I think if lumps appear in chest area I can find them faster. Another reason is because I have heard so many people that have had reconstruction they have so many problems. Another reason I am almost 60yrs. old and not having breast did not bother me at all. Even though I had made my mind up to have BMX before surgery my husband and daughter told me later that they did not want me to have reconstruction either. Even if they did, I still would have had BMX. I wear no bras most of the times and believe me it feels good.Smile When I do wear one which is barely I wear only a stiff padded bra. At your age it is different and you have to think of the pros and the cons. I am sure you will make the right decision. Everyone is different about their own decision making. Keep us updated about how you are doing. Hope you do well with everything.   Hugs  Pixie Dust.

  • bonbondidit
    bonbondidit Member Posts: 116
    Triple

    I was dx on 7/3/2014 with Invasive Ductal Carcenoma (IDC) on the left side and nothing showing on the right. After going for the MRI it showed a small mass on the right but benign. My mammo 2 1/2 years ago showed initially the same thing for the left. After getting a core biopsy it came back benign. Moving ahead to now that benign left side turned into stage3A. I have 4 involved lymph nodes in my axillary area in my arm pit. I didn't understand the potential of my benign situation to know it could change into cancer later. So with that history in mind, when they showed a spot on the right I didn't think twice. I opted for a bi lateral mastectomy. This doesn't just get ok'd by the insurance though. You have to have supporting information to supply the insurance with so they accept and allow this surgery.  Once I received the ok from insurance then the surgery was scheduled. I had the skin saving surgery on Aug. 5 2014 with no reconstruction yet. I will be getting the DIEP flap reconstruction around 1-2 years or so.  I never had a defining lump. It was more like a fog with calcifications within it. I needed peace of mind and my first reaction was "take them off!" I don't regret it at all.  I had to have 18 node removals and 4 were positive. Go with you gutt ~

  • GlowMore
    GlowMore Member Posts: 789 Member

    Triple

    I was dx on 7/3/2014 with Invasive Ductal Carcenoma (IDC) on the left side and nothing showing on the right. After going for the MRI it showed a small mass on the right but benign. My mammo 2 1/2 years ago showed initially the same thing for the left. After getting a core biopsy it came back benign. Moving ahead to now that benign left side turned into stage3A. I have 4 involved lymph nodes in my axillary area in my arm pit. I didn't understand the potential of my benign situation to know it could change into cancer later. So with that history in mind, when they showed a spot on the right I didn't think twice. I opted for a bi lateral mastectomy. This doesn't just get ok'd by the insurance though. You have to have supporting information to supply the insurance with so they accept and allow this surgery.  Once I received the ok from insurance then the surgery was scheduled. I had the skin saving surgery on Aug. 5 2014 with no reconstruction yet. I will be getting the DIEP flap reconstruction around 1-2 years or so.  I never had a defining lump. It was more like a fog with calcifications within it. I needed peace of mind and my first reaction was "take them off!" I don't regret it at all.  I had to have 18 node removals and 4 were positive. Go with you gutt ~

    bonbon...

    bonbon...are you starting chemo?  I can't remember if you have posted about that yet.   Your 18/4 on the lymph nodes is like my 19/6  ....and that is why have to do the darn chemo...    somebody else up above on this one talked about having to have ANOTHER lumpectomy in order to get clean edges......and that is so awfull.......when they have you on the table I do wish they would go ahead and get their 'clean' edges and not make a person have to come back for more surgery.

  • Add2370
    Add2370 Member Posts: 2
    Lumpectomy or mastect...

    I am 5 years out having had my lumpectomy, chemo, and radiation for triple neg on an IDC in my left one. It was between a stage 1 &  2, grade III, I was 39 at the time.  My 6 sentinel nodes that were removed were clear, and the tumor margins were also clear around the tumor size of 2.0 x 1.1 x 0.9 cm.  now that I have a calcification that is a little worry stone, so to speak, I do often wish I had elected for the double with one of the reconstruction options. I had them available to me, but I chose lumpectomy.  My mammograms show the calcification spot, with a second one coming behind it in another year or so, and it bothers me enough when I know that other people have had benign issues turn bad. So that is my thought. I was never anxious about any of my check ups except the five year one. I know that's a big one for us Trip-negs.  I still worry. I look at the positive data. I know that nearly 100% of TNBC caught in my stage have long survival rates. But I can't help but wonder every time I feel that darn spot. You still gave to look also at what works for you. My husband of now 22 years wanted me to stick around to be in the lives of our kids, then ages 16, 10, & 6. Recovery time can be hell on a double, but beats the alternative!! :) 

     

  • nannyginnie
    nannyginnie Member Posts: 7
    For me...

    In my case I had to get a mastectomy on my right side because my tumors were so large, but they recommended me getting both totally removed so that there was no chance of it coming back in my other breast at a later date and having to go through all that pain again. It depends on how you feel though, don't let anyone else make the decision for you. It's something you have to live with. I just have heard of a lot of women that had lumpectomies in the past and then years later had to have a bilateral mastectomy anyway. 

    You should also make sure that if you do decide to go with a bilateral mastectomy that your insurance wil pay for it.