@mchler73 - the pathology report for the right breast only said “atypical cells.” I don’t think it is known what type of cancer those were going to evolve to. However, I will ask my oncologist when I have my next appointment.

I personally did not request the nipple sparing procedure. I chose a bilateral mastectomy because I did not want a lumpectomy and radiation. I did not want the surveillance that would have been required had I only had a lumpectomy. I did not want to constantly worry about the cancer reoccurring in either breast. And the breast surgeon did say that for her triple negative patients, she almost always recommended the bilateral mastectomy (but would have been willing to do the lumpectomy and radiation if I was intent on breast conservation, which I was not).

The nipple sparing mastectomy was recommended by the breast surgeon and the plastic surgeon. They said, however, that if there were any cancer cells in the nipples, that the nipples would not be spared. I understood that and had to sign consent before surgery. I did not let myself get too focused on the nipple sparing aspect. I honestly just wanted the bilateral and the reconstruction. If the nipples were spared, great. But I was not hung up on this in any way.

However, no cancer in the nipples was found during the mastectomy. Only the one small tumor was found and it was located away from the areola and the nipple.

I do meet with the breast surgeon next week and will inquire about the chance of it coming back in the nipples and I will let you know what answer is given.