Lumpectomy + radiation VS Mastectomy -- pros cons?

Posted by jjmoon @jjmoon, Mar 25 7:41am

Hi,
I was diagnosed with DICS ER- Multifocal in the fall. It has taken four months to get to this point in the process. Right now I am scheduled for surgery (a lumpectomy), after which I should have radiation.

My DCIS covers a larger area so I am right on the line between mastectomy and lumpectomy. I chose this path because it is less invasive. Also I fear the risk of lymphedema (rational or not, that is something I grapple with).

My question for this fine group is the following:
If my margins are not clear OR they find invasive OR I have a local reoccurrence -- I will have to have a mastectomy. The plastic surgeon (who will close me up and try to make things look good) has suggested I consider going straight to mastectomy because in their words "Radiation is horrible".
The radiation oncologist said something different -- more along the lines of "there are minor side effects but they are temporary".

So, I am curious if others have faced similar?

Just to be clear, my questions are around side effects of radiation vs bigger surgery/longer recovery/risk of lymphedema (sentinel node biopsy, not dissection)

Thank you in advance!
jjmoon

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@laurieak This is good to hear. I was diagnosed with Stage 0 in one breast about a month ago- but it's in multiple areas so I was offered either an attempt for lumpectomy and radiation or mastectomy, which will be in Jan. I'm 42 and healthy so the diagnosis was a shock and weighing the decision has been really hard and also surreal. That said, I'm really surprised that I'm strongly leaning toward double mastectomy- firstly because I want to reduce my risk of recurrence and also because I really don't want radiation. It's so helpful to come on here and read people's stories and also to hear you say that you don't regret your choice. Happy for you and thank you.

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Chose double mastectomy.
I dont regret it at all

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