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Multifocal and Multicentric Breast Cancer

Breast Cancer | Last Active: Apr 20, 2023 | Replies (12)

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@dmart37

Hi -
I feel like we are in sort of of the same situation. I have DCIS (2 cm) and ALH in the left breast. The surgeon said that it was a 50/50 chance that they would get clear margins if they did a lumpectomy for both. After lumpectomy I would need radiation. I believe that I will go for a mastectomy because I am afraid of cancer recurring and reconstruction options are better without radiation. I am still so conflicted and not sure I am thinking clearly about this. Can you tell me what your thoughts are on how to decide?
thanks!

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Replies to "Hi - I feel like we are in sort of of the same situation. I have..."

There is always so much information coming at you at the beginning and I remember feeling an urgency to make decisions right then. 😳 I felt overwhelmed and unable to deal with the sadness I should have been feeling.
There is a group that talks a lot about mastectomy and reconstruction pros and cons. Have you read this conversation yet.
https://connect.mayoclinic.org/discussion/mastectomy-1/
I wish I would have taken the time and had this resource when I was diagnosed. I find that slowing down and taking the time to consume as much information as possible helps me to make the best decision I can for myself.
This is a very hard time for you, have you stopped long enough to breathe yet? 💕Do you have someone to bounce thoughts around with that knows you well enough to know what is important to you?

@dmart37. I have two tumors in my left breast one is 2cm and another 1cm or smaller. I decided to go with mastectomy as mine is multifocal. You never know how many other small tumors we might have in our breast that you cannot see at MRI. Also, I would like to go aesthetic flat where the plastician does a very smooth work hopefully, no silicone, no flap surgery. I have been thinking for weeks about lumpectomy versus mastectomy. Unifocal cancer is very different in my perspective and lumpectomy is a better fit. I will meet the plastician soon and hopefully have the surgery at the beginning of November.