I am scheduled for a double mastectomy on March 21 at the Mayo in Jacksonville. I was told I will not need radiation. I am triple negative (stage 1) and positive for the BRCA1 gene mutation. My MRI showed no cancer in the lymph nodes, but the surgeon will still test one or two during surgery to be sure there is no spread. Maybe the plan for no radiation will change if my lymph nodes show cancer. What I am finding is that everyone's journey is different and hopefully the medical care team knows what they are doing and putting your health and well being first. at my original consult with the surgeon, he wanted to do a lumpectomy and I wanted a mastectomy because my grandmother died of breast cancer at age 30 and I've had numerous friends get breast cancer again after a lumpectomy, I just wanted them gone. I was advocating for my choice, but he was trying to convince me that a lumpectomy is all I needed. He changed his tune when the positive results for the BRCA1 gene mutation came back. Hope this helps someone.