Mastectomies are not an option for those over 65???!!!

Posted by sandyjr @sandyjr, Jan 22, 2021

A friend of mine has had breast cancer twice...DCIS and IDC....both breasts....as I have. She told me that she had suggested mastectomy to her surgeon the second time and that doctor, her oncologist and her gynecologist told her that it is not done for ladies over 65. They do not do it. She is a young 75 and certainly could handle such surgery. I am 70 and last year I had a bilateral mastectomy with diep flap reconstruction. The first surgeon I went to had no problem doing the surgery, but said that I was too old for diep reconstruction, I would have to get implants. I did not like that surgeon and would never have used her....she was rude and crude saying “another nipple in the bucket” over and over when discussing mastectomy. I was disgusted and angry. I did not know where to turn, so made an appointment with a plastic surgeon that had given a lecture on breast cancer reconstruction. Luckily I had attended the lecture and decided to make an appointment with him. He had shown pictures of women that had had surgery and reconstruction into their 80s. That was the best thing I ever did. After meeting me and hearing my story...two breast cancers and genetic mutation and horror appointment with the crude surgeon, he told me that I could not have nipple sparing surgery because of the radiation I had had, but that I could have the diep flap and he recommended a different surgeon. He has been the best thing that has happened to me since my breast cancer experience began. He is kind, totally explains everything, listens to everything you have to say and tells you what to expect. From the get go, he told me he could not make me look perfect, but he also said he does not take cases unless he knows he will be successful. This man truly has given me hope and my wish is that everyone be lucky enough to find a doctor like him. I am nearly through the process as it takes a while to complete and I am delighted with my new breasts. So, can someone tell me if/why mastectomies are not done for older ladies. That certainly was not the case for me. My suggestion is...do your research, decide what you want and do not go by what the first doctor tells you. I got 50% of what I wanted....no on the nipple sparing mastectomy (but I did have skin sparing), but yes on using my own tissue for reconstruction...no implants. I thought the surgery was remarkably easy...very little pain...getting back up to speed took about 3 weeks (its a 10 hour surgery and you have to be very careful how you move so as not to disrupt the microsurgery done to move the tissue from the belly to the chest). He has given me hope.

Interested in more discussions like this? Go to the Breast Cancer Support Group.

It sounds like you are on the right road. I am amazed at the statement no Mastectomies after 65. My reply would be I expect to live another 30 years AT LEAST. I want the best chance I can get to accomplish that. I am not going to be some Movie Star, don't take away my chance to accomplish that unless you feel you can truly accomplish the same results with another treatment. "Don't just write me off" I am here to stay as long as I can. I have had Doctors see my chest and say "I would never do that to a woman". My reply has always been "You can't fault success"
Gina5009

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Hi. I am 73 and 3 years ago I was diagnosed with grade 3 stage 1 invasive ductal cancer of the right breast. No lymph node involvement. Onco type score of 51 so that meant I would benefit from 4 rounds of chemo. It would have been ideal to have a double mastectomy at the time as I do have very dense breasts but because of covid the elective surgery was off the table. I met with the surgeon last week and she said I waited long enough and having the right removed with a simple mastectomy on Thursday.

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@gina5009

Just wanted you to know, I had my breast cancer when I was 36. There was not Chemo, and Radiation was given only if Positive lymph nodes were found. No other testing was done except to diagnose the tumor was cancer. Unfortunately, I do not know what type etc. and the treatment was a Radical Mastectomy, and two years later a simple mastectomy of the second breast. There was no reconstruction at that time. I had no followup medication.

I did take several different t ypes of medication for Osteoporosis, which I have since stopped at the advise of my Hemotologist. I have developed an M in my blood which requires a check every 6 months. I have been told this is probably nothing, and if my next check is the same I do not have to be checked again for 1 year (God willing I am still here, I am 92 years old).

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Bless you for sharing how far we have come! I also was diagnosed young and it was the opposite, I was refused a mastectomy and given multiple surgeries, chemo and radiation, then endocrine therapy. Sometime I feel like it was the dark ages compared to today and I am only 19 years out. 😂😂

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I know what you mean. I think most doctors are so overwhelmed by the idea of treating cancer they just hope we will find someone else and just go away. Even though things were quite different when I had my cancer, I lucked out because the doctor who did my surgery was a Vascular Surgeon, and although he removed 14 lymph glands he did a super job, with no lymphedema to follow. Once again, my reply to those who say "No Mastectomy" you cannot fault success" and the route they sent you sounds like torture (never ending). I am so glad you did have a happy ending and are now back to life as it should be.
Gina5009

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