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Distant recurrence risk

Breast Cancer | Last Active: Aug 8, 2023 | Replies (23)

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@californiazebra

No. I was not a good reconstruction candidate due to a keloid scarring disorder and my pre-existing neuropathy so the marble-sized, hard, immobile, painless lump was very noticeable on my bony chest. I just wear silicone prosthetics if going out when I want my clothes to fit nicer like work or a nice evening out. When I'm at home, walking dogs, running errands, I just wear a loosely fitting top and don't worry about it. I like comfort. Each person needs to do what is right for them. 🙂

You do ask a good question though. Definitely ask your oncologists. I just googled your question. Breastcancer.org states baseline MRI in case future issues arise, then yearly physical exams and monthly self-exams are considered sufficient. So I guess you can feel any lump through the reconstruction.

cancer.org states: reconstruction rarely hides a return of breast cancer so you should not consider this a big risk when deciding to have breast reconstruction.

Without reconstruction, I had a breast MRI the first couple years then an annual ultrasound for the next 5 years. Luckily, my annual ultrasound was scheduled just two days away when I found the lump so no waiting. Maybe they monitored me more heavily due to my BRCA2 mutation? I hope your reconstruction goes smoothly.

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Replies to "No. I was not a good reconstruction candidate due to a keloid scarring disorder and my..."

Hello, I am someone with a double mastectomy and no reconstruction diagnosed with LCIS, lobular carcinoma in situ, which may be a precursor to lobular cancer. I asked my oncology surgeon if I should start on an endocrine therapy to further reduce my risk, she said no due to risks not justifying benefits. I am 52 years old and still having my period so my only option is Tamoxifen, which has the uterine cancer risk that is making me hesitate. I am thinking of waiting until I reach menopause and then start on an AI. Also, I feel that routine screening is important and am wondering whether breast mri for someone without reconstruction is possible. Does it involve laying on our stomach as if we had breasts except there would be nothing to insert into the hole where the breasts normally would go? Lastly, if you had continue doing yearly MRI’s,do you think your recurrence would have been caught earlier? Thanks for any input you can give me.