Does anyone have experience with a lumpectomy and a breast reduction?

I meant to add in my previous response to you that the reason for anything additional is because there is some risk of recurrence even though the tumor was tiny and removed. I had exactly the same reaction initially. My understanding is that there’s a 60% chance that cancer will not recur but the radiation could increase that to 90. % or so. The Anastrozole would add only about 4% or so.

Thanks I saw the oncopllastics guy yesterday and your response is so reassuring! I’m a go for Tuesday. Will do both .. lump and down to a C.. no drains.. I was really surprised..I’m nervous but wanting to get it done.. magic 8 weeks is up on the 13 th .. so cutting this close… no hospital stay.. going to spend the night at the hotel on the hospital campus so help is close by “in case” thanks for everyone’s help. I’ll keep updating

Hi all, I had a lumpectomy and a breast reduction in the same surgery in 2013 - for many years I wanted a breast reduction but would never have done it had I not had this opportunity to do it at the same time I actually look at this as a gift (The silver lining) so glad I was able to do it and wondered why I didn’t do it so many years before - the only caution I give is the first time you set up after that surgery be prepared for the feeling that your nipples are going to fly off and hit the wall across the room ha ha - I didn’t have to have any kind of drain tubes or anything - wishing you the best - Sylvia

Hi all, I had a lumpectomy and a breast reduction in the same surgery in 2013 - for many years I wanted a breast reduction but would never have done it had I not had this opportunity to do it at the same time I actually look at this as a gift (The silver lining) so glad I was able to do it and wondered why I didn’t do it so many years before - the only caution I give is the first time you set up after that surgery be prepared for the feeling that your nipples are going to fly off and hit the wall across the room ha ha - I didn’t have to have any kind of drain tubes or anything - wishing you the best - Sylvia

I have a similar tumor and will have a partial breast radiation and Aromatase inhibitors for 7-10 years. Are you on some kind of a trail?

I had the same (DCIS left breast, no lymph nodes involved). Lumpectomy and oncoplastic at same time (Dec). Had 16 sessions of radiation begun 4 weeks after the surgery. I wasn’t given an “either/or” option—both were offered. But it was explained that radiation provided 30% additional risk reduction for cancer recurrence, whereas the hormone pills added about only 4% risk reduction. That small reduction plus the likelihood of the side effects from Anastrozole were the reasons why I am not taking Anastrozole. I’m 73. All done now and so far so good. All these decisions and new information is daunting but you will get through it! Wishing you well and good outcomes.

Thank you again for all that information. The reason I'm not taking Anastrozole is that my mom and her four sisters got dementia in later life, and I read a report from the Pittsburgh Cancer Institute between 2005-2012 saying that it caused a decline in Cognitive Function. So, that's the reason I don't want to take a chance on that! Good luck going forward - good to know about the risk reduction with the radiation.

Thank you for that response. I did some checking on Anastrozole Therapy and found that there was an article by the University of Pittsburgh, funded by the National Cancer Institute of the National Institutes of Health, about Cognitive Function. They said there was a decline during the first 6 months of this Therapy. An improvement from 6-12 months. But another decline from 12-18 months in working memory and deterioration in concentration. Now as my mother and her four sisters all had dementia around the ages of 75-85, I decided not to take this Anastrozole Therapy.
On the topic of Radiation, I was unsure how to proceed. I had read if your tumor is very small - 2mm -clear margins and no lymph node involvement, you might not have to have surgery, but to 'watch and wait' - having a yearly Mammogram, and checkups with your Doctor and Oncologist. I already had the surgery, so thought I could also go the same route. If the cancer comes back, I can have the Radiation then, because you can only have Radiation once on the same Breast, is what I understand. Otherwise, I would have to have a Mastectomy.