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Hi everyone,
I was just diagnosed with Stage 1 DCIS and am having to decide between a lumpectomy w/ radiation and a mastectomy.

For those that have had a lumpectomy w/ radiation would you choose this again if you had to do it over again... or would you choose a mastectomy? unilateral or bilateral?

Thank you for your insight in advance?

A MyBCTeam Member said:

My BC was more advanced - ended up being Stage III - but I chose lumpectomy. My surgeon emphasized that as long as I had radiation in addition, the outcomes were similar. Some studies have actually said recurrence is a little less with lumpectomy+radiation than with mastectomy. With sentinel node biopsy, cancer cells were found in 5 lymph, so radiation would have been a no-brainer anyway. It has been almost 10 years since my diagnosis, with no recurrence or metastases, so I feel very good about my choice. And if you choose lumpectomy first, you can always go to mastectomy later - you can't do it the other way!

posted about 6 years ago
A MyBCTeam Member said:

I had lumpectomy because stage 1 and small tumor,however everyone else was having masectomys so I thought I made the wrong decision. My oncologist said I made the right decision! Had my first scan two days ago and still clear! I am taking letrozole side effects aren't to bad! Every woman is different! Good luck!

posted about 6 years ago
A MyBCTeam Member said:

I'm almost three years out. I had a lumpectomy, chemo, and rads. So far so good. Everyone I know who has had a recurrence had radical mastectomies. You just never know, as Lori said all you can do is come to peace with the decision you make, and hope for the best.

posted about 6 years ago
A MyBCTeam Member said:

I had lumpectomy with radiation. Since my tumor was very small and high up in my breast, the defect is barely noticeable, just a slight indentation. Should my cancer ever reoccur in that breast, my options would be more limited as far as reconstruction goes, but I had a non aggressive stage 1 cancer, and it's already been 6 years, so I really don't worry too much about that. And I always liked the shape of my breasts, and the unknown of what a reconstructed one would look like scared me. And I am very grateful that I still have a real breast with nipple sensation intact.

posted about 6 years ago
A MyBCTeam Member said:

I agree and was told the same thing as LoriS. I opted for lumpectomy. I don't know if I am going to get radiation or not. If cancer does come back, i will need reconstruction and would like my skin tissue to be healthy. I am still going through chemi treatments do nit sure yet.

posted about 6 years ago
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