Breast cancer unclear margin,but no further surgery offered

My elderly mum has stage 3 grade 2 breast cancer. Ilc. She had a lumpectomy. Her margins were clear...except for behind her nipple? bc the surgeon literally could not remove any more tissue?... weird to me, why don't they do a mastectomy, or just remove the nipple?..she just wants to live and does not care about appearance at her age. She's seeing the oncologist for a chat, she's 29 on predictive test over 15% chances of reoccurring cancer so will likely have to have it all...  chemotherapy, radiology and hormone treatments. She has a really bad heart already, an irregular heartbeat, and one blocked tube she's terrified, and I don't want to lose her. We were desperate JUST to get the tumour out, but now feel like nothing is better. It's so scary. This still doesn't seem real. I feel like I should have more assertive, asked more questions, pushed for a mastectomy? Would that help?sorry for going on.I posted this under living with cancer, but then thought that this was a more appropriate place, sorry I'm not used to using a forum 

  • Hello and thanks for your post,

    I am sorry to hear about your mum. I can understand that you want to do everything you can to help her.

    It is very difficult for us to comment on why she did not have a mastectomy but it may have been because the surgeon did not want to perform a larger operation because of her age and her irregular heart beat.

    The oncologist will probably have been at the meeting with the surgeon when her treatment was discussed so it may be helpful to ask them when your mum has her appointment.

    The oncologist will also be reviewing your mum's general health, how her kidneys and liver work and of course her heart before they decide whether she is a suitable person for chemotherapy. There are different chemotherapy regimes that they can give her but the doctors have got to be mindful of any side effects that may effect your mum.

    We have some general information on our website about how decisions are made which you can see here

    It can help to have a read about the different options before her appointment.

    Keep an open mind, each patient is treated very individually and what works for one person may not be suitable for another one.

    I hope that you are managing to get support for yourself as it can be hard looking after someone close to you.

    If you or your mum would like to talk through any of this with one of the helpline nurses then you are welcome to give us a ring.

    Our number is Freephone 0808 800 4040 and we are here Monday to Friday 9 am to 5 pm.

    All the best,

    Catherine