Can I request a mastectomy?

I had a mastectomy on one breast and the other reduced.  The result came back with ADH and LCIS in the reduced breast after the procedure.

I am already on antidepressants, and from what I can gather ADH and LCIS both increase my risk of developing cancer in the remaining breast.  My surgeon said he got it all but how would he know?  The material was taken from the breast and sent to the lab after the operation, so they did not know it contained ADH and LCIS until it was tested and they had the reaults back over a week later.  

For my mental and physical health can I request a mastectomy on the remaining breast?  

  • Hello Pole007 and thanks for your post,

    I am sorry to hear about your situation and the effects that it is having on your mental health. I can understand that after treatment for cancer there can be a period of uncertainty.

    It is difficult to say what the surgeon will recommend for follow up after ADH (atypical hyperplasia) and LCIS (Lobular Carcinoma-in-situ). 

    You may find it helpful to read the information about atypical hyperplasia and lobular carcinoma-in-situ on our website.

    I would find out how you are going to be followed up. The surgeon can tell that 'he has got it all' by making sure that there is a clear margin around the area that was removed. Do ask him to explain this to you. Any tissue that is removed from the body is looked at by a pathologist and they can tell by looking at the tissue under the microscope that it has a clear area around the tissue that has been removed. 

    You can by all means ask if you can have a mastectomy but I can't say if they think that this is the best course of action for you. 

    Do let your team know that you are struggling to cope with it all. If you have a breast care nurse then do make them aware of your situation.

    Sometimes counselling can help you come to terms with a diagnosis. Macmillan offer 4 sessions of free counselling which you might find helpful.

    Breast Cancer Now have a service called Someone Like Me where they can try and put you in touch with others in a similar situation.

    If you have a Maggie Centre near the hospital where you are being treated then you may find it helpful to access some of the sessions that they offer. A lot of the centres have clinical psychologists and you may be able to access these online if you are not near a Maggie centre.

    Do try and get as much support and help from your friends and family.

    I hope that some of these links maybe helpful but you are more then welcome to ring and speak to one of the helpline nurses.

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

    All the best,

    Catherine