Just been diagnosed with DCIS

I have been having yearly mammograms for the last 9 years (I'm 49 & have family history of breast cancer) & on my last one breast cancer was detected. They diagnosed me with DCIS grade 2 & the tumor is 18mm. They have offered me either a lumpectomy or a mastectomy & am really confused about which to have having family history of breast cancer. I feel like I just want both my breast removed to try to stop it coming back. I asked for a genetic test when i was 40 as all the females on my mums side have had breast cancer but they said that because my mum was no longer alive they did not have anything to test it against. Now i have been diagnosed they are writing to the genetics department to see if i now qualify for the test, but they have said that i will be having my operation before the genetics department comes back with a decision. They have said that i could have a lumpectomy & then if the test comes back positive then i could then have a mastectomy but i am now thinking do i just have the mastectomy & get it over & done with but them i look at the recovery time for both & think that a lumpectomy is the easiest option but do now want to go through this & then have to have a mastectomy of all that. I am so confused

I have been trying to look up the survival rates between them both & from what i have seen there is not much in it.

I go for my MRI next Sunday & then go for the results the Friday after but i am trying to get my head around things before then so that if my MRI shows that there are no further cancer I have more or less made  my mind up

Any advise please, i know that it is my decision but my head is a shed & feel like i'm going around in circles

xx 

Parents
  • Hi Kat

    Really sorry you find yourself having to post here but nice to meet you. Do you have DCIS without IDC - is that what you mean by the tumour? If so, it sounds like quite a small area which is positive. It's such a hard decision and I often like them to talk me through the risks and benefits. DCIS behaves differently I know but hopefully if you know the grade that should mean they can give you some sense of what your best option is. It's got to be what's right for you and your life.

    I have got invasive breast cancer, diagnosed a few weeks ago. But I also have some areas of suspected DCIS that still need to be biopsied. It's such a personal decision. I'm 41 and waiting for genetic test results but I feel like I want a mastectomy even if the recurrence risk is less that I expect it to be, I have got loads of cysts and benign issues that have recently come to light and so I will always be worrying about the latest lump or scan result. They have given me a macmillan book on reconstruction options and the photos have some  good examples of how new boobs can look if you do opt for mastectomy with reconstruction . That said, a very close friend had bc a few years ago when she was 38, and she hated the idea of a mastectomy so did everything she could to avoid one. I don't feel as attached to mine, especially not right now!

    have you got a breast care nurse you can talk things through with? Mine has been really lovely and it's helped to chat with her.

    wishing you all the best

    lisa x

  • Hi Lisa

    Thank u for responding m, yes at the moment I only have DCIS but got an MRI booked for Sunday to make sure there is nothing else. I have always had problems with my books, I gave had a cyst removed a few year back & also had part of my milk ducts on both breast removed due to infection, I gave always had a discharge even after having some of them removed but they just said to deal with it as they did not want to operate & possibly remove the nipples at quite a young age, so I am now thinking if I have a mastectomy that that will also sort that problem out. As yet I've not been assigned a nurse but hoping they will once I have been for the results of the MRI. They decision may be taken out of my hands if the MRI shows anything else but wanted to get it clear in my mind when I go. I just think if I have a mastectomy then there will be less tissue to become cancerous, I am like you, I'm not that attached to mine just want to make sure that there is minimal risk for a recurrence. My daughter is 21 & I've always drummed into her & shown her how to check for signs but she is now concerned that she has the faulty gene. 

    I do hope that the biopsies come back fine for you & that you are sorted soon

    Thank you so much, its so nice having someone who understands ️ 

    Kat xx

  • Hi Kat, 

    Really sorry to hear that you have been diagnosed with DCIS and have a big decision to make. Hopefully the MRI will reveal no hidden nasties and then you will have all the information to make the right decision for you. 

    I was diagnosed with 24mm DCIS intermediate grade back in Feb. MRI showed nothing extra and I opted for lumpectomy. Pathology upgraded it to high grade but had clear margins so that was a positive. I am also having five rounds of radiotherapy starting 12th July. My mum also had breast cancer (invasive) but no other family history. I'm 44 so young-ish but would definitely opt for mastectomy if I ever had any further DCIS or worse in the future.

    I wish you all the best for your MRI and in making your decision. 

    Vicky x

     

Reply
  • Hi Kat, 

    Really sorry to hear that you have been diagnosed with DCIS and have a big decision to make. Hopefully the MRI will reveal no hidden nasties and then you will have all the information to make the right decision for you. 

    I was diagnosed with 24mm DCIS intermediate grade back in Feb. MRI showed nothing extra and I opted for lumpectomy. Pathology upgraded it to high grade but had clear margins so that was a positive. I am also having five rounds of radiotherapy starting 12th July. My mum also had breast cancer (invasive) but no other family history. I'm 44 so young-ish but would definitely opt for mastectomy if I ever had any further DCIS or worse in the future.

    I wish you all the best for your MRI and in making your decision. 

    Vicky x

     

Children
  • Hi Vicky

    Thank you for your response. I am so pleased that they managed to get clear margins & fingers crossed with the radiotherapy that will be the last of this horrible disease. It is such a young age to be having to through this & i sympathise with you.

    Good luck & let me know how everything goes

    xx