DCIS 75mm: options

Hello everyone

this seems a really supportive forum.

 

I've been diagnosed with DCIS and frustratingly wasn't given as much info as I'd like. However I see a surgeon in ten days so will find out more so am now compiling a list of key questions. 

 

My big question at present is lumpectomy or mastectomy? 
 

The nurse said my DCIS was 75mm. I'm q small breasted so that's the full length from nipple to my chest.

Is 75mm a large area of DCIS?

Will they be able to offer a lumpectomy or will it leave my small (A/B cup) breast so depleted it would be better to have a mastectomy and reconstruction?

I appreciate that every case is different and unique decisions have to be made ... but I'd welcome insights from others to help me prepare for the surgeon appointment

 

thank you! 

 

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  • Hi Gertygeegee

    Sorry to hear of your diagnosis. 
    I'm sure when you see your surgeon they will go through everything with you. I remember feeling a sense of calm after my surgeon appointment as i knew what the plan was.

    When I was diagnosed with DCIS I was informed it was 97mm. I was a DD cup and the preferred option by myself and the surgeon was a Theraputic Mamoplasty, which is similar to a lumpectomy, they just reshape the boob after removing the cancer.


    Following my first surgery I was really happy with the cosmetic outcome and the histology showed it was an area of 74mm. Unfortunately I didn't get clear margins so had to have a second surgery. I was really unlucky in that they found a further 4mm so ended up having to decide whether they tried for a 3rd time or a mastectomy with reconstruction. I chose to have a mastectomy which in the end was they right decision as they found a further areas that sliding show up on any of the scans. 

    The hardest part is the decisions you have to make when you haven't a clue what is the best option....my advice would be, after speaking with your surgeon, to follow your gut. I'm sure as Case4 has said your breast surgeon will explain everything fully and you will have all the information to make an informed decision 

    Cookie x

Reply
  • Hi Gertygeegee

    Sorry to hear of your diagnosis. 
    I'm sure when you see your surgeon they will go through everything with you. I remember feeling a sense of calm after my surgeon appointment as i knew what the plan was.

    When I was diagnosed with DCIS I was informed it was 97mm. I was a DD cup and the preferred option by myself and the surgeon was a Theraputic Mamoplasty, which is similar to a lumpectomy, they just reshape the boob after removing the cancer.


    Following my first surgery I was really happy with the cosmetic outcome and the histology showed it was an area of 74mm. Unfortunately I didn't get clear margins so had to have a second surgery. I was really unlucky in that they found a further 4mm so ended up having to decide whether they tried for a 3rd time or a mastectomy with reconstruction. I chose to have a mastectomy which in the end was they right decision as they found a further areas that sliding show up on any of the scans. 

    The hardest part is the decisions you have to make when you haven't a clue what is the best option....my advice would be, after speaking with your surgeon, to follow your gut. I'm sure as Case4 has said your breast surgeon will explain everything fully and you will have all the information to make an informed decision 

    Cookie x

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