Lumpectomy margin not clear

I’m newly diagnosed with breast cancer in August. I had a lumpectomy and sentinel node removal on 22nd September. I got the results last week and the lymph nodes are clear which is great but the margins aren’t so I’m booked in for another op tomorrow . Part of me would just like a mastectomy but the surgeon says it’s overkill at this stage. Has anybody else had this and still ended up having a mastectomy overall?

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  • Hi Askinforafriend,

    A very warm welcome to our forum.

    I am so sorry to hear of your diagnosis. Do you know what type and stage of breast cancer you have? It's not so good to hear that the margins are not clear, but good to know that the lymph nodes were.

    After my first bout, I was told that the results post-surgery showed that my surgeon hadn't achieved clear margins. He assured me that he realised this at the time and had taken more away and that they definitely were clear. I accepted this at the time, but developed a lump in my other breast 6 months later. By this time, I was attending another hospital and seeing another surgeon, who was pretty sure that this was cancerous too. Fortunately, biopsy proved otherwise.

    Almost a year to the day of my first surgery, I noticed another lump in my original breast and this time, I wasn't so lucky and was diagnosed with a second primary cancer. It is impossible to tell whether or not this would still have happened, if I had achieved clear margins, but it has left me wondering. Although I had a lumpectomy first time around, I had a double mastectomy for the second bout. This was because my surgeon advised me that the lump in my other breast was possibly pre-cancerous, so we decided to go for the double. It is fairly common not to achieve clear margins and surgeons are very reluctant to carry out a mastectomy if they don't feel that it is necessary. 

    I must confess that I have never regretted our decision, as I feel that we did all that we could to prevent it from coming back. That was all 14 years ago and I still lead a busy life.

    I sincerely hope that all goes well for you tomorrow. Please know that we are always here for you.

    Kind regards,

    Jolamine xx

Reply
  • Hi Askinforafriend,

    A very warm welcome to our forum.

    I am so sorry to hear of your diagnosis. Do you know what type and stage of breast cancer you have? It's not so good to hear that the margins are not clear, but good to know that the lymph nodes were.

    After my first bout, I was told that the results post-surgery showed that my surgeon hadn't achieved clear margins. He assured me that he realised this at the time and had taken more away and that they definitely were clear. I accepted this at the time, but developed a lump in my other breast 6 months later. By this time, I was attending another hospital and seeing another surgeon, who was pretty sure that this was cancerous too. Fortunately, biopsy proved otherwise.

    Almost a year to the day of my first surgery, I noticed another lump in my original breast and this time, I wasn't so lucky and was diagnosed with a second primary cancer. It is impossible to tell whether or not this would still have happened, if I had achieved clear margins, but it has left me wondering. Although I had a lumpectomy first time around, I had a double mastectomy for the second bout. This was because my surgeon advised me that the lump in my other breast was possibly pre-cancerous, so we decided to go for the double. It is fairly common not to achieve clear margins and surgeons are very reluctant to carry out a mastectomy if they don't feel that it is necessary. 

    I must confess that I have never regretted our decision, as I feel that we did all that we could to prevent it from coming back. That was all 14 years ago and I still lead a busy life.

    I sincerely hope that all goes well for you tomorrow. Please know that we are always here for you.

    Kind regards,

    Jolamine xx

Children