Lumpectomy or Mastectomy

I was diagnosed with stage 2, grade 3 triple negative breast cancer in April and am coming to the end of my 8 cycles of neo-adjuvant chemotherapy which has been really tough.

It’s now time to decide on surgery, my oncologist recommends lumpectomy with radiotherapy, however, I am so worried about recurrence.  I think for me, a mastectomy would give me more closure on what I’ve been through and would reduce the risk of a primary recurrence (in my opinion).  I know there is a larger risk of distant recurrence, unfortunately.  Obviously it’s a much bigger surgery and recovery will be tougher but I kind of see it as a “once it’s done, it’s done” sort of thing.  It would also hopefully remove the need for radiation as long as my lymph nodes are clear.  

Does anybody have any thoughts on the 2 options or personal experiences they could share to help me decide?  I know it’s a personal decision but any advice is welcomed. 

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  • Hi BW123

    It is a hard decision to make, I havent been through it myself, but my mum had a lumpectomy first, but they didnt get clear margins with it, she then decided to have a mastectomy.  As Jolamine says, she actually had less pain following the surgery for the mastectomy than the lumpectomy ( although she also, did not have reconstruction).

    Good luck with the rest of your treatment.

    Best wishes

    Annie

  • Hi Jolamine and annie123,

    Thank you so much for sharing your experience, I will definitely start my list of questions for my appointment next week.  I am leaning towards a mastectomy but would have reconstruction.  The fact that it will hopefully remove the need for radiotherapy is a huge bonus for me too.  I also heard that you don’t need to have mammograms either.  

    I just need to know that I’ve done everything I can to prevent recurrence as I know triple negative has quite a high chance of coming back and I think I’d forever worry after a lumpectomy.  

    Thanks again, B x

  • Hi BW123,

    Given the type of breast cancer you have, along with the staging, I think that I would feel the same.

    Please keep in touch and let us know what you decide to do.


    Kind regards,

    Jolamine xx

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