Can I opt for a double mastectomy

Hi 

I was diagnosed with breast cancer yesterday in my right breast.  So will be having a mastectomy in a months time. 

I would like to ask if anyone knows if its possible to request a double mastectomy to reduce my chances of it reoccurring.

 

Thanks 

Lynette

Parents
  • Hi there ... 

    So sorry you've had to join our little chat place... your most welcome.. and your def not alone , there's been lots of new breast ladies latly ...

    I had a grade three breast cancer and masectomy  in July 2017 .... l was also debating weather to have a double masectomy.. but just had a total right masectomy... but I'm quite o.k with it all .. 

    I'm not sure but have heard some say they had to fight their oncology team... others were given it ... so think it's depending how your team think .. maybe write down for and against... and once your sure what you want, give them a ring and ask what their take of it is ... 

    Well any time you want a chat or vent or want to know anything , someone here will be able to help ..

    Chrissie xx

  • Hi Chrissie 

    Thank you I guess I'm just panicking about it all. Its nice to speak to you as you have gone through the same thing.  

    How did you cope with going through the op. I'm feeling very nervous and have been suffering with anxiety quite bad the breast cancer nurse said this is normal.

    I guess I'm just worried about getting it in the other breast too.

     

    Lynette xx

  • [@Jolamine]‍ managed to persuade her consultant to do a double mastectomy, I've tagged her and she usully responds very quickly. Getting her take on this might help you. 

  • Hi there ..

    Like you I was so scared ... locked myself away for two days solid,  crying / yell and cussing cancer .. but it really did me good , felt ready for the fight after .. then I came on here and @jolomine took me under her wing .. she's our guardian angel .. and like @Rilleyroo we were here the same time .. ... helped  each other through ..that was 2018 . Pad playing up , will get back when sorted  xx

  •  

    HI Lionetty,

    Welcome to the forum, although I'm sorry to hear the reason you joined. I have had 2 bouts of breast cancer 9 and 10 years ago respectively. I had a lumpectomy first time around followed by Tamoxifen for 1 year. At 6 months post-surgery, I also developed a large lump in my other breast - fortunately this was benign. Almost a year to the day after my first surgery, I discovered another lump in the same breast.

    When my surgeon informed me that it was back again, we discussed the possibility of having a double mastectomy. As soon as I suggested this, he was in full agreement. I was possibly lucky, as many people on this site report that their surgeons were reluctant to remove a good breast. I had my double mastectomy and was then on Letrozole for 6 years. I finished taking this in July 2017.

    Don't be afraid to discuss the possibility of a double mastectomy with your surgeon. He should be able to tell you whether or not this is the right procedure for you.

    Your cancer nurse is correct, most of us feel very emotional, nervous and anxious until we know exactly what we are dealing with. Fortunately our emotions usually settle down once we know more and start down the treatment route.

    Kind regards,

    Jolamine xx

     

Reply
  •  

    HI Lionetty,

    Welcome to the forum, although I'm sorry to hear the reason you joined. I have had 2 bouts of breast cancer 9 and 10 years ago respectively. I had a lumpectomy first time around followed by Tamoxifen for 1 year. At 6 months post-surgery, I also developed a large lump in my other breast - fortunately this was benign. Almost a year to the day after my first surgery, I discovered another lump in the same breast.

    When my surgeon informed me that it was back again, we discussed the possibility of having a double mastectomy. As soon as I suggested this, he was in full agreement. I was possibly lucky, as many people on this site report that their surgeons were reluctant to remove a good breast. I had my double mastectomy and was then on Letrozole for 6 years. I finished taking this in July 2017.

    Don't be afraid to discuss the possibility of a double mastectomy with your surgeon. He should be able to tell you whether or not this is the right procedure for you.

    Your cancer nurse is correct, most of us feel very emotional, nervous and anxious until we know exactly what we are dealing with. Fortunately our emotions usually settle down once we know more and start down the treatment route.

    Kind regards,

    Jolamine xx

     

Children
  • Hi Jolamine

     

    I know I'm rather late to this chat but have come on since my cancer has returned after only 7 months after my mastectomy. At the initial diagnosis in Feb 2019 I asked for a bi-lateral mastectomy but was declined. The cancer has returned in the chest wall of the original breast and I again asked for my left breast to be removed but I was declined again. I feel completely deprived of having any choice with regards to how I look and what my 'new normal' is. 

    Like you, I have been on hormone therapy for over a year and even had my ovaries removed as a risk reducing exercise as I wasn't menopausal when I was diagnosed and yet it still came back! 

    I had surgery two weeks ago to remove the tumour and am awaiting discussion with oncology regarding adjuvant chemotherapy.

    I think I'd have the backing of the pysch team but the barrier is the consultant and the CCG! 

     

    xx

  •  

    Hi Pinkpony,

    Welcome to our forum. I am so sorry to hear that you are now battling a second bout of breast cancer. Have you been told what grades and types of cancer you have? I had something similar ten years ago. I was first diagnosed with grade 1 Pure Mucinous breast cancer 11 years ago. I had a lumpectomy followed by Tamoxifen. When I discovered a second lump in the other breast 6 months later, my surgeon suspected that it was cancerous, but I was fortunate that my biopsy showed it to be a benign lump.

    Almost a year to the day of my lumpectomy, I discovered another lump in the original breast.This time I wasn't so lucky and I was diagnosed with another grade 1 primary Pure Mucinous cancer. I was told that I needed a mastectomy, but I asked my surgeon if he thought that it might be worth having a bilateral mastectomy. Fortunately, he agreed with me and never threw up any opposition whatsoever.

    I was given no phychological assessment at all, but went ahead with the surgery and, have never looked back.

    I can appreciate how you would rather have had the double carried out ast the same time. Most surgeons are very reluctant to remove a good breast, as they claim that removing both breasts diesn't prolong life significantly. Have you had your pathology results yet, after your last operation?  Give yourself a few months to see how you feel with your single mastectomy, but if you are still unhappy, have another discussion with your surgeon. You may need to be very determined to have the second breast removed. It is still worth doing it if you remain keen to have the double.

    I hope that you are healing well after your recent surgery. It sounds as if your surgeon might be willing to concede, when s/he is talking about referring you to a psych to discuss this.

    I do hope that you can get your treatment over with as soon as possible and can decide upon what to do about the other breast. I agree that it is so frustrating when your care team don't listen to your requests and you feel that you have no control over the situation.

    Do please let us know how you get on. We are always here for you.

    Kind regards,

    Jolamine xx

  • Hi Jolamine

    I have Grade II invasive ductal breast cancer; tumour 61mm; NPI 6.22; Oncotype score 21; 5 lymph nodes involved.

    My recurrence was in the chest wall Grade II 18mm mixed lobular ductal for which they did manage to get clear margins to the implant cavity.

     

    My treatment began with a lumpectomy March 19, no clear margin and 1-3 sentinel node involvement. Mastectomy in June, at wich point I'd asked for a bi-lateral procedure and was declined. I declined chemotherapy based on my oncotype but at the point of the test didn't realise I had additional node involvement OR the final size of the tumour. I didn't get clear margins after my mastectome in June last year. I'd been on tamoxifen since April 19, switched to zoladex injections to induce menopause and went on to Anastrrazole. Had my ovaries removed Feb 19 and remained on Anastrazole. 

    I noticed the lump in May and within a month I'm back in for surgery. Once again, my request to remove my left breast was declined. I'm completely asymmetrical. I never wanted an implant but was on the waiting list for a diep tummy flap which I'm now told won't happen because I'm considered high risk. They replaced my implant and did a perforated flap procedure to fill the gap where the tumour was and I admit it has given me a better shape but I want to FEEL the same both sides as well as look. I really feel I haven't been listened to and whilst I appreciate that there is no evidence to suggest that removing healthy tissue reduces risk I'm a young at heart 54 year old who is'nt ready to to live in post surgery bra's and baggy tops for the rest of her life. I haven't worn a normal bra in 18 months now and have had to put them all away as I can't bear opening the drawer and evening looking at them any more!!!!! 

     

    That feels like an essay so sorry for going on!!!! 

     

    xxxx

  •  

    Hi Pinkpony,

    My, you've been through a lot in such a short time frame.

    I believe that my recurrence problems were due to my first surgeon not getting clear margins ater my lumpectomy. My surgeon at the time, assured me that he had been aware of that at the time and removed another sliver of tissue to ensure that all was ok. I believed that until I noticed a second lump in the same part of the same breast a year later. This was of the same type and grade as my original cancer was. There was no lymph node involvment either time.

    I get your point about your bras. I got totally fed up with white, nude or black 'busten halters'. Like you I laid all of my  pre cancer bras aside, but I have gradually resurrected them by inserting pockets to hold my prosthesis. You may be 54 and not ready for post-surgery bras and baggy tops yets - I am 71 and am certainly not ready for these yet and, never will be. There are also a few companies on line that provide decent looking underwear, but at a price. However, they do have good sales and, I like to take advantage of these.

    Kind regards,

    Jolamine xx