I have a recent diagnosis of DCIS ,a lumpectomy was done . 2mm margins on two sides, no other calcifiactions on other breast or affected breast.
My options are
1-further excisional surgery to make sure no remaining DCIS present followed by RT. My breasts are large so they can tolerate the repeat surgery.
2-I have been given the option of mastectomy bilateral. with a DIEP from the abdomen,
Wouldn't a unilateral mastectomy of the affected breast be almost as good. I realize the remaining breast has a chance of developing DCIS and I would need close survelliance of the remaining breast and also tamoxifene Rx.because the Estrogen receptors were positive. I am 56 and enjoy the sexuality my breasts afford me so I am thinking one good one is better than two "breast mounds" as the plastic surgeon called the resulting breast reconstruction with nipples removed.
Dear Joennie: In a situation of DCIS, without any invasion, a bilateral mastectomy might be considered a very aggressive approach unless there is genetic testing that suggests a higher than average risk. In general, a reexcision with radiation therapy or a unilateral mastectomy (with or without reconstruction) would be the options as far as treatment is concerned – and the choice would be a personal one. I would wonder if the option of bilateral mastectomy option is based on providing “equal” mounds of tissue for purposes of cosmetic result. You may want to discuss this further with your plastic surgeon and/or consider a second plastic surgery opinion.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.