How do I decide between Mastectomy vs. lumpectomy?

How do I decide between Mastectomy vs. lumpectomy?  Are there any guidelines?

[CCF-RN,MSN-rf]

Although the trend in breast cancer is toward breast conservation(lumpectomy), there are factors that may influence the decision of either the patient or the physician.  First, the size of the tumor relative to the size of the breast must be considered.  If there is limited breast tissue, a lumpectomy with safe margins may leave a poor cosmetic result.  In these cases, a physician may suggest mastectomy with reconstruction in order to provide for a better post-operative appearance.  Another consideration is if there is more than one tumor in the same breast.  In these cases, some surgeons may recommend a mastectomy in order to be certain that all of the cancer is removed. A third consideration is that a lumpectomy should always be followed by radiation therapy.  If for some reason, it is impossible for a person to follow through with radiation therapy, a mastectomy may be
recommended as an alternative.  Finally, it may boil down to the
preference of the patient.  Some people would prefer to "remove
the breast" and others feel very strongly about preserving the breast whenever possible.  Neither choice is wrong, theoretically.  It is best to discuss your situation with an expert breast surgeon so that you can be confident in your decision.

[CGTMHI]

Dear "RF"

What a wonderful answer!  Thank you so much for describing all of the options and reasons to consider. This is a great forum!

Cindy

[Erin]

I am 41 , I had been diag with DCIS, and I had a double mastectomy with immediant implants-  I am very happy with my choice,hop this helps
Erin