Lumpectomy Vs Mastectomy

Confused and hoping you can help.

I have been diagnosed with infiltrating ductal carcinoma. Path reports reads as follows.....
Tumour size:1.5cm
ER: negative
PR: positive (weak/less than 10% so my surgeon says it reads as negative)
Her2: +2
# of mitoses: 22 mitoses per ten high power fields (meant to be bad but not sure what this means)
Nuclear Grade: 3
Advancing border: pushing border (what does that mean?)

My question is whether I should have a lumpectomy or mastectomy.
My surgeon says my chances of the cancer recurring in the same breast are high due to my personal history.

My mother had breast cancer at 43, I had my first child at 31 (I'm 35 now), I've had an ectopic pregnancy before, I was on birth control pills for 7years.

I dont want to lose my breast at my age but i also dont want to worry about recurrence.

Any advise you can give will be so greatly appreciated. My mind is in overload trying to make a decision.
Thank You.

[CCF-RN,MSN-rf]

Dear reni:  The decision to have a lumpectomy or mastecomy can be a difficult one when both are viable options.  Most research shows that lumpectomy (with clean surgical margins) combined with radiation therapy has comparable results to mastectomy.  An important consideration is whether there is adequate breast tissue remaining after lumpectomy to produce a good cosmetic result.  If not, a mastectomy with reconstruction may be the better option.  Ultimately, it is a personal decision.

[Raindance]

Hi,

   I had to have the mastectomy.  I am 49, and did not want to lose my breast either.  I had a tram-flap reconstruction done at the same time as the mastectomy.  I have no breast scar at all, and the new breast looks exactly like the old one.  It feels different...numb-like, but that improves each day.  But, it looks like a real breast.  The reconstruction surgery is involved, but I had no problems with it, and very little pain.  I hope this will help you if you should need to have the mastectomy.