treatment options for very young breast cancer patient (under 30)

[DHS]

The patient was diagnozed with T3 lesion. tumor size in ultrasound was estimated 5 X 3. Clinical exam estimated size to be around 8cms, and 3 chemo sessions was advised prior to surgery. After 2nd chemo session, tumor is no longer clinically palpable. What are treatment options in this scenario considering the patient's age? Patient also has family history of breast cancer. Is it risky to not have radical mastectomy?
Thanks. DHS.

[Sumruu]

In need of some expert advice.

My sister has just had invavsive multi focus ductal carcimona diagnosed Grade 3 - by needle biopsy and mmography - she is living in UK and I am trying to find out options for her treatment. The tumors are 13ml and 4 ml in upper and inner quadrant. There is no assessment of extent of spread into lymph nodes if at all.The local specialist advice on her treatment advocates masectomy and level 2 axillary clearnce of lymph nodes without sentinal node biopsy (SNB) being considered an option ? is this correct? she is worried about side effects and getting lymphedema and high incidence 20-25%, can SNB be insisted upon ? why is it common in US but less so in UK?
UK Doctor is expecting 4-7 weeks delay before operation is there an increase risk of spreadign during this time throught he lymp nodes.

Hope you can help

[CCF-RN,MSN-rf]

Dear DHS:  In this situation, a mastectomy and lymph node dissection would be recommended.  Even though the lump is not palpable, there is a possibility that microscopic cancer cells remain.  Reconstruction may be a viable option.