Mastectomy & Bariatric By-Pass

[Newbie2]

Recently diagnosed with high-grade DCIS without comedonecrosis.  Prior to the diagnosis, I had already scheduled a bariatric by-pass surgery.   After my biopsy my radiologist stated that since I had multiple locations of microcalcifications, I would definitely require a mastectomy.

Articles on-line indicate that a change in dietary habits will increase not only my percentage of non-recurrance, but may also prevent issues with other breast.  While some might think the mastectomy is the most important issue at this time, both are extremely important to my mental health.  Additionally, research shows that I cannot have reconstruction surgery at my present weight.

Question:  Can I have both surgeries at the same time?  Are there any negatives to multiple surgeries?

I am a 47 year old, black female, approx. 290 lbs.  History of breast cancer in family:  mother (died of breast cancer at age of 63), aunt breast cancer at age of 48.

Besides the issue of cancer and weight, fairly good health.

Thanks.

[Cleveland Clinic]

Dear newbie2:  In most cases, it is not advisable to do multiple unrelated surgeries simultaneously because of risks.  However, this is really a question for your team of surgeons.  Optimally, it would be good if a plan of care could be developed to deal with the breast DCIS, the bariatic surgery and reconstruction.  You will need to discuss with a breast surgeon, bariatric surgeon, and plastic surgeon.  If these folks are willing to discuss – a plan of care could be developed that would minimize risk and be acceptable to you.