I was diagnosed with DCIS of right breast last Oct. I decided to get a lumpectomy followed with radiation. I had my breast implants replaced in Aug 2008 (I've had the implants for 23 years). Oct 2008 mammogram shows more DCIS same breast. My doctor recommends an MRI with most likely another biopsy. My question is if I have a biopsy can my plastic surgeon remove the implant, general surgeon remove what he can of DCIS and then replace my implant? Do you feel a Mastectomy is an option?
If there are multiple foci of DCIS in one breast, I believe the best course of action is to have a skin and nipple sparing mastectomy, then place an implant under the spared skin and nipple. Individual removal of multiple foci of DCIS is not medically sound and it can really be very difficult for you and your surgeon.
I suggest you discuss this scenario with your surgeon. You can also ask them about further risk reduction strategies such as taking hormonal treatment (tamoxifen) to decrease the chance of developing invasive cancer in the future.
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