I am 45 years of age and recently diagnosed with dcis ( v small, all removed at biopsy). I went on to have a lumpectomy with clear margins. I was going to have radiation and take tamoxifen but have now finally got to see an oncologist and he is advising me to have a bilateral subcutaneous mastectomy, with no radiation and no drugs. I am now totally unsure how to proceed. The dcis was as I said v small, van nuys grade 2/3 and solid type. There is no history of breast cancer in the family. At the end of the day I want to do whatever will reduce the risk of a recurrence of breast cancer in the future so I can see my kids grow up. I am a natural worrier and prepared to accept more surgery if it will help a recurrence from occuring. I am now researching on the net and not getting a clear answer as to whether to follow the advice of the oncologist. Can anyone help? Thanks v much in advance.
Some of what you said is a little confusing. If the DCIS was very small with clean margins, why a bilateral? Get a second opinion, and if it is way different than the first, think about getting a third.
Ask your dr WHY is he/she recommending removal of both breasts?
Many women do not have a history of breast cancer. Did you get your path reports back yet? Get your own copy. What did they say?
I definitely would get a second opinion...and I agree with txgrl...ask him why he is recommending this treatment? What are the benefits, success rates etc in comparison with other treatments, keeping in mind that they can't get all the tissue when doing this procedure, why would he think the recurrence rate would be significantly reduced...the key word here is significantly. There is a risk reduction, but would it be worth the bilateral...make sure they talk to you in absolute numbers.ie, if you have a 95% chance of survival and the procedure lowers your risk by 50%, that is, in absolute numbers, only a 2.5% difference. (risk of 5% divided by 2)
Get the second opinion, get all the facts, then make an informed decision and never look back whatever you decide.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.