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Re: Starting Chemo April 2024 Support Thread
@grammie2 there were a bunch of factors that went into my decision to do the double mastectomy and go flat. Through the diagnostic process, we found that I had cancer in both breasts as well as a gene mutuation called BARD1 that increases chances of cancer. BARD1 doesn't increase your chances of cancer as much as BRCA, but I still managed to get a double whammy! Ultimately I wanted as few surgeries as possible, to limit the risk of complications from reconstruction, and to get the chance of recurrence or new cancer as low as possible. I also preferred the idea of being symetrical on both sides. I am very glad I took the approach I did and miss my hair a lot more than I miss my breasts!
While my surgeon said she could do lumpectomies on both sides, my interpretation was that she agreed that mastectomy was the best approach when I said that was what I wanted.
Re: Starting Chemo April 2024 Support Thread
For me, my oncologist explained that a lumpectomy might not clear the margins due to the location of abnormalities in my breast. She detailed her plan, but feeling overwhelmed, I told her my preference is a double mastectomy. She totally agreed, emphasizing its efficacy. Then my MRI results showed a huge area of abnormalities— her words were “completely peppered”— and lumpectomy is off the table. When I left that first day, I sat in the car and thought, did I really just say that? Do I really want to go through a double mastectomy!? And I kept asking myself. But that never changed to a “no,” so I’m good with it.
The last appt she went into the same spiel to save the nipples, explaining she could do it, and the long list of possible issues and what she’d do to try to counteract them, but I told her I’d already made peace with the idea of nipple tattoos. She agreed that would probably be best. (For some reason, I really love the shapes, as in heart or flower nipples, instead of boring circles. But I’m still thinking on that.)