Considering prophylactic mastectomy vs 4th lumpectomy
Feeling frustrated. I’m 45 years old. I have been on Tamoxifen for the past 2 years following a biopsy with ADH and several other biopsies and lumpectomies including multiple intraductal papillomas, fibroadenomas, cysts, calcifications etc. My right breast is constantly producing junk. Genetic testing has come back negative.
In December I again had worrisome findings on my breast MRI and another biopsy. Thankfully it came back benign but with even more junk, some of it pre cancerous again requiring ANOTHER lumpectomy. This will be my 4th surgery on that side. I was an A cup at best to begin with so there isn’t even that much left to work with.
I’m getting sick of this roller coaster every few years, even while taking tamoxifen, which I HATE the side effects of. Wondering if it’s time to consider a prophylactic mastectomy. Both sides? One side? Or just do ANOTHER lumpectomy and deal with the disfigurement on that side along with constant worry + monitoring + tamoxifen? Reconstruct one side?
I keep hearing “this is a personal choice” etc. I don’t know how to choose this. While I’m so grateful that cancer hasn’t forced my hand I still kind of hate all my options. I guess I’m just wondering if there are any others who have come to a crossroads like this and how you came to your decision