Deciding on the next step - Lumpectomy? BMAST?
I'm pre-surgery, stage 1A, grade 1, imaging measurements show the tumor >5mm. Assuming the stage/grade does not change after surgery, the MO says that I would not have to do AI if I choose a bilateral mastectomy and the RO says that I would not have to have radiation. I'm the one that brought up the idea of a bilateral mastectomy. The surgeon felt it was overkill considering the risks of the surgery (i.e. higher than a lumpectomy).
If I choose lumpectomy, (and the stage and grade don't change) they will recommend AI and a short course of RADS.
AI scares me silly. I have hypercholesteremia, hypertension, strong family history of heart disease, arthritis, and my hair is thin enough to start with. When I spoke with the MO, I didn't know anything about AI and didn't know to ask what the alternatives are or the risks of going without and I haven't been scheduled for my 2nd opinion yet.
I'm a DD and I have never liked the size of my breasts and I would be very happy to get rid of them.
My husband is somewhat supportive of the BMAST but feels that I should listen to the experts and maybe I wouldn't have much in the way of side effects from the AI or RADS.
A friend was on anastrazole for 8.5 years and she says it sucked and is a nasty drug. She was a stage 3A and did not have a choice like I presumably do.
I'm trying to decide what to do.