Node Testing for Contralateral Prophylactic Mastectomy?
Hello! I am so grateful this board exists!
I (48 yrs old) was just diagnosed with high grade, ER+/PR+ DCIS in my left breast (by mammogram and a stereotactic biopsy.)
In hopes of avoiding radiation and hormone therapy, and for symmetry, I am wanting to do a bilateral mastectomy with aesthetic flat closure.
I was told my surgeon would do a Sentinel Node Biopsy on the left side, in case invasive cancer was found during the surgery.
But what about the nodes on the right side? Should I have a Sentinel Node Biopsy on that side as well in case invasive cancer is found in the right breast after surgery?
I have heterogeneously dense breast tissue and am worried that there could be undetected cancer in the right breast. I would rather have a proactive Sentinel Node Biopsy than have to go back for an Axillary Lymph Node Dissection if it could have been avoided.
Or would an MRI of my right breast be an option to help determine whether a Sentinel Node Biopsy is needed?
Thank you in advance for any guidance!