New diagnosis x 2 within 3 weeks!

Hi,
New here, started looking around after 1st diagnosis, but am "biting the bullet" so to speak with the 2nd.
(FYI, melanoma, stage 1, survivor, 24 yrs.)
May 21st, 2025 received full detail of diagnosis 1 from surgerical oncologist = left breast, invasive breast carcinoma, triple negative (TNBC), stage 1a, grade 3, 1cm per later MRI.
Plan was put in place to do genetic testing (came back negative), MRI of both breasts to make sure nothing else, decide on simultaneous breast reduction/reconstruction on both breasts, see plastic surgeon, come back to her (surgical oncologist).
MRI found 2 spots on right breast to look at in ultrasound, which in an abundance of caution a biopsy was done of both. One was benign, the other....
June 6, 2025 got call that on my right breast there is a DCIS, stage 0. Don't know yet the type or size.
But now decision just got a lot harder - I can do a double lumpectomy with the reconstruction as planned with radiation on both breasts, or I could do double mastectomy & if left lymph nodes come back clear then I can avoid radiation (MRI said lymph nodes all look clear, but of course will still biopsy). Of course I'll still have chemo...
It feels like an easy decision, and while longer/harder recovery, could avoid radiation.… I see I could have the reconstruction still done at the same time.... But is that right decision? 🤷🏼♀️
I see plastic surgeon on Tuesday, June 10th & surgeon on Wednesday, June 11th.
This just got so much more real than before!
Comments
-
Hello @dianeb74, and welcome to Breastcancer.org! Sorry for what you're going through. We know this is a lot to take in, you're not alone here, and we hope hearing from others will help as you make these tough decisions.
In the meantime, we wanted to share a couple of articles from our main site that might be helpful as you explore your options:
Hope this helps. Please let us know how it goes with your surgeon. We're here to support you!
Sincerely,
The Mods
1