My wife's diagnosis is in my signature. Small lump, almost in the middle of her chest. Just barely on the right breast. Mammogram said one 6mm tumour. BS recommended lumpectomy. He seemed confident, and said she might avoid chemo, but have RT.
Pathology after lumpectomy was disappointing though. Lymph nodes were still clear, but margins were not. 2-3mm mostly, with DCIS at the edge. Plus, they found 5 tumours, 0.5mm to 9.5mm, instead of one.
My wife is 38. Like a lot of the younger patients on here, she is petite with young children. 160cm (5'3"), 45kg (100 pounds), A/B cup, and our boys are 6 and 4 (both breastfed).
BS says, because of general lack of flesh, a second lumpectomy will not produce good results. The multiple tumours, and HER2+, also further encourage a recommendation of mastectomy plus chemo.
He recommended chemo first, then mastectomy. I think we have that luxury because all known malignancy is already out. Plus it gives more time for acceptance and more time to consult in regards to reconstruction options.
The thing is the breast nurse was surprised by chemo before mastectomy. And from reading many stories on here, it seems to me it's not the norm. Thus far I have complete confidence in the BS, and we see the Onc on Friday. Does anyone think there's anything concerning in all this? I am worried about her doing chemo, and then having the mastectomy pathology still light up.
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