My partner has been diagnosed with triple negative breast cancer, thankfully caught very early at stage 1 (19mm) but highly aggressive at grade 3, she is also likely to have the BRCA gene (awaiting test results) owing to family history.
If positive, can she request/insist for a double mastectomy instead of a lumpectomy or would this be at the discretion of the oncology team?
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I would think she will be able to decide what operation she has, her surgeon might give her a range of options for her to decide or her team could decide for her 
each person’s treatment plan even if same type is tailored specifically to the individual. If her brca results come back positive she might also be offered hysterectomy too ask away on here and do ask the nurse option too I was tnbc and had therapeutic nammoplasty. She needs to consider being levelled up immediately too if it’s an option. I delayed bring levelled up and they botched it, so if it’s option she might need to consider having both done at same time and not delay ( I wish I’d had both done at same time with hindsight) hope this helps 
Shi xx