Hi all,
I wrote in the summer about finding out that the deep/chest wall margin after my SMX and implant reconstruction was 0mm despite being told there were clear margins (there weren’t any clear margins at all, all very close or non existent but they took out everything they could). The oncologist has confirmed that they weren’t able to go any further into the chest wall, hence the 0mm margin (why they told me they were clear is another matter entirely).
I’m 5/8 rounds into chemo and will have 15 days of radiotherapy including to the chest wall. However, my main concern is if, and I appreciate that it’s a big if, there is a recurrence on the chest wall, how on earth will I tell with an implant sitting over it. This is really stressing me out. I won’t see my surgeon again until after my chemo and radiotherapy to ask the question and discuss options. Part of me is thinking for my own sanity over the years I’ll just have the implant out - I’m not really happy with it and expect after all the radiotherapy it might need some adjustment anyway so maybe it will be best to just go flat on that side.
I’m not sure what I’m really asking for here, but does anyone have any experience of this at all? I’d like to get some views before speaking to my surgeon because whilst it’s nice that he’s a glass half full kind of guy, I’m concerned that he didn’t mention this to me in our follow up so I could have asked the questions then, and with no screening on that side I’m not sure what else I can do.
Any advice or experience very much welcome. Thank you 
xx