I had a mammogram 4 weeks ago and got a recall. After several tests the biopsy report said I had a 45mm spiculated adenocarcinoma. The consultant said that chemotherapy would probably only shrink it about 10mm and I would probably be looking at a mastectomy. He then spent the rest of the time telling me about reconstructive surgery. I’ve just seen a post from someone with a larger lesion than mine who said chemo shrank hers to 20% of its original size. Am I able to say I want to try chemo to shrink it, as I’d rather have a lumpectomy?
Hi Gaynor,
I’m sorry you find yourself seeking advice here.
I’m not going to be a huge amount of help, but I do know that surgeons don’t make mx decisions lightly. There are a number of reasons why mx is advised over breast conserving surgery, perhaps because the position of the mass would not leave a good cosmetic result, or the percentage of affected tissue is too high for a good cosmetic result. Neoadjuvant chemotherapy can reduce the mass to allow breast conserving surgery in many cases, but there may be some which it won’t help.
I would call your Breast Care Nurse to ask for clarification why the surgeon has recommended a particular treatment and to explain by trying to reduce the lump would not work. This is not a challenge to the decision, just a need to understand why a treatment route is taken.
Also, don’t be pushed into making a decision about a reconstruction at the same time should mx be necessary. It is a huge decision to make, choosing to have a reconstruction, and then to decide which method to have, all when you are trying to come to terms with such a diagnosis. If you are sure, do it! but don’t be afraid to postpone it either.
It is all about having enough information to make a decision which is right for you, or at least understanding why only one route is open to you. You may want to call the nurses on the helpline here (number at the bottom of the page) who may be able to provide you with some support too.
Good luck and best wishes,
MM