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lumpectomy or mastectomy?

4 REPLIES 4

Re: lumpectomy or mastectomy?

Hi Zulululu

I have put for your below the link to BCC's publication 'Your operation and recovery' which you may find useful to read. If you would like to talk to someone in confidence about your surgery then please do phone the helpline where the staff will be only too willing to talk to you.

Publication: http://www.breastcancercare.org.uk/content.php?page_id=714

Hope this helps,

Kind regards,
Jo, Facilitator

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Re: lumpectomy or mastectomy?

It all depends how big an incision the surgeon has to make. My tumour was 8mm long but very thin, so all I have is a very neat small scar along the top of my right breast. This was done last June and the scar is already fading rapidly. Is it possible to ask how deep the cuts will be, because if it isn't near the surface of the breast (as mine was) they will have to go much deeper in and therefore possibly leave a much deeper "hole" - I just have a scar but don't have an actual piece of the breast missing.

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Re: lumpectomy or mastectomy?

Hi Zulululu

I was dx last Dec 2007 had WLE Jan 2008, my tumour was 1.8cm grade 2 and as it was so close to the nipple i went into surgery not knowing if I was going to come out with a nipple or not. My surgeon was great and said he would do the best he could. In the end he actually sliced round the nipple and removed the lump and part of the aureola. My breast is slighly flatter on one side and is about a cup and a half size smaller but with a bra on its hardly noticable. I was really lucky though as my surgeon was changed at the last minute from a general surgeon to an onc/plastic surgeon. They did say before I went in if I wanted reconstruction or to have the other breast reduced to match it would be done when my treatment was finished but I have decided to leave it. Its now at the point apart from a very slim scar around my nipple its hardly noticable.
I was 39 at dx and had 19 rads with 2 years zoladex and 5 years tamoxifen. I was back to work 1st April (was lucky enough to be able to take the whole treatment time off work) My nodes were clear so % of 10 yrs is good.
I hope this helps, Its a tough decision that only you can make. Hope all goes well on Thursday. Just be good to yourself and allow yourself time to get over the surgery. Personally I found the scar from the SNB more painful than the WLE. But what a difference a year makes and I can now sleep on my front again!!!
S x

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Re: lumpectomy or mastectomy?

I wasn't sure either, my breast size was 36 A. I've ended up with a big dent in it, which is under my arm but I don't like it, especially as the scar is bad after a wound infection. When I moaned about it (I was told I wouldn't have any change to the contour of my breast after surgery) a surgeon did offer me a reconstruction, but as it involved a skin graft I felt I was better off with the mediocre result. A skin graft was a step too far for me as the ones I've seen seem to be a different colour/texture from the rest of the breast so it ends up looking like patchwork. I'm a perfectionist and I just preferred my bosoms the way they were pre-surgery, they matched better and were the same shape. However, I haven't thought much of most of the reconstructions I've seen pictures of either, but I do see lots of women saying how happy they are with theirs to I'm probably in the minority in thinking how unconvincing they are.

I think is it worth looking at pictures of someone who has had a lumpectomy who also had a tumour in the same sort of area as you, and has a similar breast shape and size. I got shown a pciture of someone with enormous boobs pre surgery so this was useless as it gave me no idea of how my bosom would look. Having said that, nothing can entirely prepare you. There's a backup book on breast reconstructions that shows some results. I think the standard of surgery has improved a bit over the last few years but it's still not perfect. Lots of reconstructions/lumpectomies look ok clothed but it's pretty obvious when you aren't but it depends how body conscious you are. I'm obviously very vain as I still consider the result is bad after five years, but lots of women don't seem to care at all.

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lumpectomy or mastectomy?

Hi, I'm newly diagnosed with stage 1 breast cancer (I have a tumor that is 7mm by 11 mm) and facing surgery next week. I'm afraid of how disfiguring a lumpectomy might be and wondering if a mastectomy might have a cosmetically better outcome, a better shape etc as they use an implant in the reconstruction?
Have to decide quick as surgery is on Thursday next week...
Anyone had any experience with this?