Karen Oh blimey, a lot to think about. No one can tell you what to do, what choices to make, including your medical team, they wont give you any steer as it has to be your decision but here's my experience: I was told I had a smallish lump and that lumpectomy was sufficient, with node clearance, followed by chemo and radiation. My first surgeon said 'there's no need to lose a breast for a lump that size'. Turned out it was 3 times bigger then the scans showed so I then needed more surgery to clear margins. I was given the option of another lumpectomy or mastectomy. I had found the first surgery so easy to recover from that I went for the second lumpectomy telling him to take more than the minimum. My second surgeon said it was a 'very reasonable decision'. Turned out there was another 2 stealth lumps not showing on scans so then I had no option but to go for a mastectomy. If I had known how easy it was to recover from the surgery - and if I hadn't been crippled with fear, hindsight is a wonderful thing - I would have / should have gone for the single mastectomy in the first place. Obviously, it's not pretty but I don't miss it. However, that's just me. Not you! I've sailed through the surgeries (with a few hiccups). Once you get to the operating theatre, it's all in their hands, you go to sleep and you wake up - hopefully - cancer free. That's got to be good eh? For me, the worst parts so far have been: 1) The fear of the unknown, I've been crying, sobbing, terrified over things that were actually okay 2) Having a drain bottle. I had one on the first surgery, I caught the tube and it failed. I had one on the third, big, surgery. I took more care and it was fine but it does make you feel like a patient and can restrict your movements. Once it's gone, you feel free free free, outside world here I am. 3) The fear of needles - early days I had a few diazepam but learned to live without them. I'm a big girl now. 4) The fear of the picc line - having it put in while awake, turned out to be fine. It now means I drive in like an electic car, plug in, charge up, and go. 5) Not had to address this one yet but it will come soon - the looking like a cancery person. So far, I've felt and looked the same as I always have. Now, I'm going to be looking sick but we'll have to cross that bridge when we come to it. This might just be the hardest bit. Good luck with making your decision, willie xx
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