Hi everyone. I’m faced with a dilemma of whether or not to have radiotherapy after masectomy and DIEP reconstruction. Did any of you have a mastectomy and reconstruction for your DCIS before you had the radio? My DCIS was large (7cm) and high grade but my surgeon says he feels he got all the affected tissue. I need to give the oncologist a decision but I’m stuck (and scared!). Thank you!!
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Hi everyone This is my first time on here and I’m really hoping for some advice. I’m 48 and was diagnosed with DCIS in April. After a sentinel node biopsy to check if it had spread (it hadn’t), my surgeon advised that he could go ahead with the surgery and I wouldn’t need any further treatment. I underwent a skin sparing mastectomy and DIEP reconstruction on 30th April. Unfortunately, when I went for my first post-op appointment, he advised that his ‘team’ felt I would benefit from a 5-week course of radiotherapy. The posterior margin was .5mm and the anterior margin was free by 4mm. I’m considered high risk apparently (large, high grade tumour; my young(?!) age; DCIS is ER negative). Now I’m faced with a dilemma; the radio could damage the new reconstruction, impact on ribs and underlying lung, and potentially cause secondary tumours in the future. I had a second (phone) opinion with a female oncologist at the Royal Marsden, who told me that they consider a mastectomy for DCIS to be curative (if my surgeon has taken all the affected breast tissue, no further treatment is necessary). Has anyone else had a similar dilemma? I can’t think of anything else at the moment. I’m an older mum with 2 young children, 4 & 6, so I’m really worrying about doing the right thing. I don’t find it easy talking to friends and family so I’d be incredibly grateful for any advice. Thank you so much
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