Hi I was diagnosed with DCIS high grade in March 2021. There is no invasive cancer and no lymph node involvement. I am 42yrs old. I had a therapeutic mammoplasty in April and was due to have radiotherapy however, the margins were not clear and I had a mastectomy with immediate reconstruction with ADM and silicone implant 4 weeks ago. I received my results two days ago showing close margins less than 1mm in one small area (close to my skin)all other borders had 2mm clear margins. I am very confused how to move forward. I’ve been told I can either take it the border is clear and keep watch for any changes. Have radiotherapy but they don’t feel it is necessarily going to be helpful or my other option is to remove the implant and most of the skin leaving no ability to reconstruct thereafter as there would be no space for a further implant. Are these the usual options? Does radiotherapy not help in this situation? Are chances of recurrence in this situation high? The surgeon has said he concentrated making sure the area that showed close margin was as clear as possible but obviously he cannot guarantee no cells remain. The MDT have not been able to come to a consensus on the best option for me and have left me to decide on how I would like to proceed. Any help or similar experience would be greatly appreciated. Sorry for the long post!
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