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AskedPublicly Submitted Question
4/10/2017I was recently dx with ILC in right breast. Two tumors each under 1cm but possibly connected (unclear on MRI). ER and PR positive with Her 2 negative. Grade 2. Mitosis 1 nuclei 2 lobes 3 (it is ilc) One tumor also shows LCIS I was biopsied on left side after suspect areas on MRI. the left breast is not cancerous. My doctor recommends I have mastectomy on right side as I don't have enough natural breast tissue to (size A) to get clean margins and reconstruct. I am unsure about whether to get bilateral. My surgeon does not think there is kymph involvement and thinks I will benefit most from hormone therapy only. I'm 48 no family history I care about quality of life and although idea of constant monitoring isn't great do not want to make emotional decision but instead based on Science. I care about recurrence not just survival. I know medically, the survival rate indicates I don't HAVE to have bilateral There are also many advances being made in therapy. What would you do in my situation.
RepliedJHU's Breast Center Reply
4/10/2017many women do bilateral mastectomy for peace of mind so they don't get a mammogram ever again. it doesn't increase survival however because risk of getting breast cancer in the other breast is quite low. that said, women also do it to help ensure symmetry for cosmetic appearance. both valid reasons. other women don't do it so they still have breast sensation in one side. so it is a personal choice and scientifically doesn't increase your survival rate but might or might not impact your quality of life depending on how you look at the 3 issues i described above.

also request oncotypeDX test to be done to determine if chemo is needed or not.

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