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AskedPublicly Submitted Question
12/27/2017I was diagnosed with tnbc,2 tumors of IDC in my right breast in Oct. 2017. The tumors were 2.7 and 1.3 cm, side by side with a millimeter of fatty tissue between them. I've undergone three rounds of AC, but will not complete 4th dose of AC due to neutropenic fevers, hospitalization 2 times. My dose was reduced by 20% the third time and I've been miserable with digestive issues 8 days out from last treatment. I'm considering a bilaterial masectomy instead of a lumpectomy even though I tested negative on genetic mutations. I'm afraid it will come back in same breast or spread to left breast. I had calcifications in left breast but no tumors. Please advise. I have 12 taxols weekly before surgery.
RepliedJHU's Breast Center Reply
12/27/2017sorry you have had such challenges with neoadjuvant chemo. hopefully taxol will go better. 1 millimeter is not much dividing these two lesions. some pathologists may question if there really is a dividing line or if the lesions are growing more like a barbell, and these two lesions being connected, even if by a thread. that said, mastectomy is reasonable if it provides you additional peace of mind. doing mastectomy of the other breast however really isn't needed. breast cancer doesn't spread from one breast to the other. it simply can't. and the risk of a new breast cancer in the other breast should be less than 5%. some women still choose to do bil masts though even if only for symmetry so reconstructions match. hopefully the chemo you have received so far and the chemo still to come will shrink the cancer down to nothing which would be wonderful news.

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