nipple sparing or not?

Stix

Hi- Diagnosed in 2010 dcis high grade multifocal. Mastectomy with reconst and nipple reconst ( nipple now flat).  Had tattoo re-done in Maryland with Vinnie. Looks good but nipple smaller than my non diseased breast in diameter and does look somewhat erect (he had to do alot of correction on in d/t the PS).

Diagnosed with atypical lobular in left breast 12/20/12- Had a cnb which showed radial scar-recomended was a open incision which showed atypical cells. Planning on have NS prophyl mastectomy. HOWEVER now having   (3 months after  the last biopsy open incision) rust/blood discharge on breast exam- similar to right before I was diagnosed with DCIS on the other side.

  My surgeon is still giving me the option of NS- yet, she said she will make small cuts into the underside of the nipple and send to lab during NS mastectomy.  I think they should send each duct that is bleeding  (1 duct partial blood- the other only on occas bleeding) to the lab  Also...

Also, she also offered me non- nipple sparing.  I am not sure what to do. Should I get a second opinion?  Prior to this  new nipple discharge I was going to have NS proph mx  and later have nipple sparing to the side without a nipple..... but, with this symptom of rust discharge I don't know what to do

Any comments please?

Dianarose

Hi Viktoria-I had dcis over 8 yrs ago and then was diagnosed on the other side last Jan. This time it was stage IIIc with 17/17 positive nodes. I too was given the choice to have nipple sparing or not. This time it was both ductal and lobular. There was no quetion in my mind about getting rid of them. They were a big part of my sex life and yes I do miss them, but piece of mind is far better for me. The first time I too had a discharge out of my nipple. I will get tattoo's after my exchange. At least I know they will match. I can't do reconstuction of the nipples because radiation has made my skin thin.  For me it is just one less thing to worry about. I really don't want to do this a 3rd time. It is a decision that only you can make. Maybe do a little research on the odds of it coming back in the nipple area. I wish you the best.... Diana