Returning DCIS after treatment for DCIS 2 years

Hey lastar  The ps at mayo in Rochester i am seeing is Michel Saint-Cyr, he came from tx.  the nurses i have spoken with say he is the rock god of ps-"an Artist" "Willing to get Creative" So i see him next wed.  I did find out that mayo does all of the flap procedures too, they did offer those up as possibilties.  I think they are wanting me to be open about options,since the implant and skin stretcher may/may not be an option since i have had radiation 3 years ago.  I did do the braca testing, though no history in my family.  Also the surgeon at mayo is going to check some sentinel nodes at the time(they inject a color dye and use it as a tracer.  Also she is open to trying the nipple sparing as long as the distance from the new dcis is within a certain range.  So these are two things that katsmann breast center would not do(nippel sparing or check nodes) plus i do not know any great  PS here,so looking like mayo will be my choice.

Hey  Well i am back from meeting the ps in mayo.  Dr Saint-Cyr has made a bright light in this dark time.  I have been told so much mixed/incorrect info, he was downright mad.  I had been told   that having previous radiation i was not a candidate for recon with implants.  He said that is wrong and i want you to feel like this is your happy place.  I will do whatever it is YOU want to do, i will make it happen, you deserve a silver lining in this awful situation.  WOW, I could have cried, finally someone that is giving me choices, not telling me what will have to be taken from me-how flipping liberating! We also talked about bilater mx, which i thought i would never consider. We talked about the diep flap, as this is his specialty, but he said, i was not big enough,(not enough tissue to do both breast) but lets save that option as a back up plan.I also had been told that expanders would not work and would take a long time, he also said not at all. He would know during surgery how the muscle would behave and a whole ton of other ideas.  The alloderm he thinks is great but if i did choose bi mx he would use the extra tissue from my unaffected left breast to make the slings.  So now i have to decide uni or bi.  If i had the uni mx the left still needs reduction, so do i go all the way and match em up?  oh, the things you never imagined you would be saying!!!!!

Hello LAstar, no the rads were from the origional dcis from 2010, and of course all the docs thought i was 100% in the clear.  A small dcis was found with 3-d mammo, close to the origional biopsy site.  Not until the masectomy surgery, as they were doing paths on the removed breast tissue and checking nodes they found the suprise 4.5 cm dcis.  I had an mri 2 weeks prior to this surgery and it found nothing.  So either these machines are not faultless, or blame it on dense breast tissue.  But it did make it easier to feel good about the decesion to take the left breast as well.  The nodes were clear, which was expected, allthough returning dcis has a 50% chance coming back invasive_finally i was on the good side of the odds.

crystalphm-  Wow, what a story you have and so so happy you insisted on the biopsy!  Good for you and your instincts, I think we ladies have a bit more of that in our dna.:)

Nancy