Prophylactic Bilateral Mastectomy

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  • joy2
    joy2 Member Posts: 43
    edited July 2018

    Elijahgirl you did the right choice. Did your doctor suggested you to do a sentinel node biopsy after mastectomy? My doctor removed 2 sentinel node in each side and now i am learning that he removed one more on my left side which was axillary non-sentinel node. Everything came back negative so i did not have any cancer which i knew before mastectomy, but he had to check anyway. I am not sure and i did not ask him why he removed the other axillary non-sentinel node. I will ask him but has anyone here which had prophylactic mastectomy did that? I hope everybody is doing great and wish you a very good week.

  • Elijahgirl
    Elijahgirl Member Posts: 158
    edited July 2018

    Joy2

    I have not had my surgery yet, it is scheduled for 7 August have my pre op appointment on Thursday.

  • Aussie-Cat
    Aussie-Cat Member Posts: 5,168
    edited July 2018

    joy2, I had an MRI before my prophylactic surgery to check that there was nothing suspicious in my breasts and there wasn't. They didn't take any nodes during my surgery but I guess that if they had found anything in my tissue that was removed, they would have wanted to check my lymph nodes afterwards. Thank goodness, everything was clear. I'm not sure about your case, so it's good that you plan to ask your doctor about it.

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited July 2018

    Snickersmom I have also had BMX nipple sparing. Stage 1 IDC in left breast, 4 sentinel nodes removed but clean. Right breast was my choice as I too didn't want to worry about cancer there. I was just wondering as I am now almost 4 weeks post op when the tightness and nerve firings begin to lessen a bit. Weeks 3 and 4 have been not painful but I would say bothersome. Even with that I have to say I am happy with the result.

  • joy2
    joy2 Member Posts: 43
    edited July 2018

    I had MRI to that showed that i did not have anything suspicious but he said before surgery that we need to make sure that it is not any hidden cancer, now i found out that he removed 2 on my left side and that i am wondering why..Aussie-Cat good for you that you did not have any nodes removed

  • Aussie-Cat
    Aussie-Cat Member Posts: 5,168
    edited July 2018

    Thanks, joy2. I sure hope you find out why soon. It's harder to recover from surgery if you've had nodes removed. I hope it's not been very hard for you.

  • adw7374
    adw7374 Member Posts: 8
    edited July 2018

    HI there.

    I am considering one right now, but my oncologist and surgeon do not seem to be on board, so I am looking into a second opinion. Who wrote the letter for your insurance? The surgeon or the oncologist?

    I have a 54% lifetime risk, but no gene mutation.

    Lost my mom to breast cancer (she was 52), have very dense tissue, have had radial scars and papillomas, and meet a few of the other criteria BCBS states as necessary. My doctors would rather I do Tamoxifen, but that just doesn't seem like the best option with a risk so high.

    I've also had a thermogram which staged me at the very highest risk.

    The 6 month scans are about to do me in. Feels like I'm a timebomb waiting to happen :(

    Any thoughts? Input?

  • Aussie-Cat
    Aussie-Cat Member Posts: 5,168
    edited July 2018

    adw7374, I can totally relate to feeling like a time bomb waiting to happen! I had my surgery last month and am glad that I did. If you feel like having surgery is right for you, keep searching till you find doctors who agree with you and will help you do that.

  • Elijahgirl
    Elijahgirl Member Posts: 158
    edited August 2018

    Hello everyone, I am now 17 days post op, I still have one drain left to take out. But I am happy to be rid of the other three especially the ones near my pubic area so much easier to dress now that they are gone. Went to the grocery store for the first time and my Dr.'s appointment today and was pretty exhausted by the time I got home. I wish I could tell you that it's been a breeze but I had a couple of setbacks. Due to the previous radiation I had, my surgeon could not perform the DIEP flap and instead he performed the Free Tram flap. Which takes a little longer recovery time. So I was in the hospital for ten days. During that time my left breast started blistering, from what I was told was also due to the radiation which then cause an infection so now I am on some heavy antibiotics. I was discharge from the hospital but ended back in the hospital four days later due to dehydration I didn't even know that it was that bad, I suffer from renal failure so it doesn't take much for me to get dehydrated evidently. Needless to say I am happy to be home. So for those who are recovering along with me I wish a speedy recovery and for those still waiting you are in my prayers!

  • helenlouise
    helenlouise Member Posts: 420
    edited August 2018
    I am four weeks out from BMX with no recon and still sore and feeling sticky on my effected side. I had drains removed before I left hospital, day 5 and have to have manual aspiration three times. Very unpleasant. And as someone said; quite ironic to have a BMX and still have breast!
  • KAM5166
    KAM5166 Member Posts: 9
    edited August 2018

    Hello, Everyone.

    I posted awhile back with suspicious lumps post DIEP Flap. Good news is- no CA; it is fatty necrosis. Bad new is- I have a seroma which needs to be removed. Since I live miles away from NOLA, I had my first ultrasound with a radiologist who did not know much (if any) about reading images post DIEP Flap. He told me to wait and "see if it grows and if it does, come back and I will re-image". WHO SAYS THAT! I sought out a second opinion, and I am very glad that I did. I intend on keeping this newly-found radiologist (who diagnosed my issue correctly) in my speed dial! Has anyone ever had a seroma up to 1 year post Stage II surgery? I am looking for any connection with such a person.

    thank in advance.

  • Elijahgirl
    Elijahgirl Member Posts: 158
    edited August 2018

    I am posting this for all y’all who may have questioned whether or not your descion to have prophylactic surgery was the right choice. My oncologist told me today at my appointment that the biopsy showed Ihad pagets disease in both breasts and that it is rare to have it in both but that it was a definitely good that I had the surgery because it was most likely to have gotten worse before it got better

    Paget's disease of the breast or nipple is a rash that usually indicates a rare type of breast cancer that occurs in women and men. The presence of this rash usually indicates breast cancer beneath the skin, either ductal carcinoma in situ (DCIS), or invasive breast cancer.

    Most diagnoses occur in women during menopause, but, rarely, it can also appear in women as young as 20 years. The average age at diagnosis is 62 for women. He stated that up to 90 percent of people with Paget's disease also have underlying breast cancer. However, Paget's disease by accounts for less than 5 percent of all breast cancers. With all stuff I have had to deal with since my surgery I won’t lie when I say I did question if I had made the right choice in having this surgery so if I needed confirmation this was all I needed. I know now it was not a matter of if I got cancer, it was just a matter of when I got breast cancer. So I hope this helps some of you about your decision.

  • borogirl
    borogirl Member Posts: 86
    edited August 2018

    Thanks Elijahgirl! After lumpectomy in March for complex sclerosing lesion and hyperplasia, and with mother having had DCIS years ago, my BS mentioned the idea of PBMX. At that point I wasn't ready to make that leap, but after researching, and then another scare in May/June (sclerosing adenosis) I decided this was the wisest path for me. My BS totally agrees, and I am scheduled for this fall. Some people would say it's crazy to do something so drastic when you don't have cancer, but with high risk, I'd rather do this than wait for cancer to show up, have to deal with chemo, radiation, drug therapy, lymph node involvement, and then having MX anyway. My heart goes out to all those women who have dealt and are dealing with all those things. It's a harsh disease, and I am one of the lucky ones who has the opportunity to "beat it to the punch". Best of luck to you and all the other women on this board.

  • helenlouise
    helenlouise Member Posts: 420
    edited August 2018

    Hi Borogirl,

    As I have learnt everyone must make their own decision by working out what's best for them. I will say however, I agree if you are established high risk and want to diminish that risk, a mastectomy is a way of achieving it. I had DCIS in 2013, now IBC in same breast. I have had Neo adjuvant chemo, then mastectomy with lymph node dissection. Currently doing radiation and oral chemo. The prophylactic side has recovered well. The side with the lymph involvement is giving me all sorts of grief. I have cording restricting my movement and have the threat of lymphedema ongoing. I am really glad I opted for both. The thought of doing a full treatment plan again if I got BC in the healthy breast was more than I could bare.

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