I am so happy you found this board. We are a bunch of women that have experienced the diagnosis of breast cancer and we all want to help you and support you as you take your journey to wellness. First, it is not a death sentence. You will find long term survivors here. Second, take a deep breath and take it a day at a time, a decision at a time, a procedure at a time.
I decided to have reconstruction started immediately. As soon as the surgeon was done with the mast. the plastic surgeon come in and started tissue expansion to support reconstruction (My nipple was reconstructed and it really looks normal.) Presently, I honestly would wait to make that decision. You can always consider reconstruction later. Later would have been better for ME. Too many decision that had to be made quickly. Reconstruction is a decision that can go into the "make it later" column if you are feeling overwhelmed. Your type of reconstruction surgery is only your decision. Do as much research as you can and ask lots of questions. Do not make a decision based on others opinions only. Those opinions can play a part, but each of us are different.
As far as whether to have a lumpectomy or mast. My thought is do what is the most favorable to get rid of the cancer. If a mast. is what you decide, it is only a boob vs. your life.
I may be wrong but I do not believe that anyone here will be able to tell you positively about chemo and rads. Each of us are different as are the doctors that we employ. Someone here will be able to guide you through their experience with your type of B/C. I had a very rare type of B/C and a mast. was the only treatment. No chemo or rads. I have been cancer free for three years and during these three years I have been blessed with better health and all my new Breast Friends. The women here are wonderful and I would not have done as well without them. Please lean on us.
Now, push that gorilla off your chest. It will be hard, but you can do it. Remember knowledge is POWER (the knowledge adds strength as you KNOW what you are fighting) and you need to do as much research as you can. As you research you will develop many questions. Write them down and then ask them!!!! Take a recorder along with you so that you can re-listen to what the doctor is saying to you. Take someone with you so that they can support you and listen for you. Ask for copies of all your test results and pathology reports. You may need them if you ever have to change doctors. They also help you research and learn.
I will pray for peace and guidance in your decision making process. Blessings to you.
Do you have a real name we can call you by? If not, Vegas is fine... Sorry you got the dreaded news, and whatever you feel is right...with all you have going on, don't fret about whether your feelings are valid or vane or anything else. Yes, I remember those days too, feeling like I was in a bad nightmare and could not wake up, very surreal and very frightening. Well November 30 marks my 7 year anniversary of that day that changed my life and I am thrilled to say I am still cancer free! I was diagnosed right before my 31st b-day with no hx of cancer either, it was quite a shock to us all.
As for your decisions, take your time. Don't feel you have to decide in just a few days, unless they tell you that it is so aggressive you have to act fast. MOst will tell you to take your time and research and go for a second opinion and think about what is right for you. No answer is right for everyone. I think a 2nd opinion would be great, perhaps they will offer you a more definitive answer.
I was offered a choice of mast vs lumpectomy, and had 2 surgical opinions plus 2 oncs, and 2 rad oncs, all supported the choice for me and that I had equal survival rates. I chose a lumpectomy. I was told that once you make a decision, don't look back....I did consider a mast about a year or 2 after treatment, but decided against it. Don't forget, you can have a mast later but it is irreversable.
As for chemo and radiation..it will depend on the specifics of your tumor pathology. Mine was 2.5 cm and grade III, chemo was not an option, but mandatory. Radiation was also mandatory for me since I had a lumpectomy and negative nodes. All that will depend on your node status, size and traits of the tumor and your surgical choice. Some people with a mast get rads too.
I would explore all the options, get more info and keep asking others who've walked the walk. This is a whirlwind of a time right now, there will be lots of new information and lots of doctors. COnsider taking a tape recorder to your appointments so you can ask what you need to and not have to worry about taking notes.
And stick around, we're here for you!