I met with Dr. K today.  Matt couldn't take off work, so I went on my own.
He told me that the cancer board had a meeting on Monday and discussed my case.   They all recommended the best option would be a bilateral mastectomy, regardless of what the genetic testing has to say.   At the time of the mastectomy they would also do a sentinel node biopsy to make sure the cancer hasn't moved to the lymph nodes.
I feel comfortable with this since, as I've said all along, I do not want to deal with this every six months for the next 35 years.   Yes, there is a slight chance that the cancer could come back but it is much less likely than if I just had a lumpectomy and radiation.   I mentioned to Dr. K at one of our first talks that a double mastectomy was something I was not afraid of.  This is not something that he, or anyone else, talked me into.   This is my own choice and like I said, I am comfortable with it.
The next step is meeting with a plastic surgeon.  I have an appt with one in about an hour.   I'm still unsure of what I want to do in regards to reconstruction with or without an implant.   That's not something I need to decide right now and I'm very interested to see what the plastic surgeon has to say.   One thing I do need to decide now is when.    Dr. K said any Monday in January is fine with him.    He said we could also push it back to February, but he'd rather not go any farther than that.  Honestly, I would probably go insane if I had to wait too much longer. 
I'll update when I get back from meeting with the plastic surgeon.
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