First - you have come to the right place for thoughtful responses from women in the same situation. This is a great resource and has been endlessly helpful to me in all aspects of selecting treatment.

I ultimately chose lumpectomy with a reduction mammoplasty and lift. My breast size was large enough for this to work on me without too drasctic a result (D cup) but I will have left breast done to match after radiation and it has settled in. it has already fallen from what was a great height (too high for me and my age I thought) and looks very natural. I had some moments of thinking I should have had bilateral mastectomy and my deciding factors were - I did not want inpatient procedure if it could be avoided and I did not want implants. I do no think that I would be happy with prosthetics as I am wearing one on the lifted side now and I find it very annoying. Also, my genetic BRCA1 and BRCA 2 test came back negative so that was further corroboration for me. I don't think there is a wrong decision and I will be thinking of you as you make your choice and sending nothing but good and positive thoughts your way. Do let us know how it goes for you.

Hi Rebecca, I guess if my tumour doesn't shrink sufficiently to make lumpectomy an option then that's one decision I won't have to make.

I have not yet sought a formal second opinion but did discuss with the UK helpline on breastcancercare.org, who were fabulously helpful.