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Susan,
Great news about the nodes!
I too was diagnosed at 37 and had 2 young children. I also had multiple tumors. I had a mastectomy done and a year later I had my "healthy" breast removed as well. I have no regrets about having this done and it has brought me great peace of mind. I had tissue expander reconstruction done at the time of the mastectomies and later implants put in.
Definitely talk to your doctors, but keep in mind that since the mastectomy is not "medically necessary" at this point them may not be very encouraging of it. You need to make the best choice for you and your family.
A plus of the mastectomy might be that you can avoid radiation--this is definitely something I would ask about.
Hope this helps,
Kim
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