I would opt for the masectomy. I am not a woman and am just giving my opinion as a husband. My wife was diagnosed stage IV with mets to nodes and bones. Large breast mass. I would too shrink the primary site, but then do the masectomy and reconstruction at the same time. In the long run, I think it would be the best choice as I see many mets flare up again after treatments. It is still your choice and your Quality of Life.
Also, As a husband, I would rather have my wife around without a breast than not around at all.
Hope it helps and good luck
John
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