['lizbeth]

Olga,

I am sorry that the cancer is growing aggressively.

I am also curious as to the recommendation of the surgeon.

Personally, with this history I would schedule a double mastectomy as soon as possible. The cancer is thriving, and either spreading, or new primaries are forming.

I realize you had hoped to avoid chemotherapy. However, the time for choice has been taken away. It is time to take action, surgery, radiation, chemo, targeted therapy. Don't delay. Monday morning call and schedule.