Just a bit more advice...
From a young perspective (I was dx 5/2/05 at age 27, 30/34+nodes, her2+, ER/PR-)...
I had a mast on the affected side about a week after dx. My tumor was 8x4x3.5cm so I was never a candidate for a lump. Though I have never regretted the mast, I would have pushed harder for a prophylactic mast on the unaffected side. Though I have not yet had genetic testing (very little family history) I would rather have gone through the surgery. I have a small frame and one large C cup breast, which has caused my whole back to feel strangely "out of whack".
I just finished chemo last week (AC, taxotere+carboplatin) and I will remain on herceptin for at least a year. Unfortunately, it looks like I will have to pursue an SGAP reconstruction years in the future. For what it's worth, I would rather be flat chested at this moment in time.
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