In my case I opted for the mastectomy. When I was first diagnosed there were 2 tumors visible on the mamo and ultra sound.When I had an MRI it showed another tumor on th other side of the same breast. I had neoadjuvant chemo as you are having. After the chemo had started to shrink the tumors it revealed that one of the tumors was in fact 2 tumors so close in proximity that they were undistinguishable until they started to shrink.
Having so many tumors and them being spread out as they were would have made lumpectomy very dificult and being small breasted to begin with results would be bad.I also would be in constant fear of local reccurance.
Every case is different and how you feel about it is an important part of it.
I think the best thing you are doing is to have the neoadj. chemo.When I had it I couldnt find anyone that had had it and I was forever questioning my decision. Now as I look back a friend of mine has gone thru cancer at the same time as me only she had the mast. before the chemo. When we are both done with treatment I can say with certanty that the chemo worked and she can not as she has no proof of tumor shrinkage due to the mass being removed before chemo.
Good luck, Alice
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