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My male surgical onc in Fla insisted that lumpectomy was as good as mastectomy. When I went to a female surg onc, she insisted I have a mastectomy. The Plastic surgeon insisted on mastectomy. Because I had multifocal disease, I sought 3 opinions and the final opinion from a UPenn tumor board was: 3 were for lumpectomy and 2 were for mastectomy. All the male docs suggested the lumpectomy and the female docs suggested mastectomy... like that should make a difference. In the end I opted for lumpectomy.
I know you are looking for reconstruction, but I think that doc's decisions stem from their personal familiarity, knowledge and experience.
I really believe that all doc's have their reasons for whatever surgical (or not) procedure they deem appropriate. In the end, the decision is really up to you. If you feel you have the cancer under control- or eliminated all together... go for it!
Maria
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