lumpectomy/mastectomy

[me2her2]

hello ladies,

i'm nearing the end of my chemotherapy and i've been considering getting a double mastectomy (and oophorectomy) done in order to give myself maximum insurance against this disease. i am 35 years old, staged at 2b, 2 nodes positive, her2+, er/pr+, extensive lymphovascular invasion. i've already had a lumpectomy followed by a re-excision to get clear margins. i know that lump + rads = mastectomy in terms of long term survival. But couldn't another local recurrence metastasize before I catch it? All this time I was ok with the idea of doing mastectomy but now after reading another thread on this board and also as the date of surgery approaches, i find that I am wavering.

Any advice?

Thanks,

Misha