I' ve been diagnosed with IDC with multifocal leisions (2). I had a sentinel node biopsy which was positive for 1 in 5 nodes. I am 40 years old, married and have 2 children aged 8 and 5. I have started neoadjuvant chemotherapy and have been given 4 cycles of FEC and so far 2 cycles of TAxol out of a total of 12 planned. An interim ultrasound shows the reduction in size of both the lisions by half - they are now 6mm and 3mm.
The surgery is planned for June after the last chemo cycle. This is to be a mastectomy as per the assessment of my breast surgeon. No lymph node removal has been recommended.
I want to find out the reconstruction options that are best suited for me. Would delayed reconstruction be a good option for me? Are there any support groups for the year's wait with one breast?
The reconstruction options under discussion are:
1. Saline/silicon implant - but does this get impacted by the fact that I need radiotherapy too.
2. Abdominal flap method - this I'm told has the best results in terms of healing of both the sites. But some abdominal fat is necessary to be eligible for this method.
3 Dorsal flap method - which may impact mobility to some extent in some cases.
Which methods are most frequently followed in treatment in Bangalore/Mumbai? And which would be most free of complications long and short term?
Confused cancer patient.