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Vicki
 Left
modified radical mastectomy—later right total mastectomy for prophylactic
reasons
Age 37 at diagnosis (1991)
Age 43 in photo (1997)
In November, 1991, I had a surgical biopsy to remove a golf ball sized (30 x
27 x 20 mm) lump. I then had a left modified radical mastectomy with axillary
lymph node dissection. Out of 28 nodes six were positive; my estrogen was borderline;
my progesterone was positive. The surgeon presented me with the option of a
lumpectomy or a mastectomy; however, it was pointed out that with a tumor this
size and the numerous microcalcifications, a lumpectomy was not considered
a wise choice. Also, since my breast was small the amount of tissue to be removed
would not have a very positive cosmetic result. I felt it was in my best interest
to have a modified mastectomy.
Because of a very close friend I had the distinct
advantage of knowing what I would look like after surgery, so I was not surprised
or shocked. In some ways it felt good to get that tumor out of my body. In
clothing I felt no difference. Standing nude in the shower was a definite reminder
that something had changed and I indeed had breast cancer.
For two years I
considered my options concerning reconstruction or implants. I was very unhappy
with my prosthesis. It felt like it didn’t belong and constantly annoyed me.
I gathered opinions from three plastic surgeons. My options ranged from reconstruction
(TRAM-flap) to saline implants, or removal of the right breast to attain symmetry.
After agonizing over the choices, I came to the conclusion that all I wanted
was symmetry. I decided to have my other breast removed to achieve my goal.
In January, 1994, I had a right simple mastectomy with no axillary dissection,
since I had no recurring cancer.
I have only become more pleased with my choices.
For me, this was the right choice. My body type is small and it isn’t even
noticeable when I’m dressed. Of course, when I’m nude I look like an 8-year-old,
but so what! Just think of all the money I save not buying bras. Seriously,
I have never regretted my decision. But I also know that if my thoughts change,
reconstruction could always be an option.
Partner’s observations:
I was mostly scared before the surgery. I really didn’t know what to expect.
Afterwards, I was glad that the surgery was done to provide a greater chance
for Vicki to live.
 
[Click on images to enlarge]
This breast cancer survivor is one of 30 women included in the book Show Me: A Photo Collection of Breast Cancer Survivors' Lumpectomies, Mastectomies, Breast Reconstructions and Thoughts on Body Image. For more information on the Show Me book, click here.
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