I went to see my surgeon, and apparently he thinks there is a disconnect between the first and second lab reports. The initial biopsy said intraductal papilloma, something that is generally considered benign, and the results from the lumpectomy that showed encapsulated papillary carcinoma. So, he is sending the slides to a pathologist at the hospital for a second opinion.
I saw an oncologist, and he reports that there are no markers to indicate that I would need chemotherapy. The day before the surgery a radioactive material will be injected, and then during the surgery they test for the sentinel node. If that is cancer free, then I won't need radiation either. The oncologist said chances are I would be on an oral medication for a number of years.
I decided to have a mastectomy and reconstructive surgery. The plastic surgeon explained the whole process, and while it sounds painful I'm sure I'll manage through it one way or another.
Surgery will be scheduled within the next few weeks.
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