Nipple Radiation. Looking for advice
Currently trying to weigh the Pros and Cons of my various surgery options. It feels like such a tough decision.
Although lumpectomy with radiation has the lowest possibility of reoccurrence for TNBC, compared with mastectomy without radiation, (4% vs 10%), I'm leaning towards the mastectomy because I don't freeze, so biopsies are hell, I'm fair-skinned so the likelihood of pain from radiation is greatly increased and because I have dense breasts, I'm more likely to have asymmetry as a result of radiation.
I do like the 4% number better, but I'm worried about how much more painful it will be over the long-term with more biopsies without proper freezing, and more complications with radiation.
On top of it, my tumor is close to the nipple, which means I will have very likely have nipple damage during radiation. Because the skin there is thin, and there are a lot of nerve endings, its likely to be painful.
Also, bcause of my weird "I don't freeze", it also means pain management meds like opioids and marijuana don't work either, so I'm kind of stuck in what options I have to manage the pain.
For others who had to get radiation near the nipple area, how painful was it? If you had the opportunity to go back and skip the radiation, would you?