I HATE having to choose my surgery. I don't know what to do.

Hi all, just for the record, I am + + -, DCIS/IDC apparently somewhere borderline between stage 1 and stage 2, grade 2 or 3, Ki-67 proliferation index of 30-40%. Lump is 2.3 cm x 1.3 cm x 1 cm per MRI results. I'm 37 years old and have dense breasts. Genetic testing was negative.

Breast surgeon says I'm still a candidate for lumpectomy, only thing is it would have to be a larger area than initially planned. Unfortunately the doctor didn't have a recommendation either way regarding SMX or lumpectomy.

I had honestly been favoring the thought of a SMX with aesthetic closure. Can't bring myself to care about reconstruction, I think all the options look awful, I don't want implants and the DIEP option just means more surgeries I don't want. I don't want surgery on the unaffected breast. But it seems radiation has a better outlook long term for survival?

I also need my surgery done in December as I have an autoimmune disorder that is at risk of flaring up (doctor agrees this is an expediting factor). The thought of having to spend more time coordinating with a plastic surgeon really stresses me out.

I wish my doctor had told me what they thought was best. I feel its unfair to leave it 100% to the patient. I've literally spent all day googling and stressing just to end up in the same place.

Please help me.