why is surgery delayed?

That is probably the most frequently asked question I get.

I know, this type of cancer appears to be defying the sequence of treatment that usual breast cancers take. The answer is in the skin - the cancer is also in the skin.

If the breast is removed now, there is a higher possibility of transmitting the disease by attaching diseased skin to clear skin. To eliminate or reduce such a risk, chemo is given first to try and kill the cancer cells in the both the breast and skin.

After surgery, there will be a lot of evaluation and testing of the skin and tissue removed (looking for that margin) and I could still undergo MORE chemo after surgery as well as radiation.

So this is why I’m still stuck with the unwanted breast.