Surgery first. Surgery comes first to remove the tumor and some lymph nodes in the armpit. Depending on the sub-type of breast cancer, chemotherapy (if necessary) comes next. Radiation comes next if breast-sparing surgery was done. Finally, if the tumor has the estrogen receptor, anti-estrogen pills are given for five years.
2 ways. lumpctomy and radiation or mastectomy and immediate reconstruction. Many factors impact the choice of which. Be sure to consult a plastic surgeon in addition to a general surgeon and oncologist before deciding! Best of luck & don't worry- treatment is not usually as bad as you think it's going to be.