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Giuliana Rancic announced back in October that she had been diagnosed with breast cancer. Now she tells “Today” anchor Ann Curry that she has chosen to get a double mastectomy.

“Last time I was here, I told you that I was getting the double lumpectomy and radiation. But now instead of radiation, I’m going to go ahead and move forward with a double mastectomy,” says Rancic.

“Unfortunately, the one breast, they weren’t able to clear the margins and get all tlhe cancer out. We were faced with a decision to make,” says her husband Bill Rancic. “Do you go back and do another lumpectomy and try to clean it out or do you go for a more radical decision?”

Rancic adds that their desire to have children played a big role in the decision. Their struggles with having children, including Rancic’s 2010 miscarriage, have been well publicized.

“That was actually a big part of it. Not all of it, but a big part. If I had chosen to just do another lumpectomy and then do radiation and then do anti-estrogen therapy, which means two to five years of medicaton, that basically puts me into early menopause. Then I would have to put off having a baby for several years. But to be honest, at the end, all it came down to was choosing to live and not looking over my shoulder the rest of my life,” says Rancic.

“This was a decision that wasn’t made lightly. We talked to as many experts as we could,” adds Bill. “I think one of the other factors that came into play was quality of life. If she would’ve gone with the lumpectomy and the radiation, then you have to go in every six motnhs for the rest of your life getting mammograms.”

“For me, it was very important to get the cancer out. Just get it out. … With the double mastectomy, I have less than a 1% chance of getting it back. With a double lumpectomy and radiation, I could see a 20 or 30 or 40% chance of getting it back,” explains Giuliana.

And it really just boiled down to one thing.

“Bill said to me, I just need you around for the next 50 years, kid. I don’t care what you look like, I just need you around for the next 50 years. Let’s just get you healthy,” says Giuliana.

We wish her and Bill the best of luck with everything.

Posted by:Andrea Reiher

TV critic by way of law school, Andrea Reiher enjoys everything from highbrow drama to clever comedy to the best reality TV has to offer. Her TV heroes include CJ Cregg, Spencer Hastings, Diane Lockhart, Juliet O'Hara and Buffy Summers. TV words to live by: "I'm a slayer, ask me how."