Just Diagnosis Confuse about ILC and LCIS pls help

zohra

Thanks for reading my post. My mother just diagnosed Breast cancer . I did not understand her biopsy and MRI  result. Her tests were in same days .

Right breast 4.0 cm at 10 o, clock , core biopsy .

1 - Invasive Lobural Carcinoma, grade 2 involing 98% of the core.

(Tubules 3, Nuclei2 . Mitosis 1 total score 6/9

2- Lobular Carcinoma in Situ ,Focal , Minimal

ER + PR- HER-2 - KI 67 high.

MRI Result

Comparison

Right breast , there is spiculated rapidly enchancinh mass seen withen the right upper outer quadrant measuring 9.6 x 6.1 x 5.8 cm.This mass invades the underlying pectoral musculature and there are spicules arising from this mass extending to the skin with overlying skin thickening in the right upper outer quadrant , There is an abnormal round lymph node within the right axilla which measure 1.0x0.8. this node does not demonstrate any normal fatty hilum. A secand larger right axillary node is seen measuring 2.0x 1.3 cm however this node contain fatty hilum.

Left breast  , multiple enhancing foci indentified throughtout the left breast however there are no facally suspicious  mass is seen within the left breast .Mildly prominent round left axillary nodes are seen which demonstrate loss of normal fatty hilum . A represenative node measure 1.0x 0.9 cm.

No abnormal interenal mommary nodes indentified. No aggressive appearing bony lesions indentified.

Impression

highliy suspicious  rapidly enhancing 9.6 cm mass within the right upper outer quadrant with chest wall invasion and possible extenion to the skin with overlying skin thickening. Recommand correlation with pathology results.

2.Bilateral abnormal axillary nodes. Recommand second look axillary ultra sound with guided biopsy of any abnormal nodes if this has not allready been performed , as clinically indicated .(no biopsy clips  are noted within the axillary regions and there are no post biopsy changes noted around thses  axillary nodes)

Right breast birads category 06 - known biopsy proven malignancy

Left breast birads category 02 - benign finding.

I need if any one can tell me what stage is her cancer and what cancer she has ?

ILC or LCIS?

She is going for bone scan and CT chest , Abdomen Pelvis

More information would be helpfull.

Thanks

Zohra

Anonymous

Zohra----I can't tell from this info what actual stage she has, but ILC is at least stage 1 as it is invasive bc (LCIS is stage 0, in-situ, non-invasive bc; it is not uncommon to find it along with invasive bc, but since your mom has both, her diagnosis would be based on the ILC.)  Has she had any surgery yet? or just the biopsy and MRI? They should know more about the actual staging once sugery or more testing is done. My mom had ILC many years ago---lumpectomy, radiation and tamoxifen---is a survivor of over 25 years without recurrence---I wish for the same outcome for your mom.

Anne

mary625

Dear Zohra: My situation was similar to your mother's in many ways. She has both ILC and LCIS, as did I, but it is the ILC, since it's invasive, that will drive the treatment plan.



It sounds like she is on plan to do exactly what she needs to do, the next step being the CT scan and bone scan. That will rule out any metastises, which would be Stage IV. If that is ruled out, then she will probably not know for sure until surgery what the stage is. That is because the stage will largely depend on number of affected lymph nodes or I should say lymph node status overall, which will not be known for sure until surgery and the final pathology report. As you can see, I turned out to be Stage III, but I did not know that until 6 months after diagnosis after finishing chemo and surgery.



Please know that lots of things show up on MRIs that are not always cancerous. My ILC and LCIS was on the left side, but I also had 3 things show up on the right side that they would not clear as benign with just the MRI. These were not resolved until after chemo and 2 weeks before my surgery when I finally had MRI guided biopsy. The MRI tends to show some false positives.



I would be happy to talk to either you or your mom further by private message.

zohra

Hello Marry ,

Thanks for your reply. My mother done with ct chest and bone scan. It comes clear . So , cancer did not spread in body. Now , doc said for another biopsy in arm . They saw some lymph nodes  there also biopsy left breast . Since , they saw some lymph node there too.

Now , I just need your gaudiness please.

If you don't mind if we communicate by private massage

Thanks again

ZOHRA