LARGE tumor size!
Just got my path report back following a single mastectomy/reconstruction (via latissiumus flap) 11 days ago. The good news was that I had 0/13 nodes with negative margins. But the ILC tumor was 17 cm! My Lord, has anyone else ever had a tumor that large?? It really scares me what that is going to mean for treatment....I find out Thurs. the recommendations of my BS and Onc. I know ILC tumors are known for being sneaky and getting large - and I did have large, dense breasts but I haven't read any other posts concerning a tumor of this size. Any thoughts on my prognosis or what treatment options will be presented? BTW, I had an implant done with my latissiumus flap & I'm worried that if rads are recommended, it'll damage the implant.
Comments
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hi there!
I had IDC...not ILC, but......my tumor was 8 cm with 0/6 nodes.
I think the only thing that changes for us big tumor girls is a mastectomy is a must and rads. I did my implant AFTER rads. Good news...I'll be 3 yrs out from diagnosis in Sept.
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My mom had IDC at 7.2cm. No nodes. For her they only did a single mast, back then. She is fine 29 years later.
Julie
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Boy that sure beats mine! I had an 11cm with not so large breasts, but I had 5 nodes involved, I think you will get chemo and rads because of the large size. I was dx two years ago, and I had TE's at the time of the MX and had an implant exchange nine months ago and I do have capsular contracture and shrinkage of my skin on rad side so I am looking into diep flap surgery.
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I am so grateful that you ladies started this discussion. I also had a large tumor, 7.5 cm. I had a simple mastectomy, no node dissection. My post-surgery path report showed a microscopic trace and a submicroscopic trace in my nodes, so I am now beginning the second stage of chemo, which is Taxol x 12. I will have reconstruction post radiation. Lexi, thanks for normalizing this for me, as I know this process is doable as well. I hope we all can stay in touch and support one another.
In solidarity,
Tiffany
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I also had a very large dense breast with a tumor of 11 cm, 6 months of Chemo, modified mastectomy 2 out of 3 nodes, and radiation. I am having delayed reconstruction, later this year. Know that whatever your Onc recommends will be doable. Wishing you the best of luck!
Susie
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Well, you were all pretty accurate....I've been prescribed 5 months of chemo, followed by 5 months of radiation and then hormone therapy. I've also been offered a clinical trial on Avastin. Anybody have any opinions on this drug?
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Iam currently on Avastin/Taxol so far 10 treatments. No side effects at all except a dry nose, but i just recently bought the Neti Pot my nose feels better. My follow up PET scan showed 50% less activity in just 6 treatments. Its very expensive,but who cares my insurance covers it 100%
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Javert, 5 months of radiation seems rather a lot, are you sure it wasn't 5 weeks? May be not so bad as you have thought!
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I was on a clinical trial with Sutent. It is similiar to Avastin in that it trying to block the cancer's ability to create blood vessels (angiogensis) which are the cancer's food source. There are a lot a trials out there involving these types of drugs which target angiogensis -- the research is promising.
My thought, when I was offered a trial, was "why not?". You have the advantage of getting the standard chemo plus the potential benefits of a new drug which targets something that the other chemo drugs don't. And if for some reason you want to discontinue taking the Avastin then you can drop out of the trial.
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Hi All,
My onc told me that these ILC tumors tend to be large because they rarely show up on a mammo. Mine showed up as a density in my mammo that was then identified in an ultrasound. These are sneaky tumors that form in a line rather than a distinct lump so they are often missed in a self exam or in an exam by our doctors. Mine was missed 2 weeks before my mammo when I had my physical. Frustrating!
Roseann
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You may be right, hymil - gosh, i hope so. I was pretty out of it the day I was told my treatment protocol. Very possible that I misheard or missed details.
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thanks everyone - for your input. Anacortes Girl, I'm kinda thinking along the same lines as you....why wouldn't I do it? I want to do every single thing that'll give me the best chance.
And Roseann, you are soooo right: this ILC is so very frustrating. Even after being diagnosed and with that monster tumor in my right breast, it STILL didn't show up on a mammogram.
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I just went to my first appt with my oncologist and am scared to death because of the size of the tumor. It was difficult for them to measure because of it's abnormal shape (actually two tumors connected), but the path report said 5.1 to 7 cm. I have ILC with some IDC. I had a clean mammogram a year ago and now this large tumor. It's considered a grade 3 tumor. I will be having a PET Scan tomorrow to see if it is anywhere else. The scan is happening because of the tumor size even though the sentinal node was negative. I didn't expect to be facing a test for mets so soon. The oncologist said he doesn't expect mets, but it could still happen even with a negative sentinal node. He just wants to know what he is dealing with. It has eased my mind somewhat to see that I am not the only one with a large tumor (and mine was actually small compared to some).
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califorme, you sound just like me. a big %^&*&*^ tumor (my numbers matched yours). I had chemo, then surgery (that *^&%&^& was tiny by then, and there actually two, but so small that they were toast). i topped that off with rads and tamoxifen, and that was 5 years and a lot of great living ago. Be well.
take care,
--Hattie
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Ok...I'm going to blow your minds and make you all feel a whole lot better about the size of your tumors. I had a very rare form of BC called malignant phyllodes tumor. Only about 400 diagnosed cases in the US every year. Ok..sit down for this part...
I had a 22 lb tumor. No...that's not a typo.....22 lbs of tumor, fluid, infection and yuckies. When I woke up from my left side mastectomy, I had lost nearly 30 lbs. There was no lymph node involvement.
This tumor grew to this size in roughly 4 months, after 10 yrs of clean mammo's. Because of its size, I did 6 three week cycles of Taxotere and Gemzar, and 33 rad treatments to the chest wall. Now I'm doing great and had the other boob reduced to a very small B size.
Now....don't you feel much better about the size of your tumors?

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Now that's the Mac Daddy of tumors. I never heard of any that large or that heavy and in only 4 months. What a nightmare. I'm so glad you are doing well.
Roseann
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some are just gentle giants. who knows. just deal with them and move forward. you are all in my thoughts.
take care,
--Hattie
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I am new to this forum. After reading your post I had to reply. I was diagnosed in march of this year. After years of feeling a lump in my left breast. My mammography was always showing negative results. My sonogram showed a cyst. Finally, after three years my dr. took a biopsy and BINGO!!!! BC. I had a double masectomy. My tumor was 12cm!!! with 14 nodes involved. I was devasted when I got my path report. The path show ductal with lobular features. I have had one kemo treatment so far and due for my next one this Friday. My oncologist decided on a every other week aggressive regimen four treatments of A C followed by 4 treatments of taxol. with a shot a nuelasta the day after treatment. I am a total and completer wreck half the time. I know the BC has been there for at least 2 years.
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Hi, I know how you feel in away, 5 tumors right breast from 19cm too 2cm 37nodes scary as i can't find anyone like that, both breast removed and lytho in right arm, I don't know what this means for me.
I started to look into it on this page (I'm new to this)

Hope you are OK
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I've been reading the posts on the IDC site because that's where I thought I belonged but now I'm not so sure. I was diagnosed with IDC but my path report said that "the pattern of invasion is more typical of lobular carcinoma". Due to other factors though, it was classified as IDC. The mass was 4.6 x 2 x 1.6 cm - long and skinny! Plus I had another area of DCIS in the same breast that was 4 x 3.1 x 1.2 cm. My breast tissue is classified as dense - it hid this cancer really well. I discovered the lump 2 weeks before my annual mammo. It showed up as less than 1 cm. US showed it as closer to 2 cm and the MRI showed the same thing. What a surprise to find out after surgery that it was more than twice that size. I had TCH + Avastin (Beth Trial) and had Herceptin + Avastin for the remainder of the year. Just ended in Feb. I started Femara last July & also had radiation last summer.
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I am really glad to see some one talking about these large tumors. My Mom has been diagnosed with Stage 4, HER 2+. Never saw such a large one. They are giving her Herceptin and Taxol. Anyone been on those?
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I also am so glad to see this thread. I was diagnosed on 9/8 of this year after a neg mammo. They did a biopsy as they did not like what we were all feeling followed by an MRI, Cat Scan etc etc. They found the tumor and decided it was 4 cm. By the time the MRI was done they decided about 6cm and after a Bi mx on 10/28 it ended up being 8cm with 2 other smaller tumors. Start chemo on 12/9 and doing a clinical trial followed by radiation.
My frustration is that my mom just had her Mammo and she was telling me this and my first response was thats nice but now we know there is history in our family of ILC that won't be picked up. She will be insisting on an MRI after our conversation. It seems for absurd that the industry is content generally with a mammo when it is common knowledge that those of us with ILC get left out. I think most of us suspect that the cancer has been in our bodies for 2 years+.
Sorry for the venting but I would like the future to have a better chance at early diagnosis then we did.
I wish all of you the very best of luck and I am 8 days away from the start of Chemo...a bit nervous to say the least.
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Leigh, I have the same feelings you are expressing. Many ILC ladies on this board have expressed the same. We so much wish the BC could have been discovered long before it was, especially since we thought the mammogram was all we needed. I guess we wish we could go back in time and demand the MRI.
I remember getting chemo right up to the holidays and after. Sorry this is your situation, too. Hope all goes well for you. G.
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Thank you it is good to know that I am not the only one that finds this train of thought regarding mammograms someone useless.
Leigh
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Hi all. Am glad that I found this thread. My tumor is very large also. I was afraid to ask my Onc last time I saw her but stated it is much larger than 5cm-possibly 10cm at one point. I have the sneaky ILC. Had a mammogram and ultrasound in August which did not show anything and then in November-Whammo- changes in breast size and texture with an inverted nipple. Sent me for a biopsy right away which revealed BC. I have medium size breasts (in between a 38 b and c) but my surgeon stated that most of my left breast is all tumor. Lucky me! There were no symtoms early on. Now I will have chemo first starting tomorrow to try and shrink the tumor prior to surgery. anyone know the survival statistics for a tumor that size? I do not have distant metastases anywhere but know I am at least a stage 3a or 3b. They won't know the subgroup until surgery when they can examine the nodes. Good luck to all us "big girls"!
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queenjazz - Your story could be mine. BS said pretty much entire breast involved. After DD AC/T chemo "only" 3cm residual and 5/8 positive nodes. I've tried to get stats too, but BS just says don't focus on that. Doesn't sound good does it? Now I'm not healing well from BMX/TE and have had to delay rads. What caught me by surprise was the nodes. PET didn't light up anywhere but breast. Was not expecting 5+ nodes after chemo. Hang in there and take one day at a time.
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the tumor removed during lumpectomy was 5x7x12 cm and i had extensive cancer involvment on all surgical faces and 1 of 4 nodes - second surgery (mast) path report said 7 cm removed ... that was in july/august of 2004 and so far i'm NED ...
hang in there !
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My dx was Dec. 2005: Lobular tumor was 15 cm 2 lymph nodes positive - I had abdominal tram-flap reconstruction because of capsular contracture of my implant - they did 6 TAC chemos, 5 weeks of radiation and 5years of tamoxifen - and I'm still here to bitch about it! Right now I am not doing anything adjuvant - quality of life is important to me and I hated tamoxifen and Aromasin - just can't make myself do anymore - hope it isn't stupid.
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Sounds your BC is not aggressive at all?
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Hi Ellie1959, I just wanted to say congratulations on reaching the 5 year mark. It's no small thing as far as I'm concerned. I've finished 5 years of Femara and like you am thinking it would be great to just stop. I'm too afraid to do that, though, so will probably keep taking it. I don't think anyone is "stupid" for making the decision that feels right for them. That's especially true given the lack of information we have to go on. I'm just glad to be here!
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