Recurrent ILC
In the fall of 2004 I was diagnosed wtih invasive lobular carcinoma of the left breast, ER-+. My treatment was a full mastectomy, chemotherapy, followed by radiotherapy, which appeared to have killed the cancer. I had been premenopausal prior to surgery; however, the chemotherapy pushed me into menopause. For the past few years I have been taking tamoxifen. My oncologist tried to put me on aromotase inhibitors--I tried all 3--but could not tolerate them because of the severe joint and bone pain. On the whole, I have been doing fine. Then, my routine gynecologic exam in the late fall of 2008 turned my world upside down again. The smears showed irregular cells. Long story short, on Apr 22nd, I had an laparoscopic salpingo-oophorectomy (removal of ovaries/tubes) because my ovaries were growing for no diagnosible reason. Today, I was informed that both ovaries showed metastatic lobular breast cancer. Why the ovaries? All the other postings talk about bones, lungs, liver. Why did my cancer infect the ovaries; and, is there a chance it has not spread elsewhere? Has anyone else had a similar situation? I will see my regular oncologist on Monday for the talk about the future. Sad but not down, Cathleen
Comments
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Hi Cathleen, I'm so sorry to here about your ovaries, and, yes, there's every chance it's no where else. I'm currently going thru chemo for ILC, and likewise, was pre-meno when the chemo started (haven't had a period since. ILC is quite different than IDC, and doctors need to start treating it as such. ILC is less likely to spread to the lungs, liver, etc. but tends to spread to ovaries or gastrointestinal tract more than IDC does. I'd like to know what your original tumor size was, if there was lymph node involvement, how old you were and what course of chemo you had. - Ann
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I am also on tamoxifen and this drug used to be used for fertility. I shudder to think what my ovaries look like now. My heart goes out to you....you are dealing with one of my worst fears.
Hugs to you. I too am curious about your "stats" of original pathology.
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Hi Ann,
Thank you for writing. I agree that ILC is so different. In fact, the surgeon who did the oophorectomy is a gynecological oncologist (unlike a breast oncologist) and was shocked that the reason my ovaries were growing was due to metastatic bc. My lungs were clean, my uterus/ceriv clean, and bloodwork was normal on all values. I would participate in a trial for ILC if it would help get a research movement going. But to answer your questions about the original cancer: It was intermediate siz (1.7 cm); three of the sentinel nodes were metastatic with extranodal extension. Three of the nonsentinel nodes were also infected with metastatic cancer. In total they removed 11 nodes. My classification was T1c N1 MX. I was just shy of 51 years old when diagnosed for the first time; I am now 55. The chemo regimen was a clinical trial comparing three Adjuvant therapies for Er+ breast cancer. My particular regimen was biweekly Adriamycin/cytoxin for 4 sessions; then, Taxol/Gemzar for the other 4 sessions. I would also receive a shot of neulasta after each therapy. Hope you are feeling better. What is your history?
Cathleen
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Hi,
Hugs too you, too. I'll go ahead and put my stats on my profile, to make it more obvious. Why did you choose a bilateral mastectomy? Have you had any tamoxifen side effects?
Best
C
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CAthleen, I do have side effects from tamoxifen...mainly achilles heel pain (so bad that mornings, I hobble like a 90 year old woman) and I used to run 15 miles/day, jump rope, lift weights...blah, blah...my husband, who is 17 years older than me, has an easier time doing our 5 mile walk than I do
. I also had some spotting and some ovarian pain, which is when I freaked out reading your story.Dearest Cathleen, I am soooooooooooo sorry you are dealing with this and I hope and pray your ovaries were the last area that stupid cancer touched you. Your post proves that sometimes, no matter what we do, the outcome is less than we'd prefer. My oncotype DX score was 20, and so I opted out of chemo...and I second guessed myself for the last 2 years. Here you are doing chemo and still had a recurrence. STUPID CANCER!
I opted for mx because of the following reasons:
#1. My husband is not a "boob guy" so it was not such a tramatic thing for him as it is for me.
#2. I was told I would require 6 month mammogram/6 month MRI for the rest of my life. My mammogram and my ultrasound did not find my cancer. MRI was the only thing that found it and they went by 3 dreams I had and a gut feel...NOTHING showed it and even my Breast surgeon could not see it/feel it on anything I brought in. He was SHOCKED that I found my own cancer.
#3. I had fairly large breasts---34Ds and after lumpectomy, I knew rads might make the right (already smaller breast) even smaller.
#4. I did not want radiation.
secretly, the thought of not schlepping around the D's would be easier on my back...and my DH said I look so much younger with them gone...but I do miss the sexual sensation.

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Cathleen, You have, hopefully, caught this at an early stage, since the other organs were not affected. It sounds like you had aggressive treatment, were followed up carefully, and had a gynecologic oncologist doing your surgery. You've done all the right things, beyond what many of us do. We have no control in this; it's so random and so unfair. Let us know how your meeting with the oncologist goes and what's next for you in all of this. Giant hugs, G.
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Hi Cathleen,
I was diagnosed with ILC in Sept 2002. I had a modified right breast radical mastectomy, then agressive chemo, 8 months later a profilactic left breast modified radical mastectomy. With ILC HER+, I wanted to be as agressive as possible with treatment. 3 months earlier I had a full hysterectomy, which the team of Doctors said that it was to my advantage because the cancer can move to ovaries, liver, lung, bones, etc. I am sure you have heard that speech. You did not mention if you still have your right breast, if so you may want to consider a breast MRI. My experience with diagnosis is ILC can be hard to find. I had very large breasts and mamo's failed to reveal the cancer, it was my agressive surgeon who spotted little dots in an ultra sound that he saw so he sent me for a breast MRI . That's how the cancer was found, it was over 4 cm, not a single mass but stringy, and could not be seen easily. I also took tamoxifin, tried aromatase inhibitors but I could not tolerate them for the same reasons. I stopped tamoxifin after about 3 years, it made me very sick and eventually toxic to my system. I hope this helps. Be strong. Cheri
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Cathleen sorry to hear that you are going through this.. dang !
I had a 2.5 cm lobular crap on my right boob, so off went both boobs snb showed 2 node involvement. Topped this with dose dense ac/t then begged for rads.. got 35 sessions in the tanning salon. Sat back relieved that all was good. Went on the tamox venture. I was also premenapausal.
After taking tamox for 5-6 months my ovaries, uterus started doing the 'funk' dance on the u/s so off they went. Did not think I would be affected by their loss, but top it with Femara life is umphh.. challenging. Trying to work around the se's of menap and estrogen depletion.
But what else is there to do .. we have to make the most of the cards that we've been dealt. And keep on chugging along, smiling.
Trigeek - suffering from plantar fascitis, insomnia, vision decline .. fatigue
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When I was diagnosed with ILC at age 49, I had also been comtemplating a hysterectomy with BSO for fibroids. I had been on BCP's for years to control pain/bleeding from fibroids. I went ahead and had LAVH/BSO at the same time as my lumpectomy. My oncologist and gyn both recommended it since there is an increased risk of ovarian cancer with ILC. I think they said 4x more likely to get ovarian cancer and that was with no family history of breast or ovarian cancer.
I am glad I had it done. One less thing to worry about
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I just read your post and found it alarming. I too have ILC, premenopausal and had chem, radiation and now on Tamoxifen, My first instinct after treatments was to have my ovaries removed. My onco and gyn both thought it unnecessary, but left it up to me. I felt they were the educated ones, so I chose to not have it done. After reading this it concerns me again. I hope all is well with you now and thank you for sharing your story.
Take care
,Judy
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lynn1575 - Do you have any idea where your oncologist and gyn got that information, about women with ILC being 4X more likely to have/get ovarian cancer? None of my doctors has mentioned this. It can be hard to find good detailed information about ILC - it's so often lumped in with IDC. But I haven't heard that anywhere, and that seems a bit high...
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I would love to know this as well---my medical team actually advised me NOT to have my ovaries out-- I have lupron and femara. and that number seems soo high.
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Kleenex and mom------everything I've read says anyone with bc has 2x the risk of ovarian cancer (not 4x) as the general population. (that's also what my docs stated when they were worried I had ovarian ca---fortunately everything removed was benign)
Anne
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I apologize. That is what I thought I remembered him saying. I looked it up online and 2x was accurate. I'm still glad I had it done. I don't have to worry about the increased risk of uterine cancer on Tamoxifen either.
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CheriL: Wow, you are 8 years out of the dx! May I know whether you took any other anti-hormone drugs after you stopped Tamoxifen 3 years after?
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My oncologist also thought it very unnecessary to have my ovaries removed. This bothered me as I've read about so many women on this site having that done. I made an appointment for a second opinion and was told the same thing. I was given a list of things that could cause issues for me without my ovaries (can't remember what was on that list with my short term memory issues now). I have a girlfriend who goes to the same clinic and her oncologist agreed to take hers out after her vocalizing her desire several times. I'm still confused on this issue and I wish there was a black and white answer.
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I was dx with Grade 3 ILC with 5 +nodes in apr 2010. I have had bilat BMX and am now having chemo and then rad. My onc is recommending that my gyn do lap surg to find the single ovary left after uterus and other ovary removed 17 yrs ago. He is worried that it could cause a metastatic recurrence especially since my tumor was very ER/PR+. So far have not had any issues with that ovary. Did have colonoscopy last yr that was neg. LOL,gin2ca
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lamuso-----I lost my ovaries due to rupture about 5 years ago. if given the choice, I'd rather have them back. I am still dealing with hot flashes, night sweats, insomnia, achiness and stiffness---feel like I'm in my 80's instead of my 50's. My mom had ILC many years ago--has never had a problem with her ovaries and is now a survivor of nearly 24 years without a recurrence.
Anne
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My Gyn MD recommended I have my ovaries out because I was "high risk" since I had ILC tumours in both breasts. My Onc got her report and said no. I had the genetic testing which was negative. If positive she would have agreed to the ovary removal. My Onc specializes in breast cancer and said it is rare to see it spread to the ovaries. She is adamant I keep my yearly Gyn appt for exams. She feels many of her patients who had hysts have problems later with bladder prolapse, etc. At this point I'm happy not undergoing an additional surgery.
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