ILC vs other breast cancers

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  • toomuch
    toomuch Member Posts: 901
    edited September 2011

    Dixiebell - I'm glad that you loved the new onc! Regardless of his recommendations regarding radiation, I would still encourage you to arrange for a consult. As you said, you like the facts!

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    toomuch I plan to explore EVERYTHING!!! Thanks for the recommendation!

  • ALittleBitBritish
    ALittleBitBritish Member Posts: 627
    edited September 2011

    Hi Dixiebell

    I had 1.4cm ILC in one node and 1.2cm ILC in my breast, plus DCIS and LCIS in my other breast.

    I insisted on the Oncotype Dx test after my endless googling nights and reading Dr Susan Love's breast book, score that came back a 9....no chemotherapy for me!!! No rads!!

    I am on tamoxifen and had a BLM. I have no regrets, I researched and made up my own mind after getting my score from my Onc. My cancer was slow growing, I didn't feel it and it was hard to find in dense tissue. I am glad it has gone, nipple sparing mastectomy 4/21/11, exchange 8/1/11, job done!! Goodbye cancer!



    It is your decision, no-one else's -ensure you decide, it is your body!!!



    Ali







  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Thanks alittlebitbritish. I love this feedback!!! Did you have a PET Scan?

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Anyone in this group went to MD Anderson? Everyone keeps telling me I am crazy not to go get evaluated there. I honestly think though at my stage most drs follow the same regimen. And geez I have seen 3 in my area from 3 different facilities.

  • Scuba_duchess
    Scuba_duchess Member Posts: 460
    edited September 2011

    Dixiebell,



    We face similar issues I think. I get what you mean about multiple opinions, but I do feel knowledge is empowering. I did have PET scan, Amd also participated in a PEM scan trial as well. My Oncotype DX is a 6, but I opted for BMX without chemo or rads. Had 3 opinions from 3 separate institutions (including where they trained), that helped. The best answer is the one you can live and move on with. Good luck!

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Thanks scubaduchess!!!

  • Chocolaterocks
    Chocolaterocks Member Posts: 364
    edited September 2011

    DB

    one more for y-ou to consider

    3.8mm ILC, grade 1 stage 1, onco 1

    bilateral, one step reconstur. nipple sparing

    failed on tami and fareston

    pre- menop=

    taking Metformin

    considering Luporn shots (try 1 month dose and see how it goes)??

    major institution suggested ovary removal  - my MO is reluctant, and I am not sure

    I exercise, good bmi, avoid red meat, and lead take D3 , inderol carbinate, fish oil, grapeseed extract, daily vitamin...

    Hope its enough

    take care

    CR

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    Hello

    I was diagnosed with ILC in August 2009 I had 7 out of 11 lymph nodes positive for cancer.

    I had 8 treatments of chemo and 33 radiation treatments It has been 2 years since I had my surgery, and I finished my chemo and radiation treatments in April 2010.  I was told that my cancer was very agressive and by the time I had my surgery that it completely covered my left

    breast, so I had a double mastectomy. I didn't want to take any chances of the cancer

    spreading to the other breast., The onc radiologist said that my cancer was a mean one.

    I am wondering if any one else had that many lymph nodes positive. how long does it take for

    this cancer to spread to other parts of my body. It upsets me that my surgery was two months after they

    first found the cancer becaused it spread so fast.  It seems that I am waiting for the next shoe to fall,

  • TinaT
    TinaT Member Posts: 2,300
    edited September 2011

    nancyj1946 - Hi Nancy, sorry you've had such a rough course. You're right, ILC is a mean one. I also chose BMX even with a very small and early cancer (Also had DCIS). At MX more early lobular neoplasia and lots of ADH was found so I know I made the right choice.



    I had negative lymph nodes so really am probably not helping you much here.... I just wanted to let you know that there's another ILC thread called What's your ILC story (or something like that) that's pretty active.



    I'm sure we can all relate to the "waiting for the other shoe to fall" feeling. Have you had PET scans, bone scans, tumor marker bloodwork, etc?

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    Yes, I go every 6 months for blood work and to see the rad. onc.  I have been extremely tired lately, I had blood work on my thyroid or should I say no thryoid, ( had my throyd out in May 2008

    and It came back ok,) I haven't had a pet scan since befor my surgery  I go back to my oncologist next week..

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Hi nancyj1946 praying your just tired!!! I was curious if you are on hormone supression therapy? Here is a link for you http://www.medicinenet.com/script/main/art.asp?articlekey=50545 an occurance can happen anytime - 5 10 even 20 years later

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    Yes I take arimidex, oh by the way my cancer was a grade 3

    But I'm not sure what that means, can any one explain that to me

  • TinaT
    TinaT Member Posts: 2,300
    edited September 2011

    nancyj1946 - Here's some info from the BCO main site that you might find helpful:


    http://www.breastcancer.org/symptoms/diagnosis/



  • TinaT
    TinaT Member Posts: 2,300
    edited September 2011

    I don't know why the link I just posted isn't working. You can cut and paste or simply go to the BCO.org "Symptoms and Diagnosis" page and read all about pathology reports. There's a link for that at the top of this page...

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

      I know on my last post I sounded kinda in a depresson I do have a wonderful husband who totally supports me and

    a church family and a wonderful pastor who stuck with me thru all of my treatments,A lot of prayers went up for me.  I basically turned it over to the LORD .

    I couldn't have made it without them.  But there is that fear in the back of my mind of it coming back. I guess it will always be there..

    Does any one know what path ILC takes when it spreads.  I have been reading all of the post on

    this website and I am learning a lot.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011
    Invasive Lobular Carcinoma

    What is invasive lobular carcinoma (ILC)?
    Invasive lobular carcinoma, also known as infiltrating lobular carcinoma, is a type of breast cancer that starts in a lobule and spreads to surrounding breast tissue. If not treated at an early stage, ILC also can move into other parts of the body, such as the uterus or ovaries. ILC is the second most common type of invasive breast cancer, accounting for 10 to 15 percent of all breast cancer cases.

    Who is most likely to have ILC?
    Women between the ages of 45 and 56 are most likely to have ILC. Less than 10 percent of women with breast cancer have a family history of the disease. Other factors increasing the risk of having breast cancer include having no children or the first child after age 30, early menstruation, and consuming three or more alcoholic drinks a day.

    What characterizes ILC?
    ILC is characterized by a general thickening of an area of the breast, usually the section above the nipple and toward the arm. You may not be able to feel a breast lump or hard mass. Instead, an area of breast tissue may only feel differently than the rest of your breast. ILC also is less likely to appear on a mammogram. When it does appear, it may show as a mass with fine spikes radiating from the edges or appear as an asymmetry compared to the other breast.

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    I did some research on this kind of breast cancer, it was by chance that I found mine, I  was due my yearly check up and schueled  my yearly mamogram..  The exray tecnician noticed something different on one of my xrays, and redid it.  So I came home and started checking myself.  The mamogram came back normal, but I wanted the Dr to recheck me.  He then schuled

    an ultra sound and they found it.  At that point It wasn't very big, but what got me is how fast it spread by the time I had my surgery.

    and I worry that  as fast as it spread then that It will mastesas to other parts of my body.

    I go back to my oncologist on Thursday of this week.hopefully every thing will be all right But I don't sit around and worry all of the time. I have a small business. Sometimes you have to stay on the DRs My advice to every lady out there.  Dont wait around If you suspect something is

    wrong. DO NOT LET IT GO!

  • Scuba_duchess
    Scuba_duchess Member Posts: 460
    edited September 2011

    As far as I understand, in general, BC isn't fast moving. My ILC was found on mammo at 46, I had gone faithfully since 40 cause family history is lousy with BC. The problem is that it is finger-like, they can't easily measure it like IDC.



    Agree, stay on your medical team and expand it as needed when you dont get what you need out of them.

  • TinaT
    TinaT Member Posts: 2,300
    edited September 2011

    nancyj1946 - I had at least three of my doctors warn me prior to surgery that lobular is a fooler.  It is typically larger "in the flesh" than it appears on mammogram, ultrasound, or MRI.  So, it's very likely that your tumor didn't actually grow quickly between diagnosis and surgery - it's just difficult to get exact measurements on any imaging modality.  It's not round, it's usually a thickened area with little extensions or arms.  You sound worried that your ILC progressed quickly.  It may just be that they couldn't get an accurate measurement on the ultrasound.

    Take care!

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Hi ladies, I opted out of chemo and started on AI's today. Pet scan was negative, oncotype score was a 5. So made the decision for AI's only. Already having hot flashes and a headache and nausea. Geez. Thanks to everyone for all the input to help me make an informed decision. The oncotype actually comes with a node + page now!

  • toomuch
    toomuch Member Posts: 901
    edited September 2011

    Dixie - Great oncotype : ) I'm glad that you are feeling comfortable with your decision. I hope that the hot flashes pass quickly!

  • TinaT
    TinaT Member Posts: 2,300
    edited September 2011

    dixiebell - Yay!  I'm sure you're feeling much better now that a plan is starting to take shape!

    I got headaches (no nausea or instant hot flashes, though) after a few days on anastrazole, but they were't unbearable and they gradually went away.  In case you aren't aware, there are a few threads relating to AI side effects.  Many of the ones that crop up right away could ease off - I hope that happens for you.

    Take care!!!

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Thanks everyone!!! Praying for a great rest of the year for us all!

  • ALittleBitBritish
    ALittleBitBritish Member Posts: 627
    edited September 2011

    Hi Dixiebell,

    Sorry for delay in responding, I never did get a PET scan, my current Onc said no,and I am kinda worried about that, so I have asked for a referral for a 2nd opinion from another Onc (one highly recommended and pro-active) to see if they recommend one. Plus being pre-menopausal I wonder if I should be doing more, like the CYP26D test..etc etc..

    I just want to be sure I am clear! Smile 

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Thanks alittlebitbritish. My PET scan was negative and with my oncotype of 5 so I like you said no chemo. Are you doing the hormone supression therapy. I started it yesterday day 2 today, but reading all the problems and side effects from users on this site and how many quit I'm kind of scared of this also. Lets see osteoporosis, broken bones, much higher mortality rate, heart problems, cataracts (which I'm on day two and have blurred vision now, maybe I need to quit reading lol) and many more. Scary. Oh what is CYP26D? Your about the closest in dx to me so I'd like to keep in touch!

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    Well I went back to my onocologist and My blood work was good, Still (I hope) in remission

    Yaaaaaaaaaaaaaaaaaaaaa! He took me off of the arimidex for two months, To see if that made a difference , being so tired.  I hope every one out there has a good report also.

    Nancy

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Nancy good news yippie for you!!!!!!!!!!!!! How long have you been on arimidex?

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    since February 2010.

  • ccjj
    ccjj Member Posts: 128
    edited September 2011

    Dixiebell... just curious... are you opting out of radiation also?  Only reason I ask, is I am struggling with that decision right now. Surgeon says no although did share the study with me showing benefit in 1-3 pos nodes.  Similiar dx as yourself.  However, I am triple positive which I believe means I really have no choice but to do chemo. Cant do the onco test since am Her2+. Found this thread really interesting, esp part about ER+ not responding to chemo.  I am also strongly ER+.  I noticed there arent many triple pos ILCs out there. Hope my path is correct and I'm not getting all this chemo for nothing.  Getting 2nd opinion next week on radiation issue from Mayo Clinic. 

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