ILC vs other breast cancers

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  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    ccjj: I had 3 opinions from oncs. 2 said with mastectomy and node disection radiation is not needed. 1 said that even though though radiation is recommended for lumpectomys or someone who did not have node disection he wants his pts to have it anyway! Because I had a mastectomy (radical) I did not need radiation.

    As far as your dx, I have studied and done so much research but I really can't comment on the her2+. I did not study that. I do have a great link that may help you. You put in all your stats and it gives you benefit of treatments.  http://www.lifemath.net/cancer/breastcancer/therapy/index.php

    I can tell you each of us must decide what is best for us but you are very smart to get more opinions esp the mayo clinic!!! Keep me posted.

  • ccjj
    ccjj Member Posts: 128
    edited September 2011

    I am very annoyed by my Her2+ status.  1% of ILC is Her2+.  I almost feel like its a mistake and they are throwing the most aggressive treatment they can at it.  I am defintiely being treated like a IDC triple positive. Had I not been Her2+ I would have done what you did. Had the oncotype, and with a low score skipped chemo and moved on to hormonal therapy. I will most likely pass on radiation unless it really bumps my survival up more than a couple of % points. 

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    ccjj: since your going to mayo anyway why not have them retest your pathology. I have seen many ladies on this site do that.

  • GabbyCal
    GabbyCal Member Posts: 277
    edited September 2011

    ccjj - I agree with dixiebell that it would be good to have the Mayo pathologists run your pathology themselves. Did they do the FISH test on it? My initial HER2neu came back inconclusive so they ran the FISH test on it. Good luck and glad you're getting to Mayo for a second opinion.

  • hmh23
    hmh23 Member Posts: 306
    edited September 2011

    Well I haven't posted on this link for some time but I thought I would reach out to everyone and let them know what I'm up to.  I started a blog while recuperating from my DIEP surgery.  Actually, I started on Day 8 because I was climbing the walls.

    Anyhow, it dawned on me that there must be other breast cancer survivors who are crafters, seamstresses, artists etc that might want to show their stuff off on my blog.

    I don't make any money off of this as it is not a business. I do it only for fun.  Crafting was a good respite for me while recuperating.  Anyhow,  I'm thinking of doing a once a week feature entitled Breast Cancer Crafters that would show only BC survivors arts and crafts.  If you are interested in participating, please take a look at my blog  http://larissahill.blogspot.com/  or contact me at hmh308@gmail.com 

    I am open to people who sell their products through Etsy, Ebay or whatever so they can get some exposure and I am also interested in those women/men who just want to show off what they are up to.  I do alot of my crafting for fundraising.

    If you know anyone who might be interested in joining but may not be on our boards, then just give them my email and we can send them directions on how to participate.  In the meantime, I'd love for anyone and everyone to join.  I think it would be a wonderful place for BC Survivors to showcase the art.

    Fondly, Heather

  • ALittleBitBritish
    ALittleBitBritish Member Posts: 627
    edited September 2011

    Dixiebell,

    I have been on tamox since May, no terrible SEs, all not bad all in all.....a few things I noticed...waking up hot at night, not sweating though thank goodness...did get a few leg / foot cramps... I take mine before bed.

    As it is my only weapon of choice...I'll stick with it Laughing 

  • momoftwo526
    momoftwo526 Member Posts: 151
    edited September 2011

    Heather:

    Was quite excited when I saw your post.  I am quite a "crafter".  I make Barbie beds, pillows, costumes for my daughters, dolls and really cool birthday cakes for my kids too.  I have never sold anything online or otherwise, I usually give them away for gifts or donate for fundraising.  I will see if i can send you some pictures.

    Phyllis

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    I have a small embroidery business, It kept me busy while I was taking Chemo and radiation.

    I do a lot of blankets for my church for someone who is sick or just to give encouragement.  I have them on my face book page.  I generally put a name or whatever some is interested in

    I also do work for a local gift shop.  I would love to share them with you

    Nancy

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited September 2011

    This is a different subject.  Last time I went to my oncologist, He took me off of Arimidex, or should I say the generic brand of Arimidex, because of my being so tired all of the time..  My

    question is what other drugs that are in the same class of arimidex, are out there? and what are their side effects.  I have been off of arimidex for two weeks and I am still tired.

  • Racy
    Racy Member Posts: 2,651
    edited September 2011

    nancy1946, I am on Femara which is the alternative option to Arimidex. My onc said it was immaterial which of the two he prescribed for me.  I take the name brand, not generic as I read on another thread that some ladies seem to have more problems with the generic.  Cost is the same for me in Australia.

    If you look at the treatment and side effects info on this site there are comparison tables of the side effects of all the hormonal drugs.  Not everyone gets all the possible side effects. The only SEs I have are hot flashes and mild joint pain on getting moving.

    Are you sure your tiredness is a result of the Arimidex and not something else?  I suggest you consider other possible reasons for your tiredness. 

    I assume your onc will be recommending that you start another drug? I think it is worth giving Femara a go.  I have read good reviews about its efficacy. cp418 posted one yesterday.

  • hlya
    hlya Member Posts: 484
    edited October 2011

    Seashelly:  Even there are cancer cells floating around, it doesn't mean that you have to take chemo to kill them, hormone therapy could also kill them if you are strong ER/PR

  • nancyj1946
    nancyj1946 Member Posts: 16
    edited October 2011

    This is a different question and I have reserched this and I read my diagnosis, What is the difference between stage and grade,My breast cancer is ILC grade 3, I had seven out of eleven lymph nodes

    positive for cancer. I keep reading that stage and grade are different, can someone explain this to me.

    I was told that my left breast was , the way that my doctor described it, rotten, But they didn't put a stage to it, only a grade

  • toomuch
    toomuch Member Posts: 901
    edited October 2011

    Nancy - I have copied the information about Grade and Stage from the BCO website below. Hope this helps.

    Grade is a “score” that tells you how different the cancer cells’ appearance and growth patterns are from those of normal, healthy breast cells. Your pathology report will rate the cancer on a scale from 1 to 3:Grade 1 or low grade (sometimes also called well differentiated): Grade 1 cancer cells look a little bit different from normal cells, and they grow in slow, well-organized patterns. Not that many cells are dividing to make new cancer cells.Grade 2 or intermediate/moderate grade (moderately differentiated): Grade 2 cancer cells do not look like normal cells and are growing and dividing a little faster than normal.Grade 3 or high grade (poorly differentiated): Grade 3 cells look very different from normal cells. They grow quickly in disorganized, irregular patterns, with many dividing to make new cancer cells.Having a low-grade cancer is an encouraging sign. But keep in mind that higher-grade cancers may be more vulnerable than low-grade cancers to treatments such as chemotherapy and radiation therapy, which work by targeting fast-dividing cells.

    Be careful not to confuse grade with stage, which is usually expressed as a number from 0 to 4 (often using Roman numerals I, II, III, IV). Stage is based on the size of the cancer and how far it has (or hasn’t) spread beyond its original location within the breast. 

  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    nancyj I also had positive lymph nodes and nothing was picking up my tumors (both in my left breast). mammo and US in Feb showed my usual- dense cystic breasts. MRI in Sep didn't either. Pretty scary.



    I hope this post finds you feeling a bit better.



    Would you mind if I ask what treatment you received?



    I am to begin AC x4 then taxol x12 then radiation. I know each of us is unique, but it seems to me that many ladies with ILC have a different tx.



    Thank you and hugs-Laura

  • Racy
    Racy Member Posts: 2,651
    edited December 2011

    Laura, if you don't mind me answering your question about chemo, I had TAC x 6. Quite a few of the ILC ladies seem to have it with good results. It's a 'third generation' combo and shorter treatment course. The T is taxotere rather than Taxol.

  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    Racy not only do I not mind, but greatly appreciate what you share. Reading different threads this does seem the more common treatment. I have an appt with the onc tomorrow and wanted to discuss this option. It may also have something to do with my more extension lymph involvement, and will have to keep that in mind. (1st onc also advised AC T but I wasn't armed with all my questions at that appt. He did at least talk about taxotere, but as an alternate to the taxol.



    Thanks! And hope you're doing and feeling well!



    Laura

  • dreaming
    dreaming Member Posts: 473
    edited December 2011

    I was diagnosed with lobular invasive and ductal carcinoma. , I opted for the most aggressive treatments, had a mastectomy and chemo, I am glad with my choice, I am 20 years from diagnosis.

    One has to weight  the pros and cons, in my case chemo was the one I believe and still do will give me a chance.

    I work at M.D.Anderson Cancer Center,

  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    Dreaming thank you for your response. How wonderful that you are 20 years post dx!



    I am not adverse to receiving chemo- I just want to follow the best protocol for my diagnosis, as we all do. I still feel there are so many unknowns with ILC, and I have a few more questions for the oncologist.



    So much important and invaluable information has been shared by so many wonderful ladies.



    I can never thank you all enough.



    Laura





  • momand2kids
    momand2kids Member Posts: 1,508
    edited December 2011

    Hi

    if it is any help--had a lumpectomy, I had 4 rounds of A/C and radiation and am now on lupron/femara(I was pre menopausal and could not take tamoxifen).... over 3 years out and doing great--looking forward to a long, long life.... 

    My onc (at Dana Farber) is a huge believer in the hormonal therapies.... I did chemo b/c I was in the gray area on the oncotype--- but she still thinks that the hormonals are the weapon of choice...

  • pupmom
    pupmom Member Posts: 5,068
    edited December 2011
    Joy, than you for that link. Very encouraging info! Smile
  • Ellie1959
    Ellie1959 Member Posts: 316
    edited December 2011

    I have stage 3 ILC and did 6 rounds of TAC and 32 rads - it does seem to be a common tx for us ILC women. (Sorry if I butted in, I'm always interested in ILC topics too.)

  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    Thank you Ellie & momand2kids!



    I want to be as prepared and informed as I can be.



    Be well and I will update soon.



    Laura

  • pupmom
    pupmom Member Posts: 5,068
    edited December 2011

    Hi momand2kids, I am waiting for my Oncotype score. Have mixed feelings about dodging chemo. If it won't help much of course I would rather avoid it. But if there is a significant benefit, bring it on! This is a very encouraging and informative thread for we ILC sisters. Thanks to all!!

  • FLwarrior
    FLwarrior Member Posts: 977
    edited December 2011

    Hi, hope you don't mind if I jump in.  My course of treatment was a little different, so I thought I would share it with you. I was stage 2, grade 2, ILC.  I had 3 rounds of FEC followed by 3 rounds of Taxotere, and then UMX (clear margins, no nodes).  No rads. 

  • Gitane
    Gitane Member Posts: 1,885
    edited December 2011
    Seacretgarden,  You may want to ask your doctor's opinion of the NSABP-B47 trial.  It allows you to get any chemo and endocrine therapy he/she recommends, but in addition you will get T-DM1.  There is evidence that it will help those of us who are Her2 negative.  It's a very effective but expensive combination of chemo/trastuzumab and only available through a trial.  Just an idea, and I'd be interested to know what your oncologist thinks.  G.
  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    Gitane I did ask the onc about the trial you mentioned and she was not terribly receptive.



    Also no oncotype was done with my node involvement.



    I hate to feel helpless in my decision making regarding my health care. I have never just blindly followed the advice of any Drs. Sometimes that has backfired on me. I am quite outspoken when it comes to my care or when they were younger my children's care. But now, so many decisions had to be made so quickly. And about something very serious. There's no room for mistakes.



    Sigh.



    Laura

  • GabbyCal
    GabbyCal Member Posts: 277
    edited December 2011

    secretgrdn - Have you had a chance to review the NCCN guidelines for treatment yet? If not, you can find them at www.nccn.com. These standards are updated annually by the National Comprehensive Cancer Network. When I was making treatment decisions, I found this to be a very helpful resource.

    I just came across this thread today after being away for some time, so apologies if this is irrelevant for you by now.

    All the best, Gabby 

  • seacretgardn
    seacretgardn Member Posts: 269
    edited December 2011

    Gabby thank you for sharing this link.



    It does appear that my onc recommendation falls within many of the established guidelines.



    I'm sure there are always other factors that may alter treatment for others, even with a similar diagnosis.



    Gonna have some faith and get started on Thursday,



    I see you're almost a year out. I hope you're feeling really well!



    Laura



  • Gitane
    Gitane Member Posts: 1,885
    edited December 2011

    seacretgardn, As it turns out the trial I mentioned isn't for TDM-1 it's for herceptin (trastuzumab) for Her2 negative patients. I am sure getting into treatment Thursday will help you let go of some of the worry. It did help me. All the very best to you. Hugs. G.

  • GabbyCal
    GabbyCal Member Posts: 277
    edited December 2011

    seacretgardn - Hope everything goes well for you on Thursday. I'll be thinking of you. Thursday will coincidentally be the 1-year anniversary of the mammogram that flagged something suspicious and started the ball rolling for my diagnosis and treatment. 

    I'm doing well and have started to get my life back. Thanks for asking. 

    All the best, Joan 

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