Newly diagnosed with ILC

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  • toomuch
    toomuch Member Posts: 901
    edited September 2013

    Shasha-ILC is more likely then IDC to be multifocal. It's known forr being sneaky. I'm surprised that your sister did not have an MRI. If I were her, I would ask for one. She should ask her surgeon to send the tumor for an oncotype test. This will help to determine if chemo would be beneficial. I hope that her surgery goes well.

  • mary625
    mary625 Member Posts: 1,056
    edited September 2013

    Sasha--so sorry to hear about your sister. (And by the way, don't ever tell anyone you're 61 again--you look incredible!). Regarding ILC vs. IDC, in addition to what was said above, I think you've already seen some of the differences between you and your sister's diagnoses. ILC is more likely to be HER2neu negative. It apparently is slow growing and may have been growing for awhile. It grows quite differently, sort of like an octopus, with its tentacles going in between the normal cells. Some people describe it as growing in sheets or in a single file line. However, despite its differences it is essentially treated the same. I know of no different treatment because of the origin in the lobes versus the ducts. I wish they would look at it differently to see if there needs to be a different treatment. Some people think that it is slightly less responsive to chemo, but I guess that could be the the ER/PR+ aspect of it as well. Also, ILC only represents 7-15% of all breast cancer. Many ILC women choose BMX because of the difficulty of detecting an occurrence. Well that is ILC in a nutshell, in no particular order. I think that once your sister gets into treatment, it will be much like yours minus the Herceptin, and you will be of great help to her.

  • Shasha10
    Shasha10 Member Posts: 297
    edited September 2013

    Thank you all for you input. And I wish you all the best. She was much better yesterday. I remember the mood swings so I'm being really careful. Thx again

  • Shasha10
    Shasha10 Member Posts: 297
    edited September 2013

    Mary & Toomuch: the surgery went well. Her tumor was 1 cm, clear margins and if she understood correctly nodes are ok. She's still in a lot of discomfort. I healed much quicker. But not saying too much. I'm going with her to see her dr next week. First check up after surgery. I'm afraid to ask about the MRI. My sister is so vulnerable now and is prone to panic. I'm hoping to have more info. Any advice as what to ask in specific. This is very different from my diagnosis.

    Thx so much.

  • mary625
    mary625 Member Posts: 1,056
    edited September 2013

    This is great news. 1 cm is small for ILC and if the path comes back with no nodes involved, Hallelujah. I can't think of anything to ask that would be different from your own diagnosis.

  • Shasha10
    Shasha10 Member Posts: 297
    edited September 2013
  • levassel
    levassel Member Posts: 267
    edited October 2013


    Hi girls. I just found this site and read through some of the posts. I was diagnosed with Invasive Lobular Carcinoma and LCIS in August. I've had a lumpectomy and lymph node removal so far (lymph node negative!). They are waiting on me to decide if I want a mastectomy. Half the professionals say I should and half say that the lumpectomy and radiation is enough. And so I sit weighing the pros and cons of both. I will know in a week if I need Chemo. Has anyone had ILC and LCIS...what was your treatment?



    Laurie

  • toomuch
    toomuch Member Posts: 901
    edited October 2013


    levassel - I had both LCIS and ILC. I had a small tumor with positive nodes. I initially had a lumpectomy, chemo and radiation and then 5 months after radiation, I opted to have a BMX and immediate flap reconstruction. I had large positive nodes with extracapsular extension so even if I had a mastectomy initially, I would have had radiation. The incidence of recurrance with MX and Lumpectomy are not statistically significant so it's really a personal decision. I have a strong FH of BC and had 5 previous excisional biopsies and I was tired of monitoring my breasts and waiting for cancer so I opted for the BMX. I'm happy with the decision that I made. I think what's most important is that you're comfortable with your decision and if you decide against MX that you're comfortable with the surveillance plan that your BS or MO plan to put in place for you.

  • 4sewwhat
    4sewwhat Member Posts: 2,093
    edited October 2013


    Hi Levassel,


    I just wanted to share too that I had no choice with my MX because of tumor size. My BS also does not recommend lumpectomy with ILC. I also opted for a prophylactic left MX and am so glad I did because pathology showed "Atypical Lobular Hyperplasia" which is basically how ILC can start. It would be the phase before LCIS. My thought process is also that I do not ever want to go through this again if I don't have to and I did not want to leave any "breeding ground" if I could help it. Lobular is so sneeky and hides from the imaging so often. I choose the bilateral mastectomies for peace or mind.


    It is awesome that you had no nodes involved! I wish you the best as you make these decisions. That is by far the toughest part of all this because there are no right or wrong answers. You just have to decide what is right for you and then move ahead!

  • Momine
    Momine Member Posts: 7,859
    edited October 2013


    4sewwhat, exactly the same, except I had both hyperplasia and actual LCIS in lefty, although lefty was supposed to be a prophy. I was also 47 at DX.

  • smrlvr
    smrlvr Member Posts: 422
    edited October 2013


    Same here. I had tumor in left breast, but removed right because I only intend to go through this once. The right breast pathology also showed hyperplasia. I was diligent about having my yearly mammograms and they never picked up on the IlC in the left breast, which was 3.5 cm. since ILC is supposed to be slow growing , I suspect it was there for years before I found it myself. I am finding that the BMX surgery has a long recovery and you need to really be prepared to be dependent on others for a month or more. I also wasn't sure how to react to my flat chest because ex panders were not put in during my surgery. My anatomy doesn't bother me as much as the lack of independence and knowing that I still need to rid my body of whatever is left of this dreadful cancer. So much of this is psychological and you need to do what is right for you and what you are comfortable with. I will be having chemo and then radiation, I had 2 positive nodes and one of them was 2 cm!

  • 4sewwhat
    4sewwhat Member Posts: 2,093
    edited October 2013


    I found my huge lump myself too. Mammos every year since I was 35. Few ultra sounds and call backs for dense tissue in there too. 2/12 found golf ball size lump. Mammo, US and 3 docs all said I was fine come back in a year. Now they say is has probably been there 8-10 years.


    Sorry to hear your recovery has been slow. I have been very lucky in that respect. I did both sides, but not at same time because I was nursing a recently broken ankle at the time and did not feel I could be down both arms and one leg!!! With the second surgery (prophy after chemo) I actually came home the same day. With both I was up and going and driving 4-5 days later. It is so different for us all. I did have expanders at the time of MX.


    Your surgeon did his job and got it all! Chemo and rads are like the exterminator coming in to make sure there is no place for those bugs to hide!!! I had some larger nodes too and 22 of those suckers. I chose to believe they worked their little asses off and did the job well, not letting anything slip by and that is why there were so many of them working for me!


    Chemo and rads were far scarier in my head than they were in real life. I hope you find the same! I am 20/33 rads today. Just got home. 4 weeks now but seems like i just started. You will get through this and it will go faster than you think!


    Hugs & Prayers!

  • MBLizzy
    MBLizzy Member Posts: 51
    edited October 2013


    My mamo pick up calcifications no tumor. No lump that i could detect (i had lumpy dense breasts) Biopsy showed ilc, lcis and dcis. Mammo and ultra sound missed the 3.7 cm tumor and 4 other tumors in another quadrant of the same breast which together measured 5 cm. An MRI picked up the tumors. I decided on a BMX even though the rt was supposed to be cancer free. The path from the BMX showed ilc in my non-cancer side as well. Prior to my surgury my bs and my onchologists (had second opinion) all agreed that a BMX made sense - so glad I did. Like many have said, ilc is sneaky.

  • Shasha10
    Shasha10 Member Posts: 297
    edited November 2013


    hi everyone. We're waiting for the oncotype for my sister. It's been almost 5 weeks, so the mo can determine if she needs chemo or not. He indicated that he didn't think so, but needed the numbers to be certain. However. If she needs chemo it was a mild chemo( I didn't get the info). She wouldn't lose her hair. Anyone know what it might be??


    Thx

  • 4sewwhat
    4sewwhat Member Posts: 2,093
    edited November 2013


    It might be CMF? There is a thread for it. I know another lady doing it now and she said she probably would thin but not lose it all. It is an older regimen.

  • sueshen50
    sueshen50 Member Posts: 8
    edited November 2013


    Hi all,


    I am facing ILC,4 cm, Stage2b-3, Grade 3 ER+/PR+ 100% I will start with chemo in the next week or so. I have my second meeting with my onco on Sunday. The chemo will be high dosage Adriamycin, with surgery, radiation and hormone treatment. Anyone else have high dose Andriamycin>? and what advice can you give me that will help with the side effects?

  • Holeinone
    Holeinone Member Posts: 2,478
    edited November 2013


    hello Sueshen, I recently completed 4 dense (high) dose of Adriamycin, combined with another chemo, cyclophosphamide, it was difficult, I lost weight, food was not appealing. I had to force myself to eat. The meds they give you for nausea work, they also cause headaches & constipation. I spent a lot of time resting. I have read a lot ladies breeze right through it. I hope you do. I had to focus on one day at a time. I am now on high dose of Taxol. This is easier for me. Bone pain, muscle ache but tolerable. Good Luck & let us know how you are doing..so the advice part, almost forgot...lots of water, a quiet home on your bad days, someone that can make food that appeals then, I could not eat, and then I would be starving for something in particular..medication handy for constipation.

  • flutterbye
    flutterbye Member Posts: 14
    edited November 2013


    Just came home from hospital today after 2nd surgery yesterday! Still trying to wrap my head around the fact that I have cancer and now I have a fight that I don't want. My life had just stabilized and for the first time in so many years I started dreaming about normal things like being able to afford a vacation, maybe fly to see my children in the different states that they are in. Someday buy a house.


    I broke down last night in the recovery room. The pain was so bad and then there was bleeding that they had to stop which caused more pain but the resident doctor didn't seem to think my pain should be so bad. I lost it and told him when he goes and has his tits cut off and comes back and has more surgery within the month, then he could tell me how he thinks my pain should be. I am a strong woman, I tried hard not to cry and not to lose it but he has not walked a mile in my shoes. Fortunately the nurse kept pushing the pain medicine button and eventually he was done.


    It's hard to deal with rigid or ignorant people when I am trying so hard to be strong. I have to cry...don't I?

  • flutterbye
    flutterbye Member Posts: 14
    edited November 2013


    My ILC never showed up on my mammograms, nor on the ultrasound and the 2 needle biopsies were benign and indicated that it was breast tissue. In early August my doctor did a tissue biopsy and BOOM...I have been told that ilc can hide and sometimes stay dormant. I wonder if that was the case with mine because the lump was first noticed in 2009. I didn't have health insurance until this year and followed up in August. Glad I did but what a road I am headed down. We women are amazing, strong creatures. I am having a bit of a breakdown right now but did have more surgery yesterday so I should cut myself a break. Normally I am strong and upbeat...but I have to admit...I am worried.


    Because it didn't show up on the scans I don't know if I trust that my pet scan was really ok. Guess I will find out in time. Thanks for letting me vent!

  • Holeinone
    Holeinone Member Posts: 2,478
    edited November 2013


    Flutterbye,


    I hope you are resting at home and able to start the healing process. Our diagnoses is almost the same. I also worry constantly that the Pet. Scan did not pick something up, as the mammo, which I got yearly did not see my Lobular tumor. I think we all have that in common. I had a lumpectomy, most ladies get mastectomy with lobular, so I also worry about that decision. My surgeon advised the lumpectomy which I thought was ok, never dreaming I would have so many nodes involved. Had chemo # 7 yesterday.


    We all have no choice but "being strong, tough & sometimes suffering in silence". I am tired of it all, I want my old carefree, happy life back but is not going to happen, at least not for awhile. Wishing all in this group an peacefull weekend.

  • sueshen50
    sueshen50 Member Posts: 8
    edited November 2013


    I started chemo last Tuesday, the protocol for me is 3x a week, Adriamycin, plus dexi ( the steroid). I will also have neupogen shots ? this is done is 4 three week cycles. I am a private English teacher here in Israel and managed to teach after the treatment, though I don't think I will do it again. I am wondering does the chemo side effects get worse? after 11 days out, yeah I am starting to loose my hair. I have decided to meet with the wig next week to see my options....not sure if I will do that or have a very nice selection of scarves. (I admire the women who walk around to onco department "coverless" me I would look like dumbo...:-9 e


    My tummy hurts are the time, like I have an ulcer? and I am times of real fatigue ( it was worse in the early days)12 days out since my first I see some normalcy, thought very tired.


    Also, I will start Taxol after the A, was that like for anyone who did it? IV, pills, 3 week cycle?


    Anything you could not LIVE with out during this time? I have all the meds. creams ( for dryness, extra tears,nose drops, baby wipes, etc) and created a "Chemo Bag" I even have the sea bands and ginger ( which work great) ?


    Thanks to all this has been a great place for me even when I don't answer!

  • Holeinone
    Holeinone Member Posts: 2,478
    edited November 2013


    Hello Sushen,


    I had the same treatment as you, only the chemo was 14 days ( 2 weeks) apart. They call it dose dense. I really thought Adriamcyin was a legal form of torture. Mine though also had another chemo drug mixed in called cytocin...But, I have read some of the ladies breeze right through it, no big deal. I was bedridden for about 4-5 days after my infusion. Then got my strength back for a week and did it again. My surgeon & oncologist told me working would be difficult, unless you can write your own schedule. I work at a intermediate school, so I took a leave of absence. I have had 7 treatments, 1 to go. The one thing I needed was a stool softener, Miralax. Also oncologists said to take Omeprazole, it is a acid reducer for the stomach ache, which I still have but not all the time.


    Taxol is not as bad as Adriamcyin, but does cause bone pain & muscle ache. I certainly hope I did not scare you, just my experience. As horrible as this all is, it is nice to reach out to women from different areas & countries. I live in Idaho, USA...let us all know how you are doing & good luck...

  • Momine
    Momine Member Posts: 7,859
    edited November 2013


    Sueshen, I was one of the ones who more or less breezed through FEC, which is epirubicin (a variant of adriamycin, the stuff you are getting) and 2 other chemo drugs, all given together. The docs warned me that it would be really bad, but for me it wasn't. I actually had more trouble during the taxotere, but I was also more worn out by then.


    I took lots of acidophilus (any pro-biotic will help), I took a strict rotation of anti-puke meds for 2-3 days after each infusion, and every morning, early (to avoid too much sun) I took my dogs for a good walk in the park near my house. It is a beautiful park with lots of large trees and it was summer. The exercise helped against the fatigue (this has been studied and it holds) and the pretty surrounding and happy dogs helped set a pleasant outlook on the day. Then if I felt like &%$#@ later, I would go lie down with my puter. Oh, another "must": a lap desk. I got a cheap one from Ikea, and I still use it.


    As for food, I set a meal schedule and did my best to stick to it. Also, the week before chemo, when I felt pretty well, I would cook a big batch of something that could be frozen, like chili or soup, and freeze it in individual portions. That way I always had something decent to eat, even if I was too tired to either cook or go out.

  • lisareinsma49
    lisareinsma49 Member Posts: 1
    edited November 2013


    I was diagnosed with stage 1 Invasive lobular Carcinoma and LCIS in my left breast on Nov. 7. Since then I have had a biopsy and MRI, to perhaps discover the extent of the spread before going under the knife. The results from the MRI showed another contrast area under the existing tumor [which measured a bit under 2 cm} and the doctor mentioned that it could be a hematoma? THe day of the biopsy they did another mammogram just moments after they finished taking samples. I was wondering if the pressure of going under the paddles could have caused the possible hematoma? I had excessive bruising but didn't think too much of it at the time. Now the same area that was so bruised is sore to pressure. THey want to go back in and do another biopsy on the area I suspect to be hematoma, but I am a bit freaked out about more poking right there, and what might happen if they puncture it? any help out there?

  • Holeinone
    Holeinone Member Posts: 2,478
    edited November 2013


    hello Lisareinsma, sorry you are having to deal with this...I really cannot offer great advice about your hematoma, someone else will post if they have dealt with that. I had a surgeon that I liked & trusted. I hope you do too. They never really know, even with all the tests until they get in there..good luck, keep us posted. There is great support & advice here..

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