ILC - The Odd One Out?

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  • mary625
    mary625 Member Posts: 1,056
    edited January 2014

    I too was under a tremendous amount of stress at about the time I think it started growing and when it was found.  I still have a lot of stress in my life.  I don't know how to get rid of it.  Suggestions?

  • RobinLK
    RobinLK Member Posts: 840
    edited January 2014

    The only major dental work here was orthodontia during high school and wisdom teeth removed in early twenties. 

    Not a DES daughter. 

    Lots of stress the 4 years leading up to DX. Daughter in college across country in abusive relationship. (Now resolved) Retiring and moving cross country, but loved the adventure of it. Husband had two major spine surgeries and was very limited for the better part of 4 years. Was looking forward to traveling now that he is recovered. DX and role reversal instead. 

    I just spoke in front of the AZ State Senate Health and Human Services Committee, yesterday. It was for a proposed bill requiring notification to women of their breast density and the risk factor this entails. It passed committee and will be moving forward. Has a few more committes to get through, but hoping to get it to the floor of both the full State House and State Senate in the next few months. It is in conjunction with AreYouDense.org

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited January 2014

    Hi Mary, 

    I know this sounds pretty lame, but after my diagnosis and once my treatment started, I knew  I absolutely had to put ME first.  No choice.  I developed a mantra that was so relaxing, especially when there were things vying for my attention while I was taking care of ME.  Me first. Me first. Me first. Me first.  I said it over and over.  It made me happy and relaxed.  My active treatment is over and I still use my mantra when I am exercising every day.  Yesterday, I told an employee who was trying to get me to do his job......"you are not going to leave that problem in my office.  You are smart.  I know you can handle this" 

    My stress came from being an over achiever, so this works for me.  Stress is different for every person.  I didn't do this to reduce stress...it just happened and I don't want to go back.  Ultimately one has to make time for their physical and mental health and I think that means you have to pamper yourself. 

    Good luck with your stress reduction.

  • smrlvr
    smrlvr Member Posts: 422
    edited January 2014

    Momine and Msp, you are right.  As women we try to make it all better for everyone and often put ourselves last.  I am also an overachiever at work and honestly it has gotten me nowhere.  I have also learned to say no around the house, and plan on making time for myself (exercise, early bedtime) when I go,back to work.   I was looking at some pictures today that were taken over the past few years.  I didn't look happy.  That is going  to change.

  • Momine
    Momine Member Posts: 7,859
    edited January 2014

    Katarina, my docs track tumor markers. They told me from the get-go that the TMs are quite unreliable, but they still prefer to have this extra tool, imperfect as it may be.

  • Momine
    Momine Member Posts: 7,859
    edited January 2014

    MsPharaoh, exactly.the.same.thing for me. I almost instantly realized that I had to put myself first and let the rest sort itself out. It has been quite eye-opening, as well as much more healthy and fun. The world really can run along just fine without my constant input and fixing ;).

  • sgreenarch
    sgreenarch Member Posts: 528
    edited January 2014

    Katarina, my onc doesn't track tumor markers. She says that they can be false and increase patient stress. But I do understand why an onc would want to do them. Different methods of surveillance I guess.

    I was better at avoiding stress closer to dx. I am creeping back into my old ways. Not good. Lots to do with kids, family and work right now.  Everyone is seeing that I am taking everything on again and they are reloading tasks and I am once again accepting. Time for a reset:)

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited January 2014

    Momine, not sure how you do it, but you seem to find a way to express things in the most straightforward way.  When you said " the world really can run along just fine without my constant input and fixing", I thought about making that my new mantra.  That statement explains that the source of my over achieving stress is my own arrogance!  Reinforces my decision to put myself first!

    MsP

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Ah, short temper, lots of stress...yes. That was me, and I didn't realize how toxic it could be because i thought I was being successful in managing all of it! Ha!  University professor, husband living on the other side of the country for 7 years (commuter marriage--then he went to Iraq for a year....I had fibroid surgery  in 2009 and a very serious life-threatening condition--pheochromocytoma surgery. 2007..geez.  When I look back I wonder why I didn't stroke out from all that!

    I'm uncomfortable blaming myself for stress and then getting cancer because of it. I was also exposed to nuclear fallout as a 3 year old.

    Hollander, you cracked me up when you said that about it was cool you had something young in you in your 40s (dense breasts).  I felt the SAME way.  

    I'm scared to drink now, but I do have the occasional or two glass of wine. Unfortunately I have never enjoyed red wine--upsets my stomach--too acidic?  

    Anyway, glad to read these posts.

  • music67
    music67 Member Posts: 11
    edited January 2014

    Hi, Momine

    I came to Canada almost nine years ago, so my home tone is mandarin.

    hugs

  • Momine
    Momine Member Posts: 7,859
    edited January 2014

    Music67, how cool! You do not "sound" Chinese in English. I could not guess what your native tongue was.

  • music67
    music67 Member Posts: 11
    edited January 2014

    Thanks Momine, I take it as a complement

    really like your spirit! the picture you put on your profile! you have great sense of humor if i didn't understand wrong.

  • mary625
    mary625 Member Posts: 1,056
    edited January 2014

    Re: the density, I was secretly happy inside when I realized it meant more breast tissue and not more fat!!!!!  I was quite sure when I first heard of my density after my diagnosis that it was going to be somehow related to fat/overweight, etc.  

  • Momine
    Momine Member Posts: 7,859
    edited February 2014

    Music67, and I will take that as a compliment ;) 

  • Nocompromises2013
    Nocompromises2013 Member Posts: 292
    edited February 2014

    whilst on the subject of surveys -I  did one of my own analyzing all the stage IV posters Dx etc 

    It was quiet enlightening bearing in mind that ILC accounts for 10-15% of all BC  out of all the posts (150 or so )  I checked the ratio of ILC to IDC/IBC  is only 5-6% of stage IV posters 

    Hopefully Food for thought in a +ve way for this thread  :)))

  • KSil
    KSil Member Posts: 56
    edited February 2014

    Nocompromises, 

    Thank you so much for that post, girlfriend! Needed that on this bitter, icy day here in Jersey! :)

    Karen

  • smrlvr
    smrlvr Member Posts: 422
    edited February 2014

    Nocompromises, thanks for doing that!  Cheered me up the day before yet another major snowstorm.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2014

    Thank you nocompromises. Good to know!

    Claire in AZ

  • vlnrph
    vlnrph Member Posts: 1,632
    edited February 2014

    Very interesting, no compromises! Perhaps a little off topic for this thread, but did you happen to note the prevalence of triple negative diagnoses among the stage 4 people? 

    I recently read a book that came out in 2013 by Patricia Prijatel (published by Oxford University Press=good credentials) in which she tries to give TNBC sufferers hope for recovery. Trouble is, all her "success stories" of long term survivors seem to be the women that had no lymph nodes affected and, presumably as a result, no metastases.

  • sandra4611
    sandra4611 Member Posts: 2,913
    edited February 2014

    If you haven't already read it, let me recommend an excellent book. The Emperor of All Maladies: A Biography of Cancer by Siddhartha Mukherjee. Someone on another thread told me about it. The author describes the nature of cancer from a patients perspective. It's an history of cancer for the general reader and he is excellent. It's not a dry, complicated book of statistics, but rather a compassionate, clear description of why cancer is so difficult to treat. Much of the book is about breast cancer, but not all.

  • Sweetie1972
    Sweetie1972 Member Posts: 84
    edited February 2014

    diagnosed at age 40 my very first mammogram

  • Sweetie1972
    Sweetie1972 Member Posts: 84
    edited February 2014

    diagnosed at age 40. My very first mammogram

  • Nocompromises2013
    Nocompromises2013 Member Posts: 292
    edited February 2014

    vlrph - 

    I noted  everything from BC type to Dx date to recurrence, initial size and  stage ( about half were already stage 4), aggressiveness, nodes, Tx and yes TNB 

    I really only wanted to focus here on the positive ILC aspect on this thread but on looking back at my notes where a TNB diagnosis was mentioned - there weren't nearly as many as I had expected - maybe only 5-10% again  versus 10-20% of BC population - so on the face of it - pretty good 

    There were some definate standouts that did seem to be worse prognosis indicators to me but I wouldn't want to disclose them on here because 

    A) I am no statistician and my little survey is in no way accurate or significant - or large enough 

    B) I feel it would be inappropriate, grossly offensive and cruel to say I think a Dx of X will be highly likely to make you a stage IV eventually

    C) we probably all know/suspect  them anyway  

    but yes I could see some possible patterns 

  • Nocompromises2013
    Nocompromises2013 Member Posts: 292
    edited February 2014

    Clareinaz - there had been some comments on this thread I think about T being less effective for ILC, chemo not being so good etcetera so I just needed to do it for my own piece of mind cos I was starting to feel like ILC was the worst baddy in all this. But I was pleased to see that hopefully it isn't as bleak a future as my perception of the thread was starting to imply :)

  • Wildflower50
    Wildflower50 Member Posts: 16
    edited February 2014

    I am new to the boards but am very interested in any info on ILC as there is very little on the internet.  I was diagnosed about two months before my 50th birthday, premenopausal.  I am 5' 3'' 127 lbs, eat healthy, exercise regularly, nonsmoker, drink occasionally.  My ILC has a pleomorphic variance with very high Ki-67 of over 90%.  About a year before my diagnosis, I was diagnosed with inflammatory arthritis that no one can specify but it's most likely RA not fully developed.  I was taking Enbrel, Arava and Plaquenil at the time of my diagnosis which I can't help but think is significant but none of the docs think it's related. I had been on bc pills for about 27 years at time of diagnosis.

  • Armineh
    Armineh Member Posts: 4
    edited February 2014

    I'm new to this forum, and learning fast from all your posts--thank you! I have ILC in my left breast, diagnosed after biopsies Jan 9, 2014, multifocal, total area found on MRI about 5cm. So it is large, and I'm having a mastectomy on Feb 24. I'm 5'4", 126 lbs., quite active, aged 70. OncotypeDX score is 18, so I may be in for chemo--it will depend on the path analysis after surgery, which will include sentinel node biopsy and also excisional biopsy of two small ADH lumps in the other breast found only on the MRI. One of my mother's sisters had bc, but I don't know what kind. All three brothers and my father have/had prostate cancer!

  • Armineh
    Armineh Member Posts: 4
    edited February 2014

    What is the risk factor in high density breasts? The fact that they make it hard to see a problem in a mammogram? Or is there something more than that?

  • Bec65
    Bec65 Member Posts: 312
    edited February 2014

    Hi, Wildflower50 and Armineh...welcome!  If you read through all the posts, you can get a snapshot of all our particulars.  In a nutshell, we're all over the place!  I would say that two commonalities that seem to stand out for all of us are stress leading up to diagnosis and dense breasts.  I know that ILC tumors in dense breasts can be nearly impossible to see on a mammogram, and that is why most of ours are found when they are sizable.  (My 4.8er, for example, couldn't be seen on the mammo I had right before my core needle biopsy, when we knew something was there.)  Wildflower, I was on the pill for 30 years (minus 3 pregnancies and years of breast feeding).  I spent a lot of time trying to figure out what I did that contributed.  The pill?  Frequent love of wine?  Secondhand smoke while I was growing up?  The truth is, none of those things caused my cancer.  Maybe something increased my risk, but I didn't do anything to cause it.  Sure, I used to love wine every night, but I also ate raw almonds and blueberries and went for 4 mile walks everyday.  It's just not fair.  

    I remember when I was in your shoes last fall....and now I've just finished my last chemo!  

    Check out this forum and look at others that might be a good fit (maybe March 2014 chemo starters).  I joined the November 2013 chemo forum and I can honestly say I would have been a wreck without those women.  There are no expectations here, just pure, unwavering support. 

  • toomuch
    toomuch Member Posts: 901
    edited February 2014

    Wildflower - I took low dose 6-MP, as an immunomodulator, for almost 2 years before my BC diagnosis.  I had been off of it for about 9 months when I was diagnosed. The BC grew out of an area of LCIS. The ILC was, also, pleomorphic. I definitely think that the 6-MP contributed to the growth of ILC. I often wondered if it would have remained LCIS if I wasn't taking 6-MP. My doctors all say that we'll never know if there was a cause and effect relationshiip.

    Do you know the ER, PR and Her2 status of the tumor? I can't tell from your post how long that you have ago you were diagnosed but I hope that you have a treatment plan in place that you're comfortable with.

  • Momine
    Momine Member Posts: 7,859
    edited February 2014

    Nocompromise, my own impression is that ILC is actually quite responsive to treatment, even though it is typically stage 3 by the time it is DXed. The problem seems to be that it has a long recurrence curve and often recurs around the 10-year mark, just when people start thinking they are in the clear. I am all about buying time though, because I figure it gives the docs more time to come up with some brilliant new treatment. Yeah, I guess I am a bit of an optimist :)

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