ILC with big tumor
I was diagnosed 5/21/14. I had a biopsy for a cyst in my left breast in 01/14 which was nothing. In March my right breast thickened and felt wrong - as I was premenopausal I waited a month then recognized something was wrong. The radiologist who did the biopsy said it could be granulomatous masititis. Unfortunately it turned out to be ILC. As is the usual story I had 3 clean mammograms from Sept 2013-Apr 2014. Gotta love it. I had my right breast removed and am doing the ACT chemotherapy set (adrimyacin/cytoxan -done!- and taxol (4 to go!). In January I am doing radiation for 6 weeks. I am BRCA negative but having my genome sequenced to see if there are any other mutations. I am 43 with 6 and 8 year old girls - hence going ahead with genetic testing. My mother died 10 years ago of ovarian cancer at 55 (BRCA 1/2 negative). I will admit being a younger patient at chemo with young kids is depressing at times - that and all the women I am friendly with there have metastatic/recurrent breast cancer! Does not inspire my optimistic mood at times.
My tumor was huge! 14x12x9cm. My entire right breast was a tumor! No ocotype done - I think as it was such a big tumor. Are there other ILC patients who had this size of tumor - bigger than 10cm? How terrible is radiation going to be? I feel zonked at times from chemo but I have to keep going even if I don't want to. My husband works 80-100 hours a week and with no help I am tired. I am trying also to figure out when to swap my expander (nearly done) - between chemo/radiation or just wait until radiation is done? I am having my ovaries out - why give the tumor more food. And I am meeting with my breast surgeon in Jan 2015 - I feel like I want to have the left breast removed (I feel like the cancer was not discovered easily and I am fearful of it jumping to the left). Neuropathy from taxol is annoying - does b6/12 help?
Anyway if you have any thoughts, tips, tricks to share I would appreciate it. I apologize if the post is long winded - 2 hours post chemo does that to a brain!
Comments
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Hi
just wanted to respond-- I am sure someone will be along with similar stats as you--but I will tell you that radiation is not that awful One thing I found very helpful was to use moisturizer on the site each day after the treatment… I found I was mostly just tired towards the end of radiation. But I had had chemo, had young children and was working full time… so could have just been tired in general. Sorry you are still in the middle, but it sounds like you are really deep into the process. I t will get better---
good luck
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I will echo that radiation was not bad compared to chemo. Just having to go everyday was annoying. Moisturize, moisturize. I had expanders in during radiation. We filled up until radiation mapping, stopped during rads and then continued to fill shortly after radiation was completed. About 3 months after radiation was completed I had the exchange. I was 40 at diagnosis and had a 10yr old and 5 yr old. It was tough, but you will get through it!
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mine was 5x7x12 (summarized as 7 cm) from lumpectomy but as i had no clear margins in any direction ... they said they estimated another 7 cm in path report from mast ... so yep pretty big ... sigh ...
for me radiation was more of a slog through the bog ... get up shower, wait two hours, go to rads, wait then apply aloe, etc wait until dinner time apply aloe etc, wait until bedtime apply aloe, etc .... wake up and repeat ... oh and wear an old t-shirt or blouse you don't care about to rads ... my rad tech loved loved loved the marking pens to draw circles around the rad tats ... sheesh ... interestingly enough i ran around town for months with no bra, one boob, and a loose blouse over a t-shirt and no one seemed to mind or even notice ...
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Is there any kind of moisturizer that is better or any old will do?
For me there is no choice in getting through it (gracefully or not) as the kids need dinner or homework checked or clean laundry whether I am sick or tired!
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On the plus side I am eligible for 3 more mastectomy bras this year with my insurance so I will get 2 soft ones for radiation! Did aloe make a bigger difference do you think with skin protection? I remembered from my mom's radiation treatments to wear a crappy shirt as she too had a tech with a happy marker!!! Thankfully it will be Jan/Feb so I will be bundled up without a bra and ratty tshirts!!
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rad onc or rad nurse usually goes over the skin care protocol - mine wanted nothing on my skin when i came in for rads and liked aloe (i got it 99% pure at trader joe's) but only applied after waiting a couple of hours after rads .. but i've heard other rad oncs have other preferences ... and as i got further in to the treatment he gave me a number of lotions & potions to get to the finish line
there was no way i could wear a bra during rads though ... but in addition to the mast i'm very fair skinned (dad used to say ghosts had more color than me and to go outside and get a tan ... glad i didn't listen to him ... ) and my rad field was pretty big ...
best of luck to you ... got to love those markers !
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HI ILCMom, yes my ILC tumor was larger than 10cm. It was 11cm at it's largest point. I'm about 1 year ahead of you in treatment. I was diagnosed in July 2013, did ACT chemo, bi-lateral mastectomy and 38 rounds of rads. I want to encourage you that you will get through this and there is a light at the end of the dark tunnel that we sometimes feel ourselves going through. When I started chemo I couldn't fathom that it would take 16 weeks to get through it. I taped up a calendar on my wall and everyday I 'X' out the previous day. It gave me something tangible to prove that I was progressing through the treatment plan. I still have those calendars up on my wall. All those days 'X''d out give me a sense of accomplishment. Good luck to you.
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Hi ILC Mom...wanted to respond as I also was diagnosed in 2012 with ILC in my left breast...my tumor was 6 cm but it was half my breast as I was only a small B cup...because of that I had to have the Brest removed and so opted for a bilateral....my onco dx was low so I did hormone therapy and 30 rounds of radiation but no chemo. Honestly I didnt think radiation was that bad really...but I also was not coming off chemo...I had some fatigue but not much...it was more emotional than physical I think...I was absolutely diligent about keeping my skin gooped up after treatment but I went to treatment with nothing on my skin at all....I bought some adult cotton undershirts and right after treatment I covered myself with Alo...or Aquaohor or Bio Oil...and put one of tjose on...Im olive skin and although I got a bit red I never burned....I would also shower at night right before bed and get my skin clean and that also allowed me to not have to shower before the treatment in the morning....good luck...I think after chemo the radiation might seem much easier...blessing out to you
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Aquafor, x-clair (I got that from my radiation nurse) and vit e capsules (pierce with a straight pin and apply oil directly to skin, recommended by my radiation oncologist) were what I used. Redness, no soreness. It was fairly uneventful. I got fatigued during the last two weeks, and had to come home and take a 2 hour nap on some afternoons (but not every afternoon).
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I used a calendula cream in addition to Aquaphor. Calendula was recommended to me by ladies on this board. I had a smooth time getting through rads, and 2.5 years later had a successful DIEP reconstruction. The PS said that my skin and tissue on that side were nice and soft and squishy -- which is what was needed for the surgery. I also recommend getting a camisole or two. Bras can be uncomfortable. There is a camisole on TLC specifically for rads which I used frequently.
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Hi ILCMom, my story sounds similar so just wanted to give you some hope. I am 3 1/2 years out from diagnosis (March'11) and doing really well. My tumour was around the same size 12cm at it's widest and I had 9 nodes still positive after chemo. I also had a 2 and 4 year old at the time and no family around so coped mostly on my own! Looking back now, I'm not sure how but when you have children you just have to don't you? I think though that much as it is so hard to do it they are such a positive too and the thing that helped me keep moving forwards even on my darkest days.
Just don't expect too much of yourself, it is so hard and just keeping the basics done is exhausting. You will get through it and life does get better again.
I also had my ovaries out which was a very simple op and am still in the process of having my breast reconstructed! Cream-wise I used something called Seabuckthorn cream on my scars and that was good.
One of the nurses said to me be kind to yourself, not easy with the children but when I look back I realise what she meant.
Take care.
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Radiation wasn't bad for me, just mostly an annoyance because of having to be there every day. I was coming off chemo, and given a month'ish in between to recover from the chemo a bit.
For me, at least, I was "fatigued" from radiation, but in a different way than from chemo. Radiation mostly just made me really sleepy, so I took lots of naps. The fatigue with chemo included a general feeling of not being well. Radiation didn't do that. When I wasn't sleepy, I felt fine. Additionally, during chemo I had issues with my hemoglobin dropping, and had to have one transfusion, and it was low enough at the end of chemo that if that hadn't been my last one, I'd have needed to have another transfusion, so I had extra fatigue to recover from, and wasn't fully back on track at the start of radiation. (Plus, I've never exactly been a bundle of energy to begin with.)
I am very fair-skinned, so was concerned about radiation a bit. I was advised at my RO's office to use aloe or Aquafor. To be quite honest, for most of the duration of my 30 treatments I barely even turned pink, and frankly forgot to even bother with the Aquafor most of the time, and never even bought the aloe; plus I had been told by my RO that it was okay to do *nothing* unless it started to develop issues. What I DID do was use Cetaphil to wash the area when I showered, rather than any sort of soap. At about two thirds of the way through radiation I was told to keep doing whatever I was doing, that my skin looked GREAT.
During the final few treatments the skin DID begin to turn very red and and I had a little bit of oozing (ugh) near my incision scars from mastectomy. Luckily, I had an appointment with my MO at that time, and he looked at it and called in the nurse from their radiation dept. (the reason why my MO was at one office and my RO at another is a whole other story.) Anyway, their radiation nurse gave me something called Recovery Cream, and silvadene for the oozing areas, with instructions on how to use it. I think I only used them for maybe 4 or 5 days and then ALL the redness was gone and the broken skin area had healed. The Recovery Cream was awesome. Plus it felt great, and wasn't greasy. Bonus!
I will add that none of this ever did HURT, really, just some prickly feelings sometimes. It looked much worse than it was.
When I saw my RO the following week she was amazed by the speed at which all this had healed and turned back to just barely pink, so I told her about the Recovery Cream my MO's office had given me. She now gives that to her patients, as well.

re: Neuropathy: I had taxotere rather than taxol, and wound up with neuropathy in toes and fingertips. It was incredibly annoying but is slowly, SLOWLY getting better. At this point, just the skin of my first two fingers on each hand, and my right thumb are *barely* numb. I can definitely feel it if I touch something I shouldn't have while cooking, and while at first the the neuropathy in my feet extended slightly below the toes and made it difficult to go to sleep at night due to discomfort--plus made me walk like I'd had too many tequilas, plus walking much HURT!--now it's down to just some loss of sensation in the ends of my toes. I've never taken anything for it, though I am on Effexor which I have heard is supposed to help it in some way or another(?) My last chemo was on March 31st, so over 6 months ago (wow!) and if it doesn't ever get any better than it is right now, I'm okay with that. I can pick things up with my toes (lol) just like I always could, and I can walk as much as I want with no pain, so it's all good.
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thanks for the tips/tricks - I am trying b6/12 for neuropathy but not much yet in terms of relief.
My nails are discolored

And I will be keeping the recovery cream in my brain - I am very fair and stay out of the sun as I burn. I am hoping to swap my TE out for an implant, do an oophotectomy and possibly do my left side mastectomy next summer - oh and get rid of my kidney stones too so anything with skin burn I do not need on my list!
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I don't get on here very often but noticed your post and I had a very large ILC mass in my left breast. They had a very hard time measuring but at least 12 cm.
I didn't find radiation hard at all. I am also fair skinned but had my fair share of sunburns in my teens so my chest got pretty red and peeled, but it was healed by a week or so from the last treatment.
I am scheduled for reconstruction in 3 weeks and I am doing a mastectomy on my remaining right breast and diep flap. I never thought I would be here, but I am, and you will be too before you know it.
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I was diagnosed 09/24/14. I had a core needle biopsy on my right breast in 09/22/14 and they knew then that it was highly suggestive of malignancy they just had to wait for the path report which came back those two days later as ILC. I am BRCA negative
I had a bilateral mastectomy on 10/24/14 and had 3/15 lymph nodes test positive for cancer. My tumor was 7.2 cm So I'm not sure what the exact measurements were. I'm scheduled for an echo 11/20/14, port placement 11/21/14 then start the AC/T chemotherapy set (adrimyacin/cytoxan -1 every 2 weeks for 4 treatments then the taxol (1 a week for 12 weeks). After that radiation, then start the hormone blocking pill Tamoxifen (take for 10 years) and complete my reconstruction. I was told this would be the sequence of events because they will not finish the reconstruction until all chemo and radiation is completed.
I am 45 (turn 46 in two more days) and have 6 of our 8 children still at home. The oldest is 26, married and two boys of her own. The next would have been 16 had I not miscarried him. The remaining 6 at home are 15, 14, 12, 10, 9, and 8. Throw into the mix that we homeschool and I wipe out easily now after surgery. Hubby has gone to every dr. appointment with me, stayed home with me that first week after surgery, and will continue to go with me to the dr. appointments, chemo, etc. The children are big enough for them to help out and they do in accordance to their ability.
We live an hour drive one way from the hospital we have to go to and I am not looking forward to the daily drive when radiation time comes. I just hope the gas prices are low then as I drive a 12 passenger van and hubby would not be able to drive me there in his company truck then back home after treatment. Going one day for chemo and then have to go right back to the hospital the next day for the nuelasta shot is going to be bad enough but I was pretty much doing that now with all the dr. appointments I have had recently.
Thanks to all who have mentioned moisturizing the area after radiation. I have been keeping a little notebook to write suggested items down in for chemo and now radiation. My shopping list so to speak. lol
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Hugs to you, Laura.
There are a lot of shopping lists in the forums for chemo and radiation. I used the chemo list and tips there extensively--very helpful.
If you want to talk to someone about chemo or anything else, we are here. With the same chemo you're going to be having, I had it on a Thursday every two weeks. I did not feel like getting back to work (in my case) until the following Tuesday or Wednesday. By the Thursday a week later, I was feeling pretty good and had a good week ahead until the next treatment. You may want to structure your home schooling around your good days. Maybe light or no lessons one week and double up the next.
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Thank you for the ideas! Sounds like a good plan too.

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Popping on with more encouragement. I was dx'd in 2007 - 7.5 years - woo hoo!! My tumor was described as 10+ cm. It also was basically my whole breast. I had a kindergartener and a fourth grader and was so worried that I would be leaving them. My fourth grader is now applying to colleges and my kindergartener is in 8th grade - she barely remembers me being bald. Life is good.
I also had ACT and radiation. Radiation was a cake walk compared to chemo and just was a pain the butt. I used Aquaphor for my skin and when it got really bad they provided me with these strips (kind of like foam) that I could place on the raw areas so they didn't rub on my clothes. It really helped. I found that once radiation was over, the red/raw skin cleared up really quickly.
I had my expander removed and replaced with an implant 3 months after radiation was complete.
Good luck - you are in my thoughts!
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Connie, WOW! you give us all hope. It's so nice you stay a part of this group. So many of us are new to this, maybe a year or two in . It is great for us to hear from long term survivors. Please keep posting and and stay cancer clean! we're right behind you.
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Hi i had an 11 x 9 cm L breast, . Almost nobody has one big like we had. I am am so very pissed off that I did 5 useless mammo's. No one told me they could be that useless. I feel like everything they inflicted on me in the name of "treatment " has low likelihood of being enough to help keep me well. I am an ARNP and do a ton of research because I want to be around for my 10 and 11 year old daughters.
I get IV Vitamin C administered to me by a Naturopath two or three times per month. I also take 20mg Melatonin every night, Turkey Tail 5 grams per day. Curcumin 1000mg per day. Black Cohosh , ?mg/day. L-tryptophan 4gm/d for sleep and mood improvement. Also I noticed that while I was on the tamoxifen (which i quit after 9months for several reasons, chiefly that it was giving me a terrible case of mood swings no matter what I did, that was destroying what little quality of life I had left) I had developed insomnia that left me exhausted during the day but strangely wired when i went to bed. So now I also take a thing called a Cortisol Manager. Now I can sleep all night again..
I am also doing reconstruction surgery number 10. I am doing fat grafting with BRAVA system. I have gone from nothing to an almost B cup. I would likely be all done except the radiation fibrosis they gave me has severely damaged my skin and i got 2 huge infections on two separate occasions after my fat grafting surgeries. Now i have gotten Hyperbaric Oxygen therapy on 44 visits which is slowly improving my skin. I hope my next surgery on Dec 1st goes well with no infection
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