anyone with a 6cm ILC tumor and only 1 node with cancer?

AgnesG
AgnesG Member Posts: 8

Dear Friends

I was diagnosed with ILC on 3/30/16 and, although at MRI the greatest dimension was 2.5cm with no signs of adenopathy, at surgery they found it to be 6cm (!!) with 3 mm in 1 sentinel node (other 27 nodes were cancer free).

It seems that most people with large tumors have more than one node affected - so is anyone like me?

ILC, Stage IIIA, 6cm (no lymphatic invasion, negative deep margin), Grade 2, 1 node affected (one 3mm), ER3+/PR3+, HER2-

«1

Comments

  • jenni__ca
    jenni__ca Member Posts: 461
    edited May 2016

    well surgeon took out 7 cm during lumpectomy and i had no clear margins in any direction ... path report from mast indicated a lot more was found but fortunately large margins were obtained ... had micromets in sentinal node and other 3 nodes they removed were clear ...

  • AgnesG
    AgnesG Member Posts: 8
    edited May 2016
    Jenny
    that is wonderful! what treatment did you follow?
    Thanks
  • LM070917
    LM070917 Member Posts: 323
    edited May 2016
    Hey Agnes,

    I had IDC, not ILC, but my tumour was 8cm! With 2 nodes. I couldn't believe it had become so big, I remember when the GS told me, I was shaking with fear, but it's not the be all, I got over it and just do everything now to minimise my risks of it coming back 😀
  • boobuddy
    boobuddy Member Posts: 9
    edited May 2016

    Hi Agnes, I had 6cm ILC and no nodes affected, so far ned almost eight yrs ago. Keep you chin up God Blessxx

  • jenni__ca
    jenni__ca Member Posts: 461
    edited May 2016

    agnes i had adriamycin (every two weeks), followed by taxol (every two weeks), followed by cytoxan (every two weeks), then 33 rads, then 10 years of arimidex ... onc took me off the arimidex last summer so flying solo

  • AgnesG
    AgnesG Member Posts: 8
    edited May 2016

    Thanks to everyone who responded and I wish good heath to all!

    Hi Boobuddy, What treatment did you do?

    Thanks

  • dAd
    dAd Member Posts: 94
    edited May 2016

    At diagnosis my ILC was estimated to be less than 2 cm but after lumpectomy it was found to be 5.9 cm with cells overflowing one sentinel node. Margins were relatively but not absolutely clear. My surgeon said it was often difficult to estimate the size of ILC prior to surgery because it does not form a discrete lump.

  • Carlymel
    Carlymel Member Posts: 8
    edited May 2016

    My tumor was 4 cm with no affected nodes. I was informed that ILC is usually very slowly growing and it isn't that unusual to have large tumors with few or no affected nodes.

  • grandma3X
    grandma3X Member Posts: 759
    edited May 2016
    My tumor was 5x4 cm and the sentinel node was negative. I just had a PMX of the other side and there was no cancer found. I am cautiously optimistic that I am cancer free, but also very happy to be taking Letrozole for the next 5 years to hedge my bet.
  • AgnesG
    AgnesG Member Posts: 8
    edited June 2016

    thanks so much to all who responded!

  • Mixedfeelings
    Mixedfeelings Member Posts: 13
    edited June 2016

    my ILC was 4.9cm and I only had one node affected. That node had extra capsular extension. Neoadjvant chemo (a/c then taxol) shrank that node down significantly. Hang in there --carlymel is right--lobular is slow growing and large tumors are not uncommon - the finger-like growth pattern doesn't make if feel like a lump, a grape, a marble that the Komen group has taught everyone to look for when checking for BC.


  • Khanniganslp9
    Khanniganslp9 Member Posts: 29
    edited July 2016

    I was diagnosed wtih ILC in January 2016. On mammogram, US and physical exam it was 2cm. I did TCHP chemo from Feburary to April, then tumor removal in June. The tumor was 5cm with clear margins and no node involvement. I am ER+ 95%, grade 1 and HER2 positive. I had an MRI in May and they saw nothing, ie NED - obviously wrong/ completely hidden. It is unclear whether the chemo did anything. I'm still in the middle of figuring out what the next step is. Am meeting with my oncologist tomorrow, and am getting one, possibly two outside opinions about the next step.


  • Mom4four
    Mom4four Member Posts: 117
    edited July 2016

    I had 3 tumors of ILC in one breast all about 4.5, this was my second time in the right, then I had IDC in my left, at the same time.... BMX. The thing is they found the IDC a first...that lector finding all the other ILC.

  • phoebe58
    phoebe58 Member Posts: 193
    edited July 2016

    hi I was diagnosed with ILC Oct 2014 -- they figured it to be about 4-5cm and started with neoadjuvant taxol x 12 weeks, then new oncologist said Letrozole would be more effective to shrink it better pre-surgery, so took me off the planned A/C chemo as it is less effective on slow growing tumours. Still, when they did surgery it was 6cm stem to stern -- and was likely about 8-9 cm before it shrank -- my onc says they are quite 'fern frond' like in their growth patterns - thin and lacy and hard to detect by most scans or feeling until the middle thickens up -- also hard to get clear margins for that same reason. So Khanni - the chemo might have shrunk it some, but they may have underestimated the original size too as edges often don't show up until surgery. I did a prophylactic bmx and diep, and pathology came back as not only ILC, but also with some areas of IDC and also some DCIS and IDC starting on other side. My first node had a few micromets but nodes 2 and 3 were clear. I ended up doing rads too. Now healing well, but the rad side has recently become a little lifted and tighter like a slightly clenched fist 5 months later. Back to physio tomorrow!

  • mbasford0
    mbasford0 Member Posts: 5
    edited July 2016

    Hi I was diagnosed initially with a 1.5cm tumour but after surgery it was 9.6cm ILC with 1 node out of 26 infected. I have had a double mastectomy as ILC is a sneaky one and has a slightly higher chance of infiltrating the other breast. Also because of the score on oestrogen 8/8 I had my ovaries removed and now take Letrozole as this has a better outcome with ILC. Stay positive I am 43 now it has been 3 years since my diagnosis. There is light at the end of the tunnel although it doesn't feel that initially. Good luck xx

  • Kamiecake
    Kamiecake Member Posts: 7
    edited July 2016

    I have a 5cm with 4 lymph nodes affected. Started my first chemo 6/30. Won't have surgery until after chemo some time towards the end of the year. Curious if it will be larger than imaging based on what you guys are saying????

  • Smurfette26
    Smurfette26 Member Posts: 730
    edited July 2016

    My largest tumour was 4.2cm at the time of surgery. Imaging prior to surgery indicated it was less than 2cm; so more than twice the size. This is often the case with ILC. I had one positive node and three other smaller tumours.

    As you are having chemo first you may never know the "true" size of your tumour Kamiecake. I hope the chemo does it's job and shrinks your cancer considerably. Some Oncologists believe that neoadjuvant therapy works better on IDC than on ILC.

    Wishing everyone well. Donna.

  • MFalabella
    MFalabella Member Posts: 176
    edited July 2016

    I had surgery yesterday, lumpectomy (mastectomy after I heal) to the right breast with sentinal node showed positive for cancer. will that mean I need chemo?


  • Smurfette26
    Smurfette26 Member Posts: 730
    edited July 2016

    Did you do an Oncotype DX test MFalabella? Those with 1 to 3 positive nodes and a low "Onco" score are sometimes given he option to skip chemo but of course other factors need to be taken into consideration.

    I had a mastectomy with very good margins. I did 4 rounds of chemo but no rads. The Oncotype DX test is not covered by Medicare here in Australia meaning I would have had to pay the full amount myself. As I had multi focal disease, the positive node and didn't have the test I felt more comfortable having chemo even though I know higher grade cancers do respond better. Mine was all Grade 1.

    Wishing you well. Donna.

  • MFalabella
    MFalabella Member Posts: 176
    edited July 2016

    My SO just called. found a 1 cm tumor in my sentinel node. I can keep the lumpectomy and do rads and possible chemo (depending on Oncotype) or have node removal and lymphedema the rest of my life. I am only 44 so that doesn't sound appealing to me at all.

  • kar123
    kar123 Member Posts: 273
    edited July 2016

    MFalabella, I had node removal 6 yrs ago and no sign of lymphedema yet. It's not always a given that node removal will result in lympedema.



  • MFalabella
    MFalabella Member Posts: 176
    edited July 2016

    Thanks, so there is hope. I hope you are well Kar123

  • Frill
    Frill Member Posts: 311
    edited July 2016

    First Dr started out thinking I had 2 1 cm tumors. He also initially said I only had LCIS after doing 5 biopsies.What I actually had was a 10 cm and a 1 cm with macromets in sentinel node. The rest were clear.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited July 2016

    MFalabella,

    I had 20 nodes removed in January 2015, and have no signs of lymphedema. Yes, ALND can be accompanied by lymphedema, but that's not always the case.

  • Khanniganslp9
    Khanniganslp9 Member Posts: 29
    edited July 2016

    Kamiecake,

    It is possible that it will be larger than the imaging so far. I don't know the answer, but I think the question for you is would it make sense to remove it first, then decide on chemo or hormone therapy after you know what you are dealing with. That was my second opinion MO recommendation before I started chemo, but I went with my first MO's recommendation to start with neoadjuvent chemo, then surgery 5 months later. In retrospect, I wonder if I should have been attacking the remnants of the excised tumor and any possible micrometastesis with ovary shutdown plus AIs during these 5 months, instead of the other way around. If I had gone with this concept, we still could have decided to also attack with chemo, if indicated.

  • JRM99
    JRM99 Member Posts: 4
    edited July 2016

    Hi ladies,

    I am a 41 yr old recently diagnosed ILC, low grade, classic subtype June 30. Thought to be two areas 1cm each but breast MRI showed total area involved to be 5cm. Currently waiting for MX in two weeks. Trying to keep it together externally but having moments of panic and crumbling on the inside!!!!! I am just wondering why there are some patients who have chemo before surgery to shrink tumour area? Does it have to do with the grade, if nodes can be felt or is it surgeon preference?

  • Moderators
    Moderators Member Posts: 25,912
    edited July 2016

    Dear JRM99,

    Welcome to the community. We are sorry for your diagnosis but glad that you reached out here to our members. We hope that you will stay connected and keep posting. While you are waiting for some responses you may want to check out this link to our Main Site's information on Treatment for ILC. Let us know how things go for you. Feel free to PM us if you need any help navigating the boards. The Mods

  • Smurfette26
    Smurfette26 Member Posts: 730
    edited July 2016

    How are you doing JRM99?

  • JRM99
    JRM99 Member Posts: 4
    edited July 2016

    Not doing too bad, thank you for asking. Trying to keep busy and distracted-- some days are better than others of course. Going to a pre-op appointment today so at least mentally I feel closer to surgery!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited July 2016

    JRM99, some get chemo because they have +nodes as well. And others get a test that tells them that their tumor (ack, I hate typing that word, the ugliest word in the English language ever) will respond well to chemo--meaning it can be shrunk down before surgery, if they are having a lumpectomy, to get better margins from excision.

    And some of us, like me, ask and get for the entire kitchen sink of treatment because we don't want to have any regrets later that we had a chance to throw everything at that stupid c, but didn't, the first time.

    It's scary but once you're through the surgery and on the other side, you'll feel relieved and not so scared.

    Hugs

    Claire

Categories