First International ILC Symposium | Sept 2016 | Pittsburgh, PA

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  • 614
    614 Member Posts: 851
    edited August 2016
    Dear Heather: Thank you.

    Dear Lulu: I feel the same way as you do. I never feel confident in my imaging tests either and I have anxiety as a result.

    Dear GalSal: My dx is similar to yours except all in my left breast. I had PILC, bifocal PLCIS, IDC: ITC, PASH, FEA, ALH, and ALH with ductal features. I was stage 1, grade 2, 0/2 nodes. I had a double lx and rads. No chemo.

    Good luck to all and hugs.
  • Crazywabbit
    Crazywabbit Member Posts: 563
    edited August 2016

    . Frustration to have both ILC and IDC. I felt the IDC lump, thankfully, since it did not show up on my mammo done 10 months before. Even the mammo at diagnosis was obscured by dense tissle. The initial biopsy was just IDC and the surprise was in the final pathology report. The positive LNs seemed to all have IDC in them, but of course they only sample representative areas. Treatment so far standard IDC RX. Luckily NED so far but always the worry which one will come back first. Excited to see more research directed to ILC. I was hoping to get out to the conference but work schedule will not allow it. Hopefully we can get some updates as the conferenceprogresses.

  • artistatheart
    artistatheart Member Posts: 2,176
    edited August 2016

    I second that so much. Thank you so much Heather! I look forward to hearing more news on ILC...

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

    Hi all,

    Haven't posted in this thread for a bit.

    I'm in Australia, and wondering if transcripts will be available post conference?

    Sounds very exciting and promising.

    If my contribution would help, I'm happy to answer the survey q's.

    my case is unusual, as I had originally ductal cancer in both breasts.

    after double mast and axilla clearance, had a ductal recurrence in left mast. side. the following year.

    then 9 years later (2012) was dx'd with ILC on right mast. side. go figure!!

    weird huh?

    I now have constant rib pain, and will most likely be sent for a pet/ct scan. Can any of you recommend a better option for catching possible ILC mets? or does it not matter once you leave the breast area?

    thanks.

    astrid


  • lulud471
    lulud471 Member Posts: 89
    edited August 2016

    Hi Astrid, this is from a prior post from Heather:

    "If you are interested in participating in the Faces of ILC booklet to be given to all attendees at the 1st International Invasive Lobular Breast Cancer Symposium, please email be at hmhillier23@gmail.com

    I will send everyone the questionnaire and ask that you complete and submit by September 1, 2016.

    Please know that you can submit a photo of yourself or an image that represents you. You can also use your full name, first name, or a nickname.

    Thank you, I look forward to hearing from everyone. Sincerely, Heather"

    Also, on Aug 20 Heather posted that they'll be working to provide information from the conference after it's over. Not sure about an actual transcript but I know they do want to provide us info afterward.

  • MMSS
    MMSS Member Posts: 103
    edited August 2016

    I have registered and plan to attend the symposium and will look forward to meeting some of you there. I just want to say how enormously impressed that I am that a high level medical meeting like this would include a patient advocate who has actually had the disease as a co chair of the event. I really don't think that this happens very often and it speaks volumes of the intentions of the planners to the concept of patient centered care being more that a PR gimmick. A big thank you to everyone involved

  • hmh23
    hmh23 Member Posts: 306
    edited August 2016

    MMSS, I was so honored to be asked to participate and Steffi has stressed from day one the importance of the patient perspective.  We have received so many compelling and moving stories and I'm confident that putting a face of ILC will resonate with these already dedicated researchers and clinicians.  

    The response has been tremendous  demonstrating  the need for an ILC focused conference.

    I look forward to meeting you and all of the survivors and co-survivors who are intent on making a difference.

    Sincerely, Heather 

    PS any and all questions can be sent to my personal email. 


  • Sienna1
    Sienna1 Member Posts: 2
    edited August 2016

    Hi Heather


    Thank you for taking on the position of co chair and advocate.


    I was diagnosed in Apr 2016 with multi centric ( largest 1.1 cm) multi focal ILC. LCIS 10 cm. I am considering attending the conference. I live in Toronto.


    My Oncotypedx score was 21. I had ITC in 1 node. I am ER + PR-.


    I have read that ILC can be more resistant to tamoxifen and that being PR- can contribute to this further.


    My oncologist wants to start me on tamoxifen due to my age (48). She has told me my tumour is likely luminal B type and more aggressive. Given this information, my question is


    1) should a 48 yr old person with luminal B ILC that is PR- have a profilactic oophorectomy so they can start on an aromatase inhibitor instead of tamoxifen.


    2) what is the significance of being PR - in ILC


    Many thanks and let me know when you figure out a restaurant to meet at. I may try and be there.


    Regards


    Joanna


    ----------------------------------------------------------------------------------------------------------


    Dx 2016 /04 ILC (1.1cm, .8 cm, .1 cm), LCIS 10 cm, Oncotypedx 21, ER+PR-, ITC No(+-)


    Surgery: bilateral mastectomy. Chemo TC,


    Radiation ongoing
  • hmh23
    hmh23 Member Posts: 306
    edited August 2016

    Johanna, I am originally from Sudbury and my husband grew up in Toronto just north of Yonge and St Clair. Small world. My sister has had BC twice and treated at Womens College and Sunnybrook. Bewtween the two of us, we have 3 different types of BCWinking

    I will put send along your questions to the facilitator and hopefully we will see you in Pittsburgh. We have a researcher from Toronto participating as well.

    Keep me posted on whether you are attending. Heather

    PSl Haven't had a minute to pick the restaurant and haven't heard from many women yet. I'm busy with other details right now but will get to it in early September.

  • WndrWoman
    WndrWoman Member Posts: 333
    edited August 2016

    Heather, You posted that Rachel Jankowitz will be reporting earlier in September on a trial on endocrine response in women with ILC. I see it is scheduled for the 10th. I see my oncologist on the 8th. I was wondering if an abstract would be posted before the presentation date. I would love to know the trial results before I meet with my oncologist.

    Thanks for all you are doing.

  • hmh23
    hmh23 Member Posts: 306
    edited August 2016

    WndrWoman, I cannot answer that since I am not directly involved in Rachel's research. Where did you see that it scheduled for September 10th? I am only aware that the Estimated Primary Completion Date:October 2017 (Final data collection date for primary outcome measure).

    My initial statement was that Rachel would be discussing/presenting her

    "Trial of Endocrine Response in Women with Invasive Lobular Carcinoma" I don't believe I stated that she would be reporting on her final findings.

    I'm unsure as to what to tell you at this point. If there was a contact name on the site you visited, then I would reach out to whomever that was. If you could send the link that stated a Sept 10 presentation, I'd appreciate it.

    Sorry I couldn't be of more help. Heather

  • JohnSmith
    JohnSmith Member Posts: 651
    edited August 2016

    Hi Heather,
    WndrWoman was referring to the Great Lakes Breast Cancer (GLBC) Symposium on Sept 8-10, which is being held at the Herberman Conference Center at UPMC Cancer Pavilion in Shadyside in Pittsburgh.
    Dr. Jankowitz will be discussing the ILC Biomarker trial (here) from 11:00-11:20am on Sat, the 10th.
    It looks like a great meeting, although not ILC specific.

    My assumption is that Trial enrollment has been challenging and it will be quite a while before the data is mature.
    I was under the impression that the trial would be expanded to 6 other locations [MD Anderson in Texas, Mayo Clinic in Minnesota, University of Washington in Washington, University of Alabama in Alabama, Dana Farber in Massachusetts, University of North Carolina in North Carolina], but according to the clinictrials.gov website, only Pitt shows enrollment. I'm sure we will get clarity at the meeting next month.

  • hmh23
    hmh23 Member Posts: 306
    edited August 2016

    Thx John, I wasn't sure if that was what WnderWoman was referring to. LIke too many clinical trials, recruitment is always an issue and I'm sure Rachel will discuss as well. Heather

  • WndrWoman
    WndrWoman Member Posts: 333
    edited August 2016

    Hi, Heather, John Smith is right. You had mentioned that she would be presenting there so I looked up the conference agenda. My mistake was in assuming she would be presenting results. Thanks to both of you for clarifying.

  • Sienna1
    Sienna1 Member Posts: 2
    edited August 2016

    thanks so much Heather!

    Yes, small world

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

    I really wish they would include LCIS in all this discussion; there are so few articles on it and very little research on it.

    anne

  • Fbrodya
    Fbrodya Member Posts: 3
    edited September 2016

    Sorry I'm late to this discussion. I just found the site, thanks to John Smith. I hope I'm not too late for the Faces of ILC brochure and the questionnaire. I can't make the conference but I am hoping that much will be available online--videos of presentations, papers, questions and answers, contact info with researchers, etc.

    I was fortunate to have found my ILC at age 60 during BSE in late 2014, while it was Stage 1A. grade 1. Previous mammograms had missed it, and my dense breasts didn't help. There was 0/1 lymph node involvement, ER/PR+, HER2neg, Ki67-10%. I had.Left side MX in Feb 2015, followed by Letrozole. No rads, no chemo. Currently NED.

    I was treated at a major cancer center in TX, but I feel like they sent me home with little info about possible recurrence or even what to look for. It was only via my own research that I found out how sneaky ILC can be. My breast surgeon did not recommend bilat MX at the time, and I wish I'd asked for it now. Also, both my mother and her sister have had breast cancer (my aunt also had ovarian), and no one could tell me what if any link there is between us. My mother and I tested neg for BRCA 1 and 2,although I have a BRCA-2 polymorphism of unknown significance (n924I (2999a>T). Due to my Aunt's ovarian cancer, I consulted a geneticist, who gave me a 3% risk of developing ovarian cancer. Neither she nor my oncologist would recommend prophylactic Salpingo-Oopherectomy based on those findings, although I wish I could yank out all that plumbing at this point.

    I struggle with the letrozole side effects (stiff and sore hands and feet... hot flashes constantly.... skyrocketing cholesterol levels). I'm on a statin now because of the choles. levels, which are causing further pain.

    I worry that because the tumor was so close to my chest wall and nearest to an unreachable (surgically)sentinel lymph node, that my team could really not definitely say there was no lymph node involvement. I also worry what the heritability is of my ILC. Did I pass it along to my son? Why can't screening for this cancer go b

    So my questions for researchers are these:

    1. Why aren't women with single sided ILC (no matter what the stage/grade) given the recommendation to have bilateral MX, given the sneaky nature of its spread?

    2. If the sentinel node nearest the ILC breast tumor is not located in the axilla-- but under the breastbone--what is the treatment recommendation since that node is not surgically accessible?

    3. My oncologists didn't recommend further genetic testing for me (oncotype DX, etc.). What genetic testing is currently recommended for ILC patients, and what should I ask my doctors to do?

    4. Is there a supplemental regimen that is recommended for ILC patients both for help staying cancer free AND for dealing with the side effects of AIs?

    5. Can somebody please publish (or direct me to) a primer on understanding the complex research being done re: ILC? I don't have the background I need to understand endocrine resistance in regards to ILC (PI3K, ESR1, TGFβ, WNT4, etc), antigens/neoantigens and CAR-T in regards to immunotherapy and ILC, mutational load, and the "new biomarkers" (Androgen receptor (AR), and Prolactin receptor (PRLR). Some pts and advocates who have been at this longer than I have are speaking a language I need to learn.

    6. What regular blood tests or imaging tests (and how often) are recommended for ILC survivors?

    7. Does anyone know if there an oncologist in Texas that knows a lot about ILC?


    Thanks!

    Abby






  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2016

    Awb, I'm sure that LCIS will be included in some of the discussion. Below are three LCIS topics from the symposium agenda:

    In Situ Lobular Neoplasia: Current Concepts and Controversies

    LCIS as a Non-Obligate Precursor to ILC

    LCIS and ILC: Local Therapy Challenges for the Breast Surgical Oncologist

  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2016

    Here is another question for the list. What questions should the oncologist ask the patient, and what tests should he/she order, to check for new metastasis sites, given that ILC can go to sites other than the usual ones, and that ILC may not look the same as IDC? (Peritoneum, reproductive organs, urinary tract, etc.) Please answer for both patients with early-stage and patients with metastatic disease.

    Heather, are you still compiling a question list for the symposium?



  • hmh23
    hmh23 Member Posts: 306
    edited September 2016

    ShetlandPony,  to be honest with you, I've submitted the list of questions but I will ask for this to be included. Heather 


  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2016
  • WndrWoman
    WndrWoman Member Posts: 333
    edited September 2016

    Hi, Heather, Will those of us who submitted for Faces of ILC (or anyone interested) have access to this "booklet" online?

  • hmh23
    hmh23 Member Posts: 306
    edited September 2016

    Wndrwoman,  We need to secure permission from everyone to do so.  At this point, we are working feverishly on getting the booklet completed as well as finalizing all of the symposium details.  We are not entirely sure if we will be able to post the entire booklet but if you have participated we will be happy to mail you the completed booklet.  

    To be honest,  we are all extremely pleased with the enthusiastic response we've received not only from patients but from researchers and clinicians participating in the symposium. It truly shows the desire and need for this focused effort.  With respect to posting any and all items, we will have a clearer picture after the symposium on what we will be able to post and what will not be posted.

    I appreciate everyone's patience and understanding.  Navigating the '1st' is always a challenge and we want to ensure all of our 'i's" are dotted, our "t's" are crossed and everyone's requests are accommodated as best as possible.  Heather 

  • vlnrph
    vlnrph Member Posts: 1,632
    edited September 2016

    I took a bit of a break from bco this summer but am happy to return and see all these conference developments! Wish I had come back soon enough to have contributed to the booklet or consider making a trip to attend...

    Crazywabbit, my having both IDC & ILC was sufficient reason for getting panel testing, searching for mutations beyond BRCA 1/2. Looks like you rec'd some heavy duty treatment. Astrid may also qualify due to her dual diagnoses. Radiation can be a problem if someone already has a defect in their DNA repair process, adding insult to injury. A bone scan may be helpful in investigating rib pain. PET is quite expensive although probably more comprehensive overall.The CT done on me found lung nodules which have remained stable.

    Abby (fbrodya), OncotypeDX is tissue based: looking for changes specific to that tumor which indicate potential sensitivity to chemo. You might have an inherited tendency to cancer in your family, especially with an aunt having ovarian. How long ago was your genetic consult? Recent years have seen a great increase in options for broader analysis such as Ambry's BreastNext, etc. Could be worthwhile to get a follow-up opinion. Knowledge is power.


  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2016

    WndrWoman, although it would be interesting to see the Faces of ILC booklet, they really should not publish it online, because the contributors were asked to give their bios specifically for a booklet to be given to the researchers and doctors who will attend the symposium. I'm sure there are some who were willing to share their story for that purpose, who would not be ok with it being available online to a wide audience. With a certain amount of detail in the bio, even a pseudonym would not ensure privacy online.


  • hmh23
    hmh23 Member Posts: 306
    edited September 2016

    Please let me reassure everyone. No personal information on details on diagnosis, names, personal information will be shared with anyone either here or following the symposium unless permission is secured. At this point, we have not spoken with anyone about sharing anything. It is strictly a booklet that is being distributed at the symposium and it will be mailed to participants who have contributed and wish to have a copy.

    It is a powerful piece and I hope it will resonate with everyone attending and for those of us who have participated, I hope you are proud of the final result.

    Thx...got get back to work Heather

  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2016

    Thanks, Heather. That is what I thought; I hope my explanation did not sound like I thought things would not be handled properly. I know you and the others involved are aware of the sensitive nature of this. So many of us here are thrilled to see this symposium becoming a reality, and know you all must be working very hard to make it happen.

    Please take care of yourself!


  • Lab-girl
    Lab-girl Member Posts: 25
    edited September 2016

    vlnrph, I have been wondering, but can not get any answers, about what having both ductal and lobular carcinoma means, if anything. Your statement that having both was enough to get panel testing piques my interest. Do you have any additional information? I did have panel testing and did have a Lynch syndrome mutation (which may or may not be related to breast cancer-no one really knows) but only had panel testing because I was under 50. My doctors don't give much explanation or thought beyond that it is not totally unusual and that they see it here and there. But I am curious.

  • hmh23
    hmh23 Member Posts: 306
    edited September 2016

    Shetland, No not at all. Its best to put things out there to gain clarity. This is all sensitive information and I'm glad you raised your concerns. Thx Heather

  • 614
    614 Member Posts: 851
    edited September 2016

    I can't wait to hear the results and the information from the symposium.

    Thanks.

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