ILC oncotype score

JudyO
JudyO Member Posts: 225

Just curious, I was stage 3A so no oncotype for me! But in doing research often it is stated that ILC has a worse prognosis than IDC. However, I have noted that ILC tends to usually be in the lower onco range. I even have seen someone with 3 nodes be in the lower range. Just curious...

Comments

  • OnTarget
    OnTarget Member Posts: 447
    edited September 2019
  • Meow13
    Meow13 Member Posts: 4,859
    edited September 2019
  • nash
    nash Member Posts: 2,600
    edited September 2019

    When I was originally diagnosed in 2007 at age 38, I was Oncotype 18. Had a local recurrence 8 years later while on Tamoxifen. New primary contralateral side two years later, quickly spread to my brain. No rhyme or reason to this shit.

  • Meow13
    Meow13 Member Posts: 4,859
    edited September 2019

    Nash, so sorry to hear the cancer reared its ugly head. You did all the recommended treatment, hopefully Ibrance will be successful.

  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited September 2019

    See the recent report on Lobsig.

  • nash
    nash Member Posts: 2,600
    edited September 2019

    Thanks, Meow13. The Ibrance is working well for me so far--it even seems to be crossing the blood-brain barrier!

  • GoMama
    GoMama Member Posts: 57
    edited September 2019

    Mine's 33, 0 out of 6 nodes

  • jessie123
    jessie123 Member Posts: 532
    edited September 2019

    Onco - 19 no chemo. 6% recurrence score with Al's

  • Whatjusthappened
    Whatjusthappened Member Posts: 283
    edited September 2019

    My oncotype was 13 and a 13% chance of recurrence with AI's.

  • AnnC2019
    AnnC2019 Member Posts: 203
    edited September 2019

    ILC (multi-centric). ONCODX 12. It was submitted before node report, so looking at Micromets & Node Positive (1-3) page,I have a 13% recurrence at 9 years if on AI or Tams. I have MacroMets in the one node, so not sure if that changes anything.

  • Mavericksmom
    Mavericksmom Member Posts: 635
    edited September 2019

    My oncotype score was 21. All it was for was to predict if chemo would benefit or not.

    Yes, it gives a recurrence score too, but I don’t care or believe in those!

    I am on the cancer conveyor belt, th one size fits all treatment plan for my cancer, where they push AI’s. My prescription is going to run out about a two weeks before my MO appointment and I honestly don’t know if I will refill it.

  • jessie123
    jessie123 Member Posts: 532
    edited September 2019

    What I don't understand is this --- Although it reported my recurrence score to be 6% with AI's the Onco group doesn't know that I have LCIS. What about all the other risk factors we may have.-- shouldn't they be included in the score?

  • Meow13
    Meow13 Member Posts: 4,859
    edited September 2019

    jesse, your biopsy pathology should also be considered oncodx is just one piece of information to help decide treatment.

  • jessie123
    jessie123 Member Posts: 532
    edited October 2019

    thanks Meow --- my tumor was a good one --- it's just that darn LCIS they found after my lumpectomy that worries me. Also, now that I'm finished with treatment I have the time to read more about ILC. It seems (if I'm reading correctly) that many of the trials on BC treatments don't include ILC patients. Our tumor is very different than IDC. I'm not even sure the Oncotype test was tested using ILC patients. This BC is very inconvenient -- I hope that I can forget that I had it soon as it still occupies my thoughts way too often.

  • mac5
    mac5 Member Posts: 135
    edited October 2019

    I have either a Recurrence or Metastatic Cancer, depending on who is doing the Staging I think. The first occurrence was IDC and DCIS. This second occurrence is ILC with pectoral muscle involvement. I'm told the ILC is NOT tethered or attached to the chest wall.

    I'm told my Oncotype Score is 18. Since only the breast biopsy was Scored I am curious. Is this Score based on IDC recurrence or ILC recurrence?

    I’m told Mitotic Score is 1 and it is Grade 2. Both of which should indicate a slow growing cancer. The diagnosis estimated the tumor as 6 cm. The MRI measured it as 7 cm. Six weeks later the MO measured it at 9 cm. This is a freaking huge tumor to me.

    I’m 68 years old. I’m like every other person, I have reasons to want to hang around for awhile.

    Is anyone else concerned that ILC doesn’t react like IDC

  • trinigirl50
    trinigirl50 Member Posts: 343
    edited October 2019

    Hi Mac5.

    Curious. Why isn't your second ILC considered a second primary cancer rather than metastatic or a reoccurrence?

    Either way you might be interested in the following study re Oncotype and ILC.

    https://www.nature.com/articles/s41523-019-0113-y

  • jessie123
    jessie123 Member Posts: 532
    edited October 2019

    Mac5 -- yes, that is my new worry. Didn't think much about it when I was going through treatment, but now I'm doing more general reading about ILC and it doesn't seem like it's at all like IDC.

    One good thought --- I have 3 friends who had ILC -- two are almost at the 5 year mark and the other had ILC 25 years ago and never took the pills as they weren't available then. She's still fine. She had a single mastectomy.

  • mac5
    mac5 Member Posts: 135
    edited October 2019

    Thank you Trinigirl.

    My first BC was DCIS and IDC. I had chemo and MX.

    My second BC was ILC in the remaining breast.

    The Oncotype Testing has been done, but the only results I have is that the Recurrence Score is 18

  • mac5
    mac5 Member Posts: 135
    edited October 2019

    Thanks jessie123. I’ll take encouragement anywhere it comes from!

  • IllinoisNancy
    IllinoisNancy Member Posts: 722
    edited November 2019

    Hi Nash! How are you doing? So sorry to hear it went to your brain. I'm fighting the spread of ILC also. Mine has spread to my skin so I'm on I'brance and Femara. I also have Neuroendocrine cancer in my stomach and liver so treating that too. May I ask how they found it in your brain? Were you having headaches? I often think of you and our long journey through breast cancer. Lets keep kicking its butt and living our lives to the fullest:)

    Take care,

    Nancy


  • IllinoisNancy
    IllinoisNancy Member Posts: 722
    edited November 2019

    Hi Nash! How are you doing? So sorry to hear it went to your brain. I'm fighting the spread of ILC also. Mine has spread to my skin so I'm on I'brance and Femara. I also have Neuroendocrine cancer in my stomach and liver so treating that too. May I ask how they found it in your brain? Were you having headaches? I often think of you and our long journey through breast cancer. Lets keep kicking its butt and living our lives to the fullest:)

    Take care,

    Nancy


  • wallycat
    wallycat Member Posts: 3,227
    edited November 2019

    Nancy!! *waving wildly* I think of you often. Love seeing you post and doing well.

    Everything I read when I was first dx was that ILC, if it recurs, does so years later....so is that better? or worse?

    My onco score (see my tag line) was 20 and my (fired) onco was shocked it was that high. I'm finishing year 12. I opted out of chemo and sometimes wonder if that was wise. I've asked my onco if I should restart anithormonals and she said nope. So I sit and wait. Dealing with DH's metastatic prostate cancer just brings up so much PTSD...I wish you ladies well and maybe we'll be here when the "cure" comes around.

  • momand2kids
    momand2kids Member Posts: 1,508
    edited November 2019

    Hi all,

    Great to see some of you from way back!!! I was dx in 2008 and ocotype was 26 or 27-- so I opted for chemo... also had lupron, letrozole and radiation. Seems like forever ago. Just had my bi-annual MRI last week- have not heard anything so I am taking that as good news!!!

    In the intervening years I also had a low level thyroid cancer and a low level melanoma. I am feeling great- working full-time as always, bringing up these kids-- just doing it every day.... I do think occaisionally about the fact that ILC can recur years later- but I am not sure there is anything I can do about that except for be as healthy as I can be. I wish good health for all of us for a long long time.


  • Sularyan
    Sularyan Member Posts: 7
    edited April 2020

    Coming out with new oncotyping just for lobular called LobSig

  • Sularyan
    Sularyan Member Posts: 7
    edited April 2020

    Coming out with new oncotyping just for lobular called LobSig.

    Staying on Aromasin inhibitors past the 5 years can help. Some studies show lowered recurrence by up to 70%.

  • MSS_27_72
    MSS_27_72 Member Posts: 4
    edited May 2020

    I’m lucky 13

  • HelloItsMe789
    HelloItsMe789 Member Posts: 47
    edited May 2020

    Age 55, my score was 19 (I only know of one BC in my family, a great aunt in her 70s.... I had expected my number to be lower :( )

    MO recommended an AI for 5-7 years. No radiation since I had a double mastectomy and they got clean margins.

  • BCat40
    BCat40 Member Posts: 241
    edited June 2020

    Minewas 20 and because I'm 40 I'm a gray area for chemo. Thinking about getting a mammaprint.

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