ILC and LCIS (diagnosed yesterday)

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GracieGirl2016
GracieGirl2016 Member Posts: 9

Diagnosed yesterday, moderately differentiated. Still trying to wrangle the process of what comes next. Have an appointment with a surgeon tomorrow but no bio marker info yet, no MRI yet, no genetic test yet, what can the surgeon tell me without this information? Haven’t figured out reading through this forum makes me feel better or worse yet. Maybe too early yet. Right now it is making me anxious, it seems a lot of people with a similar origin story that ultimately went with a double mastectomy, that scares me 😟.

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  • Moderators
    Moderators Member Posts: 25,912
    edited June 2021

    Hi GracieGirl2016! We're so sorry you find yourself here, we know it's a lot to process. Your surgical decision is a very personal one, based on many different factors, and it's certainly hard to wrap your brain around it in these early days and weeks. We hope you get some clarity on possible options at your appointment tomorrow - the more info you gather over the coming days and weeks, the easier it will be to make decisions regarding your treatment. We're all here for you!

    The Mods

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited June 2021

    Once I had my mammogram, ultrasound, and biopsy, I saw the surgeon. She scheduled anything from that point. Some do MRIs, some don't. Genetics and stuff will be explained by your surgeon and in more detail when you see an oncologist. That's usually after surgery unless you have a huge or fast-growing tumor. So your care as it's going now looks normal. Good luck!

  • Dani444
    Dani444 Member Posts: 522
    edited June 2021

    I am sorry you need to be here. As others would probably agree these beginning stages are the worst. Hopefully your surgeon has more info on your pathology or an idea of when to expect it. My surgeon ordered my genetic testing prior to my surgery. I did initially have the choice between lumpectomy or mastectomy and it was so hard for me to consider the options. In the end the decision was made for me due to tumor size found on MRI. It is such a personal decision when there is a choice between the two. I found a lot of answers from this community but everyone’s story is unique. If it gets overwhelming to read through posts just stick to asking specific questions you might have. We are all here for you. I hope your meeting with the surgeon went well.

  • GracieGirl2016
    GracieGirl2016 Member Posts: 9
    edited June 2021

    Thank you everyone for sharing. I have my MRI today and we will see what it shows. Mammo and soon show a pretty small tumor, but as I read more about ILC and how tumors form, the MRI may reveal more, feeling pretty nervous frankly. Thank you all for being here.

  • tinkerbell65
    tinkerbell65 Member Posts: 51
    edited August 2021

    I am right there with you. I am recently diagnosed, and looking through these forums, I am overwhelmed by all the abbreviations and terminology. After the MRI and biopsy, my surgeon said the tumor involves the nipple, so I will lose the nipple during the lumpectomy, which freaks me out. I have also see the cosmetic surgeon - the two doctors work together - and the recommendation is a lift and reduction on the other side so that I match. I'm OK with that, a reduction of these DD's will make my life easier. Surgery is next week.

    The tentative schedule will be 4 weeks of radiation, 5 days/week, after surgery. Luckily the hospital is a half mile away, so I can get the radiation without too much trouble.

    Both doctors say I will go home the day of the surgery, and be up and around in a few days. I am taking two weeks off work. DOes two weeks off seem reasonable to anyone who has gone through this?

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited August 2021

    That sounds about right schedule-wise. As far as "up and around," I felt great the same day. You might need a little more recovery with bilateral surgery. The only restriction I remember was to not lift anything heavier than a gallon of milk for a month (I think). There's a great thread called Lumpectomy Lounge where some helpful lumpectomy veterans share their experience and answer questions.

  • tinkerbell65
    tinkerbell65 Member Posts: 51
    edited August 2021

    Thanks, Alice. I think the emotional recovery is going to take some time as well. I still wake up each morning thinking "I have cancer!" and I have to remind myself to just focus on what I have to do today.

  • DebAI
    DebAI Member Posts: 2
    edited August 2021

    Hi Graciegirl,I was just diagnosed with ILC on THursday 8/7/21 and was going to post almost what you wrote,meeting with surgeon on the 12th ,to go over a treatment plan,I have no idea what questions to ask,what is the best treatment etc. as I am the first one in my family on either side that has BC.Good luck with all your treatments and it goes super and your healed 110%~

    Debbie

  • GracieGirl2016
    GracieGirl2016 Member Posts: 9
    edited August 2021

    Hi DebAI,

    I was planning to post an update and your post gives me a great opportunity to do that!

    I met with my initial breast surgeon (let's call her BS#1), who prescribed an MRI, and I got my blood drawn for genetic testing (all came back negative). MRI revealed 2 additional masses, one in my left breast where the cancer has already been found and another in my right, both rated as BI-RADS 4. So then went to get a sonogram to see if they could find the masses via sono, which they could not, so I had 2 MRI-guided biopsies (on separate days as they cannot do them on the same day). Thankfully, both came back as benign, so then I made a follow-up appointment with BS#1 AND made an appointment with a second BS#2 for a second opinion. Both BSs suggested lumpectomy (thankfully) and then I needed to decide who to go with. Here I simply went with the surgeon that made me feel most comfortable (#1). I have surgery scheduled for this Wednesday. So with an initial diagnosis on June 23 and surgery on 8/11, it took some time between diagnosis and treatment, all waiting for appointments, and results. I am feeling very positive about the outcome. Once I had a plan in place, it helped tremendously and hope that you will have a plan soon!

    Happy to answer any questions. As many have said in this thread, I have learned that you will talk to many people and they will share their experience, and it is helpful, but every case is it's own and you need to determine what is right for you. For example, I have very dense breasts, and will likely go down the biopsy path again in my future, but I was on that path anyway and a double mastectomy was not the right choice for me now.


    Good luck!


  • Deborra67
    Deborra67 Member Posts: 24
    edited October 2021

    Good morning all,

    Just reading through posts this morning, getting an idea of what others have experienced in the 'early days' - This thread's beginning post was much earlier this fall, but I'm also sitting at that same spot of an initial meeting with the surgeon tomorrow. Some of these days have been super hard, and I can see that it will get better once there is some more information and a plan to start working...

    I don't have a "stage" yet (I've read my pathology carefully) - will that normally come from the surgeon? I have really swung back & forth on what I would do if given the choice.. get rid of both breasts so I take away all the real-estate for growth.. or would I have regrets down the road? I'm 54, still working, i enjoy lots of wonderful activities & people in my life. I am very motivated to do everything possible to get rid of this cancer. I'm grateful the newer mammogram methods found this, I can only see the tumorthey see on my ultrasound.. my breast tissue on the mammogram (dense) just looks like a fuzzy puzzle to me.

    I'd love to hear how others are doing a number of weeks or months past their initial appointments. (tinkerbell65, GracieGirl2016 and DebAI!) I pray you all are well & having more good days than anything else.

  • tinkerbell65
    tinkerbell65 Member Posts: 51
    edited October 2021

    two months post surgery - I had a lumpectomy, and a reduction and lift, to even out my appearance. Then 20 sessions of radiation. the surgery left me with some scars, under both breasts, which were kind of healing. Today, I notice that on the non-cancer breast, I seem to have developed a keloid. No experience with this, I am self-diagnosing at this point. I don't know if I should call my breast surgeon, my radiation oncologist, plastic surgeon, medical oncologist - or someone else. I just have a weird, shiny red raised part of the incision which looks different than it did before. Not that I look at it all the time, it's under my breast.

    Though I get the idea that having symmetry is a good thing, at times I regret just going along with the doctors recommending the cosmetic surgery being done at the same time as the lumpectomy. My recovery would have been easier with less pain.

  • GracieGirl2016
    GracieGirl2016 Member Posts: 9
    edited October 2021

    Deborra, thanks for the opportunity to update. "Staging" comes after the surgery, it is based on the size of the tumor and whether or not they find any cancer in the lymph nodes. I was Stage 1, with no cancer in the lymph nodes, thankfully. However, along with the staging comes a pathology report on the tumor margins, did they leave anything behind and how close is the cancer to the edges of the tumor they took out? I was positive for 2 margins, so I had re-excision surgery on Sept 8. Original surgery was on 8/11. Pathology from second surgery came back all negative, at which point I was passed along to a radiation oncologist and a hematology oncologist (HO). I have met with both. Before you start radiation, you will need to have the hematology oncologist say that you don't need chemo. From what I understand, pretty uncommon with estrogen-positive ILC. I got the go-ahead from the HO and then I had a CT scan on 10/6 where I got my radiation schedule as well as tattoos. I will say here that no one ever told me I would get multiple tattoos. They look like small dots made by a black sharpie, I have 5 in total (1 on my breast, 4 on my back) marking where they will align the lasers for the radiation. They are small and generally un-noticeable, but it was unexpected. I begin radiation for 4 weeks (5 days a week for 4 weeks) on Nov. 1. Then I will begin the tomoxiphil.

    I am very happy I did the lumpectomy for now. My tumor was measured at 5mm, so small. Both breast surgeons recommended lumpectomy. I have a scar from the lymph node biopsy under my armpit and a scar on the edge of my nipple and it is probably a bit more prominent from the second surgery, but neither bothers me.

    Happy to answer any questions! I have learned it is an individual journey, but nice to know others have paved the way.

  • Deborra67
    Deborra67 Member Posts: 24
    edited October 2021

    tinkerbell65, what did you decide - did you contact one of your providers to see what's going on with the possible keloid? Question for you too.. how soon after your surgery did you begin your radiation sessions?

    I had what feels like a very positive exam & meeting with my surgeon today. The only thing I'm uncertain about is her not scheduling an MRI to see if there is anything else to be seen on images.. but I know that many surgeons don't order additional imaging if they don't think it's warranted. They measured what they could see on the ultrasound (and feel) at about 3cm. The plan is for a partial mastectomy and the.. "lift" you describe (i think?).. but we would wait on any reconstruction until after treatments are finished. I can live with that, she wants to minimize risks during these early weeks/months and get me through the priority surgery first. Radiation for sure she said. Anything after that, will be determined by what happens at surgery. Nov 18, so a little while to wait, but I'm also thankful to have a little time to "clear the decks" before all this kicks off.

    I thank you both for your answers - even though every body has a different path, it's still good to read the similarities and have confidence in how this is all beginning. I feel a tremendous weight off, now that there is a plan.

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