MY ILC Story
Had bi-lateral mastectomy on 7/2/07 although all the cancer appears to have been in the left breast. The surgeon told me that the tissue looked normal - that ILC is hard to see and feel - she took 7 lymph nodes from left arm along with the breast and the right breast "just in case". That was my decision, to go bilateral. I really didn't want to wait for the other shoe to drop.
My tumor was 1.7cm with neg margins. ER/PR +. There were isolated tumor clusters in 1 lymph node "less than .2 cm"
So, we are trying to decide if there is a need for chemo. See my oncologist for the first time on 8/1.
I have had a lot of fluid under the left scar and had to have it removed twice. This is one of those "not everyone gets it, but it varies from person to person"....that means, no answer to how long the fluid will continue and how many times it will have to be asperated for my confort.
Anyhow, my daughter is getting married 8/10 and I am wearing a new dress and my new post surgical bra with my new post surgical soft boobs.
Since my surgey was less than a month ago, many things are left to decide. Follow up treatment? Reconstruction? Panic?
The internet is God's own gift to women with breast cancer. We can share from all over the world. Hearing from woment who are long term survivors and woment who are struggling through early recovery fills my heart with hope.
Hugs. Betty
Comments
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Betty,
So sorry you had to join us, but you couldn't have found a better home. And that is just what BC.org is: a home where sisters can come together, with an immediate understanding of what each of us is going thru.
Honey, I had the full monty. Mastectomy, chemo and now just finishing up rads. I asked for the bi-lat in the beginning (when I was in shock) and the surgeon talked me out of it. Another LCIS was found in the breast removed and I am still fighting with them over removing the "good" breast so please know, I think you made a wise decision. Not to mention how much I hate the uniboob and having to level myself off just to go to the store. CRAP
Let us know you treatment plan. We are here for you! Hugs, gently, Marsha -
Betty---I have LCIS (lumpectomy, tamoxifen, closely monitored and living with high risk) diagnosed almost 4 years ago. My inspiration is my mom, a survivor of ILC of over twenty years now (lumpectomy, rads, tamox) without a recurrence. I just hope and pray that with close monitoring, anything to be found hopefully will be found in the earliest stages.
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Hi, diagnosed 3 days b/f Christmas 2006 following lumpectomy. Stage 2 ILC. 3 attempts until we had clear margins. 1/17 node positive. Chemo a/c and taxol 4 each every 2 weeks. Now waiting to begin IMRT radiation.
I have often read that many ILC ladies opt for mastectomies and I was ready to do the same b/f my third surgery attempting a clear margin but my onc suggested I go w/ lumpectomy and after much thought agreed. I can only have confidence that I did the right thing and can't worry about what may or may not happen in the future.
We are all different and approach things our own way. There is no right or wrong answer.
K -
Kate, you are so right, there is no right or wrong answer. Sometimes the decision is out of our hands tho. I think the biggest indicator for me was the size of the tumor/size of my breast. I wasn't given an option since it was a 5.2 cm tumor in a B Cup boob. Best to you as you begin the rads! I have 6 more to do and then all done! Marsha
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Hi,
My breast cancer surgeon who works at a large hospital and does breast surgery on a daily basis never even considered a masectomy for me. She said it would be totally unnecessary for me since I had such a small tumor, 1.1 cm. I, like you, get concerned when I read about all these woman who go for a bilateral masectomy and have the same size cancer as me or even smaller. It really confuses me when women with LCIS and DCIS have bilaterals when I read that they are not even considered to have cancer at Stage 0. It seems like our surgeons, oncologist and radiologist all have different ideas about our treatments. I know my OB/GYN said I needed my ovaries out as soon as she heard I had ER+ cancer but within a week my surgeon and oncologist said it was unnecessary. It sure gets confusing. It seems the more I read, the more questions I have. -
Nancy,
There are alot of women who just flat out do not want to worry with the other breast "mirroring" the ILC/LCIS. Or to live with close monitoring, living from scan to scan. Especially when lobular is difficult to dx, so many times not showing up on mamm or u/s. I know in my situation, I had a 1.5 LCIS tumor in the breast they removed that didn't show up until it was found by the pathololgist. If I had been in a position to save the breast with a lumpectomy, that would never have been found!!
My breast surgeon told me I didn't need radiation after chemo but two different oncs (med and rad) said YES YOU DO. I went with the onc opinion because cancer is his specialty. Bilat mast, chemo and radiation is putting my chances of no recurrance or developing another BC up to 95-98%. I sure like that number more than I like my breast. JMO
It is very confusing to have to try to wade thru the mud in all of this. Bottom line is we have to do what will make US comfortable individually. -
Yes, I truly think it is our level of comfort, the training of the doctor, perhaps the input of a spouse and our age that helps us get to the decisions we do.
All my doctors (from the one who did the biopsy..a lady, the breast surgeon, the oncologist and the radiation oncologist) all thought that with a 1.8cm tumor and no nodes, I was a prime candidate for lumpectomy/rads.
Sadly, my personality couldn't handle that. I am a worrier and just thought about the 6 month follow ups, first MRI, then mammograms...and I would be living on valium! I also just turned 50. If I had just turned 40 or was very early 40ish, I may have opted totally differently.
My husband was also not a boob guy so he wasn't looming over me worrying about the boob removal (some guys do, some don't).
I am willing to bet that cancer has a mind of its own and along with individual responses to things, the mix is an unpredictable mess.
I am planning on relocating to Washington State and I read about this local woman in Sequim who just relocated and was diagnosed with Inflammatory breast cancer. This is a highly aggressive form by all conventional standards.
They told her she had to have a mastectomy. She refused. She did a round of chemo and they told her after a month, they wnated a second round because she elected to keep the breast. She refused. She said she couldn't take it the first time and was not going to do it again. She'd take her chances. She's still in remission and fine. Go figure! -
Nancy---while it is true if you have to have bc, the in-situ bc's (DCIS and LCIS) "are the best kind to get", they have their own set of issues and challenges. While not as serious as the invasive bc's, treatment still involves biopsies, surgeries (lumpectomies or mastectomies), medications (with the SEs that go along with them), sometimes radiation, close monitoring and of course, the worry and anxiety from all the endless waiting for test results! I agree with the other posters--it's definitely a very individual decision, very much depends on the level of risk you can live with comfortably. I have high risk from the combination of LCIS and family history. For now, I'm OK with very close monitoring and taking tamoxifen. But if I were ever to have any more suspicious findings show up, I would seriously reconsider the BPMs.
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Yikes, I need a learner's permit. Thank you all for your input and different views. It would help if the world (and bc) were black and white -too much grey area here. It seems careless to take my best guess with my life but it seems that is what you are all saying it boils down to.
I'll let you know how the male onc is and what his suggestions are. (All my other drs have been female). -
Betty -
Tough decision...JMO...bring out the guns! In other words - I'd rather have too much treatment than not enough. Let us know what the male Onc's opinion is. I had a prophyl done in Dec to remove the so-called "good one" - my Dr's didn't hesitate to agree when I asked their opinions. They all said they agreed because of the fact that I had ILC & LCIS in the "bad one". Good luck to you...enjoy your daughter's wedding...how exciting! -
Hi Betty,
Good luck with your decision.
My BC doc said "you have to decide which of two groups you fall into. Are you 'save my breast(s) at any cost' knowing that you will have to have very close monitoring every 6 months forever (and wait for test results, with all the worry that goes with the waiting)? or are you "this body part has betrayed me, and I want to be rid of it".
I was in the 'be rid of it' school, and elected prophylactic mastectomy on the unaffected side because of the understanding that if LCIS is in one breast, the chance of it occuring in the other breast is significant. In fact, there were early atypical changes in the second breast, so I would have been probably headed for mastectomy at some point in any event. I also had chemo (tumor > 3 cm and one positive node) and am now on tamoxifen. I've also had bilateral TRAM freeflap reconstruction (at the same time as the contralateral mastectomy) and I'm very pleased with the way it turned out...I absolutely hated the prosthesis and the sense of being lopsided. Next step is to have "nipples" constructed.
It really helped that my doctors were pretty united in believing that I was making a good decision....Also that I found the first 'thickening' myself after it had been missed on mammogram several times, so wasn't prepared to risk that happening again with the second breast.
Best in making your decision.
Alice -
I'm still considering (seriously) of having the other one removed because I promised myself I will never ever go through chemo again, for any reason. No, I'm not paranoid, but I just don't ever want the worry again of having a second cancer occur. My younger sister is going through secondary bcancer now, after 13 years. So, I figure, better to be safe than sorry (especially when the mammo didn't pick it up!)
Deb -
I am with you gals, there is too much gray area and it really depends upon the individual! I found my lump and went for a mammo and u/s that did not pick up the lump! I had to poke around to show the docs. The lump likes to hide. I decided right away to have a bilat masectomy, I just know my luck and when they did the surgery, my rt breast went from a 1cm lump to a 2.2 cm and I went from stage 1 to stage 2, I also had the pre cancer in my lft breast, so I think I made the right decision, and I am not looking back! Betty, like you, I meet with my onc for the first time on 08-10-07, but my daughter is getting married in Sept, I already had my dress picked out and if I have to have chemo(and I know my luck I probably will)even though my lymph nodes were negative, I guess I will go with my daughter and pick out my wig. I have a couple of auto immune diseases, ie: arthritis(2types and crohns). This is just lousy timing. What I have been reading, I would probably start chemo about two wks before her wedding and the hair shld be going shortly after! Well I am going to get a dolly parton wig and I guess I will have my dolly parton boobs!
I feel so blessed to find this web site and care pages, all of you ladies are wonderful!
We just need to keep laughing, loving and espically praying to God!
Cindy -
Hi ladies! I have what appears to be a small ILC in my right breast, but it has a component of in-situ and microcalcifications. At first glance, I thought my pathology looked pretty good, but hearing about how ILC can hide and recur and not be found on mammos and even on MRI sometmes--wow, I'm getting less and less optimistic. My Ki-67 is 5%, which I think is good, and I am ER+ and PR+, HER2 negative. I have had a dickens of a time finding a surgeon/hospital that is contracted with my new insurance, but finally found one in Bellevue, WA.
I had staging MRI at our local hospital the day before yesterday. What an ordeal that was! After I was about halfway through the test, the technician announced he was putting the contrast in. It really hurt and continued to hurt for a long time. I toughed it out, thinking that's just the way it is with MRI's. He finally stopped the test, said the vein was "blown." I don't know why it took him so long to figure it out. After he stopped the test, he asked me if it hurt when the dye went in and I said yes. (But had I known ahead of time about the possibility of a blown vein, I would have yelled sooner!) Then he put the needle in my left hand and it went in OK. But as time progressed, I got more and more anxious, and dizzy, thought I might even throw up, and my hands went numb so I had to press the panic button and he stopped the test. I guess it was a panic attack. It took a few minutes before I could even get up off the table due to dizziness. I was not seen by the radiologist and was given no written follow up instructions about extravasation of the dye. It just settled in my arm and now, two days later, it is back to normal. I just hope they got sufficient views done before I had to stop.A mishap like this is why I just don't trust these llttle community hospitals. But I had to get the MRI done while I still had insurance and didn't have time to schedule it elsewhere.
I feel like a wimp for having to stop the test, but had the feeling that something bad was going to happen. I hope this is not a preview of things to come. I always thought I was tough as nails, but now, not so much.
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Hi Siciliana, I have ILC and live in WA. Hope all goes well for you now.
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I had ILC tumor and had a plastic surgeon tell me I was crazy not to do a bmx. I am lucky enough to have one of the top breast cancer oncologist in Seattle, he told me that was crazy. So I had a umx with DIEP 5 years ago and doing fine. I did my time on AI drugs and glad that is past me. Still recovering from my cancer treatment.
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Siciliana
I hope things go more smoothly for you here on out. I was an ILC case too-- was 2.5cm, very discrete (according to my surgeon). No nodes, no LVI, so she recommended a lumpectormy-- I have the utmost respect for her, so we went that way--clear margins, all good. I did end up with chemo and radiation-but that would have happened no matter what (my oncotype was in a gray area-and that would have been the same with mastectomy or lumpectomy).
I think the surgical decision is a personal one--- I was so encouraged by my BS and MO prognosis of my case, I thought a lumpectomy would be fine--and here, almost 8 years out, it has been. I have a mammogram and onc visit annually and an MRI every other year-so it is not that onerous in terms of follow up. But as others have said, it really depends on what you can tolerate in terms of risk or surveillance. I don't particularly think of myself as a risk taker, but this arrangement has been comfortable for me so far.
All the best
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