ILC in several locations at diagnosis?

gandl
gandl Member Posts: 88
ILC in several locations at diagnosis?

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  • gandl
    gandl Member Posts: 88
    edited March 2008

    I was curious if others had multiple areas of invasion when their ILC was diagosed.  I had six different areas of invasion. Each area was <1cm so my stage is 1a.  I guess the various cancer cells all decided to start invading at once.  I also had isolated cancer cells in my first node.  It makes me wonder if anything was in my other breast and was not seen because they didn't expect to find anything in my prophylactic mastectomy side.  I'm really glad I opted for the bilateral mastectomy. gandl

  • wallycat
    wallycat Member Posts: 3,227
    edited March 2008

    Mine was in one spot.

    I thought a few gals posted multi-focal....

    I'm sure they'll surface.

  • Lynn12
    Lynn12 Member Posts: 1,008
    edited March 2008

    My ILC was multi-focal.  7.5cm and found in all four quandrants of my right breast.  They didn't distinguish how many areas of invasion there were, just the largest was 7.5cm and the ILC was multi-focal. Therefore they staged me at IIb

  • PeggyDixon
    PeggyDixon Member Posts: 125
    edited March 2008

    Hi Gandl - mine was mutifocal too, and in all four quadrants of my left breast. Like Lynn12, they didn't say how many areas there were specifically, just that it was in several areas of the breast. I think that is fairly common with ILC. Hugs and good luck.

  • trigeek
    trigeek Member Posts: 916
    edited March 2008

    Joining the multifocal train, right breast biggest one measuring 2.5 cm multifocal involvement was in in 3 quadrants.

  • Ihopeg
    Ihopeg Member Posts: 399
    edited March 2008

    Gandl,

      Mine was multi-focal too. I had 4 different areas in my rt. breast. Three were 2 cms and one was a few mm. My dr added the sizes together to get the Stage IIIc. ilene

  • karen1956
    karen1956 Member Posts: 6,503
    edited March 2008

    I had at least 3 places on my breast as well as lymph nodes - so stage 3.  Two were found on US and the other one and lymph on MRI.   Prophy side came back atypical lobular hyperplasia.  Karen

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2008

    Me too! I had three tumors (in the same breast) one of which was not even able to be "pathologilized" because of a garganchuous Hematoma that developed due to a majorly invasive core biopsy. Yikes...sounds scary...huh!

    ILC has a tendancy to be multi-focal. Best wishes to you...keep us posted.

  • Patelia
    Patelia Member Posts: 9
    edited March 2008

    I was wondering how your ladies cancer was found - since lobular is difficult to diagnose on a mammo.

    My sister had been having mammo's for yrs. This yr they decided that a bx was needed because of a calcification. They said nothing to worry about because only 20% are + for cancer.

    She then went to a different well known facility for her bx. They told her all her previous mammo's were pretty much s*** - overpenetrated too dark and undiagnostic so they didn't really have anything to compare them to. (Nice! You think you are doing the right thing by having a mammo, and you find out you wasted 10 yrs because they were s***)

    Well that calcification turned out to be ILC? I have read that it is not typical for ILC to be from calcifications. Does any one know the answer. I am thinking that by the grace of GOD this was found by accident because of the calcification. Anybody have an idea?

    We haven't spoke with the Dr yet because everyone and their brother is on spring break. They called her Fri told her she had cancer - she is having her MRI tomorrow and won't be able to find out anything until next wk because everyone is on vacation. Where is the justice? I feel bad for the poor thing.

    Your info would be greatly appreciated.

  • Lynn12
    Lynn12 Member Posts: 1,008
    edited March 2008

    Patelia,

    There is a thread called 'What's your ILC story' in this ILC forum.  You'll read how many of us were diagnosed.

    Lynn

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2008

    Patelia - How's your sister doing?

  • tt214
    tt214 Member Posts: 14
    edited April 2008

    Hello to all:

    I am new at this and have recently been dx'd with LCIS with a small component of invasive in the left breast.  I have been given the choice of radiation and close follow-up or bilat mastectomies.  I also have very dense breasts and am considered a hard read.  I am stage 1 N-0, M-0.  It seems to me that most of you chose mastectomies.  Would you mind sharing on how you came to this decision. 

  • gandl
    gandl Member Posts: 88
    edited April 2008

    ILC is harder to see on mammograms and harder to feel.  I'm a worrier and would have felt that it was hiding somewhere else if I had not had a bilateral masctectomy.  I didn't really have a good choice about one mastectomy because of the multiple locations of invasion on that side.  gandl

  • Gitane
    Gitane Member Posts: 1,885
    edited May 2008

    Mine was found by mammogram, but could not be seen on films from years previous. It was large, so had to have been there, just wasn't seen. Mine was multi-focal too, the MRI shows a "multitude" of nodules. How does that make you feel, they couldn't even count there were so many. Anyway, I also had no choice about mastectomy on the left, but chose the right mastectomy because I didn't want to deal with the anxiety.

  • tt214
    tt214 Member Posts: 14
    edited April 2008

    Thanks for getting back to me.  I am still sitting on the fence regarding breast conservation, radiation and close follow-up, and bilat mastectomies because of the LCIS.  I too fear what could be hidden, but just can't quite get there, one hour I am considering the mastectomies and the next I am back to conservation, sometimes I wish I didn't have the choice.  Oh and then to choose the type of reconstruction is another ordeal (implants or my own tissue) there are pros and cons to everything.  Why does it have to be so hard?

  • Gitane
    Gitane Member Posts: 1,885
    edited May 2008

    tt214, I just wrote a whole bunch on the "invasive lobular carcinoma" thread so I won't repeat it. I'll just add I had reconstruction with expanders/implants and am glad I have boobs again, even perkier than my old ones.

  • skstrand
    skstrand Member Posts: 1
    edited July 2008

    Hi 

    My name is Susie.  I have just been diagnosed with ILC.  It was originally diagnosed as an infection.  One that didn't respond to antibiotics.  There are at least 2 locations, one of which is 6-7 cm.  I was told that the lymph node is involved, although they haven't told me the extent of involvement.  I am terrified.  I have an appointment with a surgeon on Monday or Tuesday, and will possibly have more tests.( Shouldn't they be doing a CAT scan or MRI to find the extent of the cancer?)  Knowing you are all out there and are either cured or fighting successfully is a great help and a comfort for me.  I feel I must hide most of my fears as I have 4 loving daughters and I have a great difficultly handling their reaction to my condition.  Any advice will be gratefully accepted.

    My prayers are with us all.

    Susie 

  • smerf
    smerf Member Posts: 615
    edited July 2008

    So sorry this is happening to you, but glad you found this site. I had IDC,but I'm sure someone will come on soon to share some information with you. Come vent here as often as you want, because we all get it.

    Big hugs to you, dear. You can do this, and we will be here to help.

    Pat

  • Woodylb
    Woodylb Member Posts: 1,454
    edited March 2011

    Dear skstrand,

    I am 52 years recently diagnosed with ILC just before xmas. For the past 10 years I never missed and a mamo. ILC is very hard to detect , I was very lucky to get a begnin lump which on removal uncovered a small 1mm ILC. My breast is clear but my lymph nodes where almost all positive 21/23 metastases ,my stage jumped from stage I to stage late stageIII till now my body is clear of metastes it is only confined in the breast. I am ER+PR+ and HER2 negative. I am already on Chemo and will undergo bilateral mastectomy after chemio and hormones supressors later and radiotherapy. I have an only son 15 years old and a wonderful husband.What I want to tell you is that don't despair, this is the worst for your cancer and don't be afraid , I told my son, it was hard but it also helped him feel part of the family and respected. Have fatih in God and yourself and fight it . Praying is helping me a lot and is giving me the strength, I am living a normal life and going about my duties. I firmly believe that your state of mind and fear effect your illness and i believe in God this will help a lot. I wish you the best and wish that someday you will look at this only as bad cloud which passed through your life and laugh. Good luck

  • Pegs
    Pegs Member Posts: 198
    edited March 2011

    I had 3 different tumors that were all connected, totalling 5.8 cm.  i too am glad i had the bilateral mast.  my lymph nodes were all clear, a big surprise to all considering the size.  it was a good thing i followed up on this, my mamo came up fine, but i felt a thickness and didn't like it. long story short.....here i am. 

  • ---
    --- Member Posts: 197
    edited March 2011

    Hi all,

    My ILC is multiple foci in the right breast.  Biggest is in the outer quadrant, 2.8cm.  Three smaller ones in the inner quadrant, close to each other, around 1cm each.

    Is multi-foci masses common among ILC cases?

    Thank you,

    Laureen Romero

  • AnacortesGirl
    AnacortesGirl Member Posts: 1,758
    edited March 2011

    LaureenRomero)7 -  It appears that many women have multi-focal ILC.  My sister did, I did and many, many women on the ILC forum.

    Has your med team discussed neoadjuvant chemo for you?  If your tumors respond to the chemo it can possibly give you more surgical options.

    Mast was my only option on my left side because of how close the tumors were to the nipple.  Then I tested positive for BRCA2 so it became a BMX.

  • Toni_S
    Toni_S Member Posts: 49
    edited May 2011
    I had two areas at diagnosis, 1cm and 4mm. Pathology after lumpectomy found yet another 6mm tumor within the excised tissue. Sentinel node biopsy showed 1 isolated tumor cell in my sentinel node and nothing in two other nodes that were removed -- so I'm still considered node negative and stage 1, but in light of the additional tumor that was found and not picked up by any imaging test including MRI, my surgeon is recommending MX. I am considering bilateral because I have no confidence that the "good breast" is really cancer free.  If imaging didn't pick up on the bad side, it could have missed areas on the good side.   I understand that multi focal ILC is very common. 
  • Robyn_S
    Robyn_S Member Posts: 197
    edited May 2011

    Multifocal ILC is very common, my breast hid a 8.9 cm tumor which I felt as a fibrous 2 cm lump. It was seen on ultrasound as a 2.5 cm mass but not mammo. The tumor size was first found at the excisional biopsy - boy was the surgeon surprised!I had a BMX even though the MRI cleared the 'healthy' breast. The pathology after surgery found another 1.6 cm tumor in the cancer side and multifocal LCIS in the ' healthy ' breast. 1 node had a macrmet. I am now doing chemo Nd rads with tMoxifen to follow for 5 years. At 46 I was not of age for regular mammograms yet and premenopausal.

  • sgreenarch
    sgreenarch Member Posts: 528
    edited May 2011

    Hi. Mine was multifocal as well, two tumors, one 2cm and the other 9mm, remote from each other which meant that a mx was really my only option. This is what MRI showed and exactly this and no more was confirmed in pathology. I opted to hold onto my healthy breast as I feel I have access to very good MRI imaging and a really great radiology team. They feel that by watching me very closely (MRI each year and yearly mammogram 6 mos later, with BS exams in the intervening 3 mos.) I feel I can always lop off the other one but didn't want to move so quickly. I know that I am trading breast conservation for peace of mind, but there are cases where women have a unimx and that is the end of the story. This is a highly personal decision, but I just wanted you to know that there are a few of us that are choosing to not do bmx. To each her own and may we all debate this healthily for the next 50 years!

  • Toni_S
    Toni_S Member Posts: 49
    edited May 2011

    My ILC was originally thought to be in two locations, 1cm and 4mm.  I opted for lumpectomy and the pathology report came back showing yet another 6mm tumor in the excised tissue.  My doctor recommends mastectomy and I agree but now I am struggling with whether BMX is the right choice.  I want to add that I had a breast MRI before my lumpectomy and it did not see the 6mm surprise.  This makes me very uneasy about the ability of medical imaging to find a recurrence in my good breast.  And of course I'm wondering what other tumors are lurking in my bad breast that haven't been seen on imaging.  So frustrating to have to make decisions without a clear set of facts.

  • nikola
    nikola Member Posts: 466
    edited May 2011

    I went for mastectomy with possibility of two cancers and to everybody's surprise third one was found also. I had prophylactic mastectomy on my good breast which turned out to be not so good. Not cancers there yet, but it was full of precancerous cells. I also had oophorectomy last month. I am 43 now, was 42 at the time of diagnoses.

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