← Return to Just diagnosed with invasive lobular carcinoma (ILC): Any advice?

Discussion
Comment receiving replies
@dlst

Hi kyerigan! I have been thinking about you the past two days. How are things going? I was overwhelmed when I was first diagnosed. Thankfully, my husband was really there for me. He did not give me advice, but just lots of hugs. If you have someone you trust that you can talk to, that would be a good first step.
Probably you have been told to see a breast surgeon. If you are part of a medical group, such as Mayo, Kaiser, etc., they may just assign you someone. Be sure to take advantage of any extra services they provide: nurse navigator, social worker or counselor, etc. If you have PPO insurance, as I do, and can choose your own surgeon, that can be an advantage, but it can also add to the stress. I was fortunate that my primary care provider recommended a good surgeon, although later I met a female surgeon I would have preferred, but the guy I went to was fine, and very nice and helpful. You want someone who will listen to you and will answer all your questions. Look at online reviews, ask friends or relatives who have had surgery, definitely ask your primary care physician for recommendations. You will have many decisions to make, the main one probably being between getting a mastectomy OR a lumpectomy plus radiation. This was one of the hardest decisions I ever made in my life, and I was angry that the doctors didn't just tell me what to do - I knew nothing about breast cancer, and they have years of education! Why should such a big decision fall on me? There is an app you might try, called Breast Advocate, which has a treatment wizard to help you decide which surgery may be best for you, but ultimately you will have to make that decision yourself. I consulted four different doctors, plus lots of friends who had had lumpectomies or mastectomies, and I read as much as I could find. Maybe this will not take you as much effort. I gave myself six weeks to make the decision, because I was so stressed about it, and the surgeon told me I did not have to act immediately. I finally decided on a lumpectomy plus radiation, but again, everyone has her own situation and has to make her own decision. The big problem is that both choices have the same outcome as far as reoccurrence is concerned, so doctors are hesitant to recommend one over the other. (Be aware - I had to have two lumpectomies, since they did not get clear margins the first time. But I had pleomorphic LCIS, which requires clear margins. I don't think regular LCIS does.) Keep us posted. I hope your journey is a bit smoother than mine.

Jump to this post


Replies to "Hi kyerigan! I have been thinking about you the past two days. How are things going?..."

Thank you so much for your kind words and for including me in your thoughts. My mind is full of questions. Sadly, the state of Texas only gives its teachers an HMO so I am limited in choices but so far getting the referrals has gone smoothly. I meet with the surgeon on Tuesday and I’m sure I will have even more questions. I have many friends and a sister who have had breast cancer and I’ve already reached out to them for advice on how to handle everything. The hardest part of the whole process for me so far has been watching my kids with the news and not being able to fix the pain that it has caused them. I just have to keep a positive mindset and trust that the surgeon will get clean margins, if nit the first time, then at least eventually. I feel like I still have so much life left to live!