Lobular Breast Cancer: Let's share and support each other

Posted by mjay @mjay, Jul 28, 2022

Since lobular breast cancer is only 10-15% of all breast cancer diagnoses and now understood to be a unique subset of breast cancer as a whole with different characteristics than ductal breast cancer necessitating different treatments and inherently different risks, I would like to see a separate category under the breast cancer forum so that the most appropriate info is being disseminated for this specific subset of BC. Just a thought.

Interested in more discussions like this? Go to the Breast Cancer Support Group.

@vinette

My Christmas Eve "gift" this year was a positive diagnosis of ILC. No family history of breast cancer and at 78 this was totally unexpected. So far I only have the pathology report. Meet with an actual medical "person" on January 6. So glad I found this site - it's already helping me compile my list of questions and just hearing from others with ILC is the support I need right now.

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@vinette So sorry to hear this...and on Christmas Eve. Like you, I have ILC with no family history and I too am 78. I'd never heard the word lobular before! When you meet with your medical oncologist or surgeon (for me it was a surgeon) she/he will probably tell you the stage, the size of the area and that will determine the choices you have for treatment. That stage can change somewhat once you have surgery...whatever you choose. Lumpectomy was the choice I made based on what other women had chosen with a similar diagnosis. Some women choose a mastectomy if they do not want radiation. It's my understanding that chemo does not work well for lobular but others should speak up about that. Because only 15% of breast cancers are lobular, we do not have the body of data ductal patients have. I hope you'll keep us informed!

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@marshgirl24

@vinette So sorry to hear this...and on Christmas Eve. Like you, I have ILC with no family history and I too am 78. I'd never heard the word lobular before! When you meet with your medical oncologist or surgeon (for me it was a surgeon) she/he will probably tell you the stage, the size of the area and that will determine the choices you have for treatment. That stage can change somewhat once you have surgery...whatever you choose. Lumpectomy was the choice I made based on what other women had chosen with a similar diagnosis. Some women choose a mastectomy if they do not want radiation. It's my understanding that chemo does not work well for lobular but others should speak up about that. Because only 15% of breast cancers are lobular, we do not have the body of data ductal patients have. I hope you'll keep us informed!

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Thanks so much marshgirl24. Your comments really helped! As I learn more I definitely will be keeping in touch. And also thanks for all the hugs I've recieved.

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Hi, I'm 52 and was diagnosed with stage 1 ILC in my left breast. After a MRI they realized it was 5.8 cm wide and classified it as stage 3. I'm hormone positive but HER2 negative. they originally recommended a lumpectomy and reconstruction, but now say that is not an option and I need a mastectomy and radiation. Is it normal for them to get the size so wrong? I'm very nervous about the radiation and the hormone blocker. I just cant help feel like I will never feel normal again.

Also was anyone else so tired before being diagnosed? Is this a symptom?

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I'm sorry to hear about your diagnosis, and I can only imagine how upsetting it must be to go from thinking it is stage 1 to stage 3. I've read that it is common to get the size wrong because lobular grows single-file instead of in a clump, like ductal. A mammogram missed my lobular carcinoma but it was caught on an MRI. I had a mastectomy and am now on a hormone blocker, Tamoxifen, which my system tolerates well. I will go on an aromatase inhibitor once I am menopausal, which I look forward to because some studies show the AIs work better than Tamoxifen on lobular.

In the months leading up to my diagnosis, I was exhausted. I would have to nap every afternoon after I finished working. Thankfully, my energy levels are now back to normal. Hang in there and just take it one step at a time. I know it's hard, but you'll find that you have more strength than you thought you did.

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@marshgirl24

@sharon44r
Like you I had LBC in one breast. For me, the right one and I did the breathing thing. At first my surgeon suggested one week of radiation but the RO decided on 3 wks because lobular is "diffuse." I think that means it can show up anywhere if it comes back. (my interpretation). The medical oncologist said I might not need those meds but I didn't want to take chances so I start at end of week. I think you are right in your assumption that at my age (78) they think you might die of something else first. (My mother was almost 95 when she passed on.) To date, I've been pretty healthy. The radiation was uncomfortable. My facility wasn't up on Mepitel film so I didn't try it. Right now I am one week out from radiation and very itchy in my chest area. My RO called in some triamcimolone yesterday so I hope that helps. I'm a bit frustrated by all the women who tell me their mom/sister/aunt had breast cancer and lumpectomy and are still alive and well. No problem. They don't know if it was ductal. My bet is that it was. I'm trying to get my info/survival rates re: LBC so let's stay in touch!

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How are you doing with radiation. I an 5 weeks post . First 2 weeks after were+the hardest for me.
I’m debating on taking tamoxifen, the side effects scare me.
Hoping you are feeling ok🙏

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@sharon44r

How are you doing with radiation. I an 5 weeks post . First 2 weeks after were+the hardest for me.
I’m debating on taking tamoxifen, the side effects scare me.
Hoping you are feeling ok🙏

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Yes well, the itching! I finally called my RO, who is so great, and he gave me a prescription. I still don’t wear a bra. Just isn’t comfortable. Then I caught a cold. So I’m inside. I now use the anti itch creams and then switched to my face moisturizer! It seems to be working. You definitely don't end radiation and then jump back into life. I began my hormone blocker yesterday . We’ll see..

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@marshgirl24

Yes well, the itching! I finally called my RO, who is so great, and he gave me a prescription. I still don’t wear a bra. Just isn’t comfortable. Then I caught a cold. So I’m inside. I now use the anti itch creams and then switched to my face moisturizer! It seems to be working. You definitely don't end radiation and then jump back into life. I began my hormone blocker yesterday . We’ll see..

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They want me to take tamoxifen because I already have osteoporosis. But it’s usually recommended for premenopause patients because of uterine cancer risk. The other medication .. starts with “a” is better for postmenopause patients. Which one are you taking?
.. im 75 yrs old postmenapause if course. I also read the other one is more effective for ILC.
I asked doctor if I could try 10 mg instead of 20mg of tamoxifen and he said ok. But I’m still worried about uterine problems since it happens more with tamoxifen with older women.
I might just hold off awhile 😱

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@sharon44r i’m taking the a… one and I am also post menopause. I thought the three newer meds were an improvement on Tamoxifen. ??Women usually switch to another of the three if they have side effects. My friends are on one of those 3. Didn’t know about the uterine risk ?? And I lost mine when i was in my 30s. At this point I want to do anything I can to discourage a recurrence.

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@cmocmo

I had stage 1 pleomorphic lobular breast cancer on the right side 18 months ago. The word “pleomorphic” makes me uneasy, and I would rather have had classic lobular, but I was told that with proper treatment (in my case mastectomy, chemo, and endocrine therapy) my chance of recurrence went down to 10%. Physically I feel great, and when I get worried, I try to focus on the positive, like how odds are in my favor of it NOT coming back. Did you have a high onco score?

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@cmocmo and @rebec69, you may be interested in this related discussion:

- Invasive Lobular Carcinoma Pleomorphic Level 3 (Oncotype Score 34)
https://connect.mayoclinic.org/discussion/invasive-lobular-carcinoma-pleomorphic-level-3/

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@colleenyoung

@cmocmo and @rebec69, you may be interested in this related discussion:

- Invasive Lobular Carcinoma Pleomorphic Level 3 (Oncotype Score 34)
https://connect.mayoclinic.org/discussion/invasive-lobular-carcinoma-pleomorphic-level-3/

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I had pleomorphic lobular breast cancer, grade 2, stage 3A. Didn't qualify for oncotype testing because most of my cancer was noted in 6 lymph nodes. Started out with heavy duty chemotherapy which was very successful at killing cancer cells. Even noted by the pathologist after my surgery as an "excellent response."
IMO there's been so little research into this type of breast cancer that no one can be sure what treatments are most effective.

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