Has anyone been diagnosed with stage one a lobular breast cancer, had

Posted by wyowyld @wyowyld, Feb 23 11:49am

I am one week out on my lumpectomy and according to recent statistics, have a 5 to 7% chance of recurrence in the next five years with this type of cancer without treatment. I cannot imagine putting my body through all the side effects of radiation and AI treatment when I have a 95% chance of nothing happening. Apparently with this cancer the risk is late recurrence, after 10 years. I am so torn and stressed out by the decision I have to make. They asked me to make it in the next two weeks. Am I the only one who has considered not taking any other treatment after surgery because I honestly believe there will be big advancements in that period of time?

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@flygirl747

You are correct in looking at all your options. Risk versus reward. I'm 68 and would rather have a productive 5-10 years than one with loads of Dr. visits and treatments. Every person is different. Still on the path of discovery. Remember you can always change your mind if you decide to take treatment and stop and not take treatment and then decide that would be your path.
I believe there are so many decisions up front it is overwhelming. The decisions have left me in tears.
You are not alone.

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Wow, I needed to hear this. Thank you. Have 3 appointments to go until decision time. Surgeon (post-surgery consult), radiation oncologist and oncologist. We are all on our own path and your comments really hit home about risk reward. Good luck in your journey!

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@queenofjacks

I also had stage 1 ILC 2 years ago & went through the exact same thing. I am 72 years old. I ended up getting 5 rounds of radiation directed only to the spot. I fortunately never had any problems at all. I chose not to take any AI medications since the % of recurrence are so low & I am very active and did not want any side effects. I still do my mamo & oncologist visits every 6 months. I figure at my age if the cancer comes back I will deal with it at that point in my life & hope the research continues to evolve. I wish you luck in making your decision, everyone of us is different and read everything you can to make the best decision for you.

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Hello,
Thanks for you message. I am 76 yes old now and I also was diagnosed with Stage1 ILC in right breast 2 years ago. Had lumpectomy & 5 weeks of radiation.
I’m now on Anastrozol, have been on this for 2 years now & I feel I’ve age
10 years while on this medication. My hair is thinned out and still falling, my skin is dry and more wrinkled and I’ve developed spider and varicose veins in my legs.
Like you I sometimes think of stopping this medication & just having an MRI every six months but the only thing I fear is that the cancer may metastasis in a different part of the body like the liver, brain or bones.
Kind thoughts to all

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I’m thinking the oncologist question is a new thread… but wanted to address it. I’m wondering if the mistake made has to do with pathology results? It’s not a perfect science. Before I was officially declared having cancer, my doctor and I were thinking my lump was a hematoma from banging into a branch while hiking after having a clean mammoth only one month prior…. Not the case. I had to demand a follow up mammoth 4 months later….and here I am now… bilateral mastectomy and chemo on its way…

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So, I just had a lumpectomy as well for stage 1 ILC (1.4 mm, ER+, PR-, HER2-). I didn't get an oncotype score yet (may not get one?) but am doing radiation for sure and then on to the AI's. If I knew it was 95% chances of NOT coming back... I might not do the AI's honestly. Those are amazing odds. Mine is grade 2 though and I am 52. I have a lot more years I want to live... at least 30 good years! So I will try my hardest with the AI's to make one of them work. Praying my symptoms won't be bad. It's such an odds game and so hard to decide. I hope they give me percentages but just because there are some ALH cells in my margins too, I'll try to get through them.

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Thank you for your response and it is a hard decision! I just met with the radiology oncologist and she showed me the results of two recent studies, one with over 10k women over 65, tracked over a significant period of time. Don't quote me, but what my husband and I both understood her to say, was that without treatment, your risk of recurrence increases approximately 1% per year. SO, a 20% additional risk of recurrence 20 years out. (a lot)With radiation, in regards to this large study, the risk was 3% at the 20 year mark. (60% of the study participants did take an AI, however the 40% were treated with radiation alone and also had significant reductions.) I believe I would make the same choice as you being in your early 50's. Since I am close to 70, I consider the next ten years to be my last "hurrah" of feeling at the top of my game and being super active. I have decided to do radiation, (no AIs) and try to live the heck out of life for the next decade!!! We all have a different risk tolerance and it's a complete crap shoot unfortunately. I sincerely wish everyone the best. I appreciate all the thoughtful responses.

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@cckangeroo

Has anyone had a negative experience with an oncologist? I don't know how to handle what happened to me nor where to get help as the doctor is extremely defensive and punitive due to making a mistake in the diagnosis, refusing to discuss the error, and ultimately screaming at me & escorting me from her office. She also refused to give me my entire medical records with any mention of the mistake, as well as wrote up a scathing report about me - and it was all lies. I'm frightened of her and don't know what to do or where to go or who to talk to. Any suggestions, anyone?

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Hi! @cckangeroo:

I am so sorry that you have been treated so unrespectable by any physician, let alone by an oncologist that should take best care of you when you need it the most.

Could it be possible for you to find another oncologist in your area? I would if it were me; because you are going to see this person for quite a long time to fight this disease, so mutual respect and trust is essential.

We'll keep you in our thoughts and prayers, pray that you find the best doctor to help you on this journey ahead. Best wishes for more healthy days ahead!

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