Radiation and Invasive Lobular Cancer

Posted by kks @kks, Oct 3, 2022

I am reading a lot about Endocrine Therapy and Chemo options with ILC, but not much on Radiation. Does anyone have experience on effectiveness of this? Most of the research appears to be on ductal.

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Profile picture for @mimi09 @mimi09

Back in the Middle Ages (2002) I was diagnosed with DCIS at age 55. Lumpectomy, 2nd lumpectomy b/c margins weren’t clear. I sailed through 30 fractions of radiation thanks to a friend who was a nun. She advised insisting on using gel from the very 1st day and the latest appointment of the day, followed by a quick ‘power nap’.
In 2024 I was diagnosed with ILC, told I needed a mastectomy and RECONSTRUCTION at age 78!!! Seriously?Now at age 80 with a new surgeon and med onc, I’m scheduled for a mastectomy in 4 days. No new boob, no AIs for me.
I send all of you prayers and best wishes for your future wellbeing…your way!

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@mimi09 My best wishes to you! I also am a lobular patient so your story speaks to me, as well as your age. You don't say why they thought you needed a mastectomy. I don't know if anyone "needs" reconstruction. When I was diagnosed with stage 1b, my dr at the time wanted me to have a mastectomy "because it's lobular." Maybe she knew more than I did. That had been her choice when she was diagnosed in her 40s. Still, I chose a lumpectomy and changed doctors. But I thought at the time that reconstruction at this age...is a lot of work. Everyone's choice is personal and so many factors are involved. Please let us know how you fare with your recovery. Power naps are the best! (the gel was also kind to me during radiation. We all need a supportive friend.)

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Profile picture for marshgirl24 @marshgirl24

@mimi09 My best wishes to you! I also am a lobular patient so your story speaks to me, as well as your age. You don't say why they thought you needed a mastectomy. I don't know if anyone "needs" reconstruction. When I was diagnosed with stage 1b, my dr at the time wanted me to have a mastectomy "because it's lobular." Maybe she knew more than I did. That had been her choice when she was diagnosed in her 40s. Still, I chose a lumpectomy and changed doctors. But I thought at the time that reconstruction at this age...is a lot of work. Everyone's choice is personal and so many factors are involved. Please let us know how you fare with your recovery. Power naps are the best! (the gel was also kind to me during radiation. We all need a supportive friend.)

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@marshgirl24
Mine is triple negative lobular. Very rare!! Neither of my doctors have heard of it!

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In reply to @kathysimmons "What gel????" + (show)
Profile picture for kathysimmons @kathysimmons

What gel????

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@kathysimmons It's called Fruit of the Earth Gel. You can get it at Amazon. My hospital also carried it. A skin saver. I still use it sometimes. It would also be great for sunburns. I started with aloe plants. My friends brought them over. But it was not easy to cut a length and then skin it and it was nowhere near as easy to spread as this gel (which is also aloe based). Use it liberally and repeat. It absorbs quickly (your skin is thirsty!) I carried a glob of it in a baggie to my treatments. Then before I got my top on again, I spread it on myself with a generous hand. I never had skin problems during my treatment. My breasts remained soft.

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Thank you so much!!! I think I just have 15 treatments!! I will order!!!

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The aloe Vera gel ?????

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I had double mastectomy and 33 + 5 boosts of radiation. I am now on anastrozole. I am extremely fatigued, no energy at all...and I use to be a doer, a goer, a helper....very frustrating. My one radiation Md said it could take 9 months to feel better. Ugh!

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I had the same invasive lobular diagnosis - stage II. My onco type DX test came back that I was non-responsive for chemo. Radiation only increased long term survival by 2-4%. There is a risk - they say small - of heart issues down the road if they radiate the left side. In my case it was the left side so I chose not to do radiation. There are also the side effects of radiation which is significant burns. ( I know someone who did radiation and she said that her burns where pretty bad) 5.5 years later and my scans are clear. I changed my diet and have a large amount of supplements that I take for cancer prevention.
I hope for you nothing but the best in your treatment - it is your decision to make so do not let the doctors push you in to anything! It is OK to get more than one opinion - see another oncologist for options. The first oncologist we met with said no matter what she was going to do chemo and did not care what the onco test said. The second oncologist who agreed to order it basically said it would be malpractice to give me chemo. You have to be your own advocate!!

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Profile picture for knorflus @knorflus

I had the same invasive lobular diagnosis - stage II. My onco type DX test came back that I was non-responsive for chemo. Radiation only increased long term survival by 2-4%. There is a risk - they say small - of heart issues down the road if they radiate the left side. In my case it was the left side so I chose not to do radiation. There are also the side effects of radiation which is significant burns. ( I know someone who did radiation and she said that her burns where pretty bad) 5.5 years later and my scans are clear. I changed my diet and have a large amount of supplements that I take for cancer prevention.
I hope for you nothing but the best in your treatment - it is your decision to make so do not let the doctors push you in to anything! It is OK to get more than one opinion - see another oncologist for options. The first oncologist we met with said no matter what she was going to do chemo and did not care what the onco test said. The second oncologist who agreed to order it basically said it would be malpractice to give me chemo. You have to be your own advocate!!

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@knorflus
Thank you!! Sorry for bad experience!! I will have 15 sessions! Hopefully all will go well! Glad your scans are clear!!!

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Profile picture for gailmarienewton @gailmarienewton

I had double mastectomy and 33 + 5 boosts of radiation. I am now on anastrozole. I am extremely fatigued, no energy at all...and I use to be a doer, a goer, a helper....very frustrating. My one radiation Md said it could take 9 months to feel better. Ugh!

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@gailmarienewton
So sorry to hear that!! Hope you feel better sooner!

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