Invasive ductal carcinoma (IDC): Anyone else?

Posted by 6750 @6750, Mar 2, 2019

I have rec’d 4 chemo + 16 radiation treatments for invasive. Has lumpectomie 1st....then one week later...
Dissection 17 lymph nodes & 3 tumors removed tumors
Got clean margin.

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

Followup from first oncologist surgeon visit:

Body CT has been ordered for tomorrow, so things "could" change. Right now, the staging is 1B with Met to one lymph node. This is what is confirmed from biopsy. They only biopsied one lymph node because it was suspicious on the ultrasound that followed the mammogram.

Right now, the plan is to undergo surgery fairly quickly to remove small breast tumor with a healthy margin and lymph nodes under the arm. After pathology is done on all tissues, further treatment will be determined or not.

Surgeon was very encouraging and confident, even with the micropapillary pattern present because it's all been caught extremely early. Fingers are crossed for the CT scan tomorrow to be clear!!!!

REPLY
@trixie1313

Hi there - I underwent my first lumpectomy last July and it showed invasive ductal cancer with 2 positive notes, one of which had eroded. I underwent 4 cycles of carboplatin and taxol every 3 weeks. Following that it was necessary to go back for a second lumpectomy as the margin was to close. In the meantime, I underwent MRI breast and a second lesion was noted and biopsied showing neuroendocrine cancer. The second lumpectomy was performed removing the remainder of first lesion as well as all of the second lesion and, in addition, the surgeon and plastic surgeon performed a reduction and reshaping of that breast as well as reduction of my other breast taking me down from an F+ to between a B and A cup --- finally, I can eat at a table without my breasts being on the table! Following healing from this, it was necessary to have 30 radiation treatments including the neck area due to the erosion of the one sentinel node. Chemo was not my favorite as I do not do well with drugs; however, I kept a journal and so after the first infusion, I knew what side effects to expect each time. Main thing I learned was to take Gas X due to the gas pains from chemo, reading material in the bathroom for diarrhea, have diarrhea medicine handy, and to keep telling myself to not be so hard on myself. Tubes from my second surgery hurt like heck, but my method to get through that was to mark each day off on the calendar and do a countdown. Radiation burns and blisters were doable by using calendula cream several times a day, aloe gel, and when blistering using prescription Silvadene ointment. I am told the invasive ductal cancer has a good outcome. However, for me when they found the neuroendocrine, it puts a whole new spin on it as it is quite rare, only 2% of the population getting this. I have had a PET scan done last night and await the results. I've been told for best chance of survival that I will need to do more chemotherapy with agents used for lung cancer of 4 cycles, 3 times a week. Just when my hair has grown back nicely, too. You will do fine - have patience. Your breast care coordinator should have information for you, but if not be sure to look at the different subjects here...the information is quite helpful. Best of luck to you.

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How are you doing?

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@di341

New diagnosis: IDC with axillary lymph node metastasis with partial micropapillary pattern
I am writing seeking help from anyone familiar with partial micropapillary pattern in Invasive Ductal Carcinoma in the right breast. Biopsy of Lymph Node reads “the micropapillary pattern of tumor is prominent in the metastatic tumor in the lymph node.”

Tomorrow is the first meeting with the surgical oncologist. We’d like to be knowledgeable about this pattern mentioned, while discussing treatment plans.

This all popped a few weeks ago on the yearly mammogram and is very small in the breast. Surprised that it is in the lymph node already but am thinking this pattern is more aggressive. Initial staging 1B, although CT nor PET has been done, just biopsies on tumor in breast and one lymph node.

Please please please share your experiences and education on micropapillary pattern within IDC. I can find so little information!

What are we looking at??

A million thanks for taking the time to look and share.

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Were/are you taking hormone therapy?
Wondering because I am not going to take it.

I will look up your daignosis and get back
To you?

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@pinkybabar1962

I am invasive ductal carcinoma
With Oncotype number 28 recommended 4cycle of chemo
My first MRI report clear from cancer after 2.5 month of surgery lumpectomy (no medication no radiation)
Please Share if somebody have same case
I am scared to take chemo

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@pinkybabar1962, the word chemo is scary. You can do it.

Here's a good conversation where members offer tips so you can know what to expect and how to prepare:
- Preparing for Chemotherapy https://connect.mayoclinic.org/discussion/preparing-for-chemotherapy/

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@di341

New diagnosis: IDC with axillary lymph node metastasis with partial micropapillary pattern
I am writing seeking help from anyone familiar with partial micropapillary pattern in Invasive Ductal Carcinoma in the right breast. Biopsy of Lymph Node reads “the micropapillary pattern of tumor is prominent in the metastatic tumor in the lymph node.”

Tomorrow is the first meeting with the surgical oncologist. We’d like to be knowledgeable about this pattern mentioned, while discussing treatment plans.

This all popped a few weeks ago on the yearly mammogram and is very small in the breast. Surprised that it is in the lymph node already but am thinking this pattern is more aggressive. Initial staging 1B, although CT nor PET has been done, just biopsies on tumor in breast and one lymph node.

Please please please share your experiences and education on micropapillary pattern within IDC. I can find so little information!

What are we looking at??

A million thanks for taking the time to look and share.

Jump to this post

@di341, to help you connect with other members with a diagnosis of invasive ductal carcinoma, I moved your question about ductal carcinoma to this existing discussion:
– Invasive ductal carcinoma (IDC): Anyone else? https://connect.mayoclinic.org/discussion/invasive-duct-ca

All the best with the first appointment.

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@colleenyoung

Welcome @roncii, I moved your question about ductal carcinoma to this existing discussion:
- Invasive ductal carcinoma (IDC): Anyone else? https://connect.mayoclinic.org/discussion/invasive-duct-ca

Click the link to read previous posts and to connect easily with other members like you. What treatment options are you considering? What questions do you have?

Jump to this post

I am invasive ductal carcinoma
With Oncotype number 28 recommended 4cycle of chemo
My first MRI report clear from cancer after 2.5 month of surgery lumpectomy (no medication no radiation)
Please Share if somebody have same case
I am scared to take chemo

REPLY
@di341

Thank you so much, Chris. I am writing on behalf of my younger sister. Her first appointment is in an hour.

I can't tell you how much we appreciate your response. This blindsided her and I'm information gathering as fast as we can, in order to educate ourselves. We've had no breast cancer in the family and have a steep learning curve.

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Please come back and let me know how it goes💕

REPLY
@di341

New diagnosis: IDC with axillary lymph node metastasis with partial micropapillary pattern
I am writing seeking help from anyone familiar with partial micropapillary pattern in Invasive Ductal Carcinoma in the right breast. Biopsy of Lymph Node reads “the micropapillary pattern of tumor is prominent in the metastatic tumor in the lymph node.”

Tomorrow is the first meeting with the surgical oncologist. We’d like to be knowledgeable about this pattern mentioned, while discussing treatment plans.

This all popped a few weeks ago on the yearly mammogram and is very small in the breast. Surprised that it is in the lymph node already but am thinking this pattern is more aggressive. Initial staging 1B, although CT nor PET has been done, just biopsies on tumor in breast and one lymph node.

Please please please share your experiences and education on micropapillary pattern within IDC. I can find so little information!

What are we looking at??

A million thanks for taking the time to look and share.

Jump to this post

Thank you so much, Chris. I am writing on behalf of my younger sister. Her first appointment is in an hour.

I can't tell you how much we appreciate your response. This blindsided her and I'm information gathering as fast as we can, in order to educate ourselves. We've had no breast cancer in the family and have a steep learning curve.

REPLY
@di341

New diagnosis: IDC with axillary lymph node metastasis with partial micropapillary pattern
I am writing seeking help from anyone familiar with partial micropapillary pattern in Invasive Ductal Carcinoma in the right breast. Biopsy of Lymph Node reads “the micropapillary pattern of tumor is prominent in the metastatic tumor in the lymph node.”

Tomorrow is the first meeting with the surgical oncologist. We’d like to be knowledgeable about this pattern mentioned, while discussing treatment plans.

This all popped a few weeks ago on the yearly mammogram and is very small in the breast. Surprised that it is in the lymph node already but am thinking this pattern is more aggressive. Initial staging 1B, although CT nor PET has been done, just biopsies on tumor in breast and one lymph node.

Please please please share your experiences and education on micropapillary pattern within IDC. I can find so little information!

What are we looking at??

A million thanks for taking the time to look and share.

Jump to this post

I know you are probably not getting this until after your appt. since you posted it last night, and I know you must be spinning right now, but try to breathe. The little bit of information I know about this pattern is that it is common for lymph node mets. You are staged 1b so they are not yet calling this metastatic cancer so that is really good. You might be looking down the barrel of surgery, chemo and or radiation for this.
I would definitely request a PET scan if possible, and a second opinion if you can get it done quickly, just for reassurance. I wouldn’t accept a lot of waiting around for things to happen with this one.
What did you oncologist have to say today?

REPLY

New diagnosis: IDC with axillary lymph node metastasis with partial micropapillary pattern
I am writing seeking help from anyone familiar with partial micropapillary pattern in Invasive Ductal Carcinoma in the right breast. Biopsy of Lymph Node reads “the micropapillary pattern of tumor is prominent in the metastatic tumor in the lymph node.”

Tomorrow is the first meeting with the surgical oncologist. We’d like to be knowledgeable about this pattern mentioned, while discussing treatment plans.

This all popped a few weeks ago on the yearly mammogram and is very small in the breast. Surprised that it is in the lymph node already but am thinking this pattern is more aggressive. Initial staging 1B, although CT nor PET has been done, just biopsies on tumor in breast and one lymph node.

Please please please share your experiences and education on micropapillary pattern within IDC. I can find so little information!

What are we looking at??

A million thanks for taking the time to look and share.

REPLY
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