Invasive Lobular Carcinoma Pleomorphic Level 3 (Oncotype Score 34)

Posted by ilcpfighter @ilcpfightee, Sep 8, 2022

I was diagnosed with ILC Pleomorphic Type Level 3. I am waiting for my Oncotype and was wondering if anyone here had a similar diagnosis and what your Oncotype Score was? Mine was ER+ PR- HER2 -. Waiting is so hard!

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@ilcpfightee

Thank you so much. They say they like to start treatments within 6-8 weeks post-op, and I can't get a second opinion that fast, they are booking out quite a few weeks. I am not sure how mission-critical that time frame is or if I have time to bump this off another week to allow for a consult. It is so hard to know what to do when research shows Chemo generally doesn't work on lobular, but the standard of care says to do it because it is based on ductal. I am at a loss for sure. I asked if chemo doesn't work if cancer moves, how does chemo work now, and got a skirted response that didn't really answer the question. I am so lost.....

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Find an oncologist who specializes in lobular. There is one at Dana Farber. Also there are advocacy and research groups for lobular that are accessible online.

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@ilcpfightee

I got my Oncotype today and the number came in at 34. They recommended chemo but I have read studies that chemo doesn't really work on Invasive Lobular Carcinoma. Has anyone else had Invasive Lobular with such a high Oncotype? If so, what did you do?

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Thank you so much. They say they like to start treatments within 6-8 weeks post-op, and I can't get a second opinion that fast, they are booking out quite a few weeks. I am not sure how mission-critical that time frame is or if I have time to bump this off another week to allow for a consult. It is so hard to know what to do when research shows Chemo generally doesn't work on lobular, but the standard of care says to do it because it is based on ductal. I am at a loss for sure. I asked if chemo doesn't work if cancer moves, how does chemo work now, and got a skirted response that didn't really answer the question. I am so lost.....

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@ilcpfightee

I got my Oncotype today and the number came in at 34. They recommended chemo but I have read studies that chemo doesn't really work on Invasive Lobular Carcinoma. Has anyone else had Invasive Lobular with such a high Oncotype? If so, what did you do?

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In this day of video medicine
I say talk to specialists available to see you but instead … willing to do a review of your records (test/surgery/bx), and chat with you about your situation. It was so helpful to talk about this logically - not easy- need to be over the raw surprise of the news sometimes. But I talked to one oncologist specialist from a center (years ago - wish I could refer) over the phone after he had my records sent over. He was so kind - he understood i needed new language to even talk about this.
You may have to solicit friends - my IT guy from the building was amazing at Moffitt- he helped me get answers with his logic. Keep reaching out - all the best

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I got my Oncotype today and the number came in at 34. They recommended chemo but I have read studies that chemo doesn't really work on Invasive Lobular Carcinoma. Has anyone else had Invasive Lobular with such a high Oncotype? If so, what did you do?

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I am getting my results on the 19th. I emailed and asked for the number but they said they don't have it yet. I check my chart almost obsessively each day hoping it shows up and I don't want to be blindsided when I see them, I like to be prepared.

This weekend I am spending time with family, outdoors things, and things to keep occupied. I am really glad I joined this group. Sad that so many people are going through this, but grateful to have people that understand to talk to about it.

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@ilcpfightee, I know fellow members like @jodyinpetaluma @mom23boys @kszilvia who were also diagnosed with invasive lobular carcinoma completely understand how hard the waiting is.

I think you'll be interested in this related discussion that @kszilvia started a little while ago:
- How did you decide on breast cancer treatment based on Oncotype? https://connect.mayoclinic.org/discussion/oncotype-result/

When do you expect to get the results of the Oncotype test back? What plans do you have this weekend to keep yourself distracted and bring you pleasure?

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