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.


FES-PET scan. Please go on this link, research everything about lobular and doctor Ulaner. He has done so much research and is so up to date with the latest techniques and imaging for US. He is a radiologist and knows what to look for if there's lobular. I actually hired him a couple years ago simply to look at any imaging scans I have. He is in California, I am in Florida. Before I leave a diagnostic center, I get two CDs. One for myself and one to mail to him.

I'm not sure who or what qualifies for this particular test, but if it works, we should all have access to it. We have to be our own health care advocate, just because the doctor doesn't want to give it to you, check your rights and see if your insurance will allow it. Or find a doctor who will give it. Not sure what the injectable is, be sure to check with your other doctors if you have any kidney or liver issues. I'm in the same boat, just starting to look into this

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ILC, bilateral mast Jan '23, 1A and 1B, 6 cm on one side, multi foci on other, no nodes, clear margins, chemo, radiation.

My dr plans to follow up with CAT scan of chest, abdomen, pelvis in October. I asked about MRI (that's what found it at diag) ... he said mri is too focused, not useful for searching. I'm also curious about PET, I see that mentioned a lot,, seems like that's how people's mets are found sometimes? But again, Dr says too focused for searching. Is this the explanation/understanding others have?

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Good morning my lobular sisters. Love this subject about imaging and how we are the unfortunate gals whose cancer is unlikely to show up, yet they lump (no pun intended) our treatment right in with ductal as if it's going to work. Are there any large groups out there advocating for more accurate imaging, like the MRI, for lobular cases? We deserve a fair shot at being detected early like everyone else! Mine was detected in 2012 and dismissed, then diagnosed in 2017 (same exact area) followed by a DMX. Maybe all of those million$ they raise for awareness could be used to help us? I think we're all pretty aware now. The 10 to 15% of us need to be acknowledged. 😤
I am also in a position I am very angry about, I have no oncologist. I moved and I interviewed one at Florida Cancer specialists and she did not know much about lobular. The one before that also didn't know much. I am weary of educating people with medical degrees on how lobular is different.
When I get a little more settled in my new home, I think I will be doing a lot of research and contacting some big names and groups with big money to see what can be changed. If they need a louder voice, I would invite you all to make some noise too.

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@timely

Hi:

I am getting mammogram and ultrasound on both breasts and then 6 months later mammogram and ultrasound on just the lumpectomy breast. Then both at next year point and most likely lumpectomy breast 6 months later of mammogram and ultrasound.

I switched to a new site. Another site affiliated with one of our hospitals offered just mammogram once a year and I was told that it was their guidelines. I did not think that was good.
I realize that the MRI shows more for ILC.

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Thanks for sharing! I will report back after my mammo on 10/10 at Dana Farber - that's technically one year mark since last mammo which did catch my lobular but had been called back the year before and nothing was noticed. The MRI I had to help with surgical decisions showed a larger 1.8cm of ILC. I did not get great margins all around so did a boost of radiation for the final 3 radiation treatments. I am hoping I can have an MRI in April 2024 but not sure my insurance will cover which seems to be the problem with many I hear. Early detection is all we have so why not offer us gals with lobular and very dense breasts a better shot with MRI?? If anyone has had luck getting MRI on alternation pattern with mammo please let us know! thanks so much xoxoxo

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@semurrey

Hi! I'm so with ya as I have my first scan this October after November 2022 surgery for ILC that was found on mammo ( barely as it was "questionable and ultrasound showed nothing but MRI picked up 1.8cm). I hope I don't have to beg for MRI or least alternating mammo and then 6 month later MRI!! I will update and good luck!

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Hi:

I am getting mammogram and ultrasound on both breasts and then 6 months later mammogram and ultrasound on just the lumpectomy breast. Then both at next year point and most likely lumpectomy breast 6 months later of mammogram and ultrasound.

I switched to a new site. Another site affiliated with one of our hospitals offered just mammogram once a year and I was told that it was their guidelines. I did not think that was good.
I realize that the MRI shows more for ILC.

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@poesmom

That gives me hope! I spoke to the oncologist for the first time today and he said the same thing! He said there's a good chance I won't need chemo and maybe not radiation either. So, don't go buy a wig just yet, he said. My surgeon wants to do the mastectomy within the next 3 weeks and I'm ready to get it overwith. Then they'll study the tumor and decide for sure about chemo. I'm feeling better about it already. I just wonder how long I'll not be able to do anything strenuous. I'm a bowler and found out how much I lost not being able to bowl during the pandemic. Just starting to get back to normal and now this. *sigh*

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It took me about 8- 10 weeks after the bilateral to really be able to move my arms the way I normally do. I did pop a stitch under my arm reaching to get clothes out of my front load washer about 3 weeks after surgery thinking I was fine to do that. So I should have been more careful! That may have set me back. After speaking with my surgeon's office, I was able to heal it on my own with saline and gauze packs. Not sure about bowling tho, you will know when you are ready. One morning you will wake up and think gosh I actually feel like my normal self! I had my morning energy back about 6 weeks after the bilateral but I had fatigue every afternoon and had to take a long nap. I just did all activities I needed to do in the mornings. Then finally 6 months out the fatigue is over. They told me at Mayo that fatigue is a complaint they hear a lot and it's due to a combination of things including what your body has been through and the emotional part of it. I'm sure being 70 has something to do with that also. But that was me, you and others may not experience that. That's good you don't have to wait too long for your surgery and treatment plan. Sending love and healing wishes to you and all on Connect❤️

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@ssmab

Hi @poesmom, I am in my 70s too (70) and I also had ILC in one breast stage 1a. I had IDC stage 1a in my other breast. I had a bilateral mastectomy and at my age I chose not to go through extra surgery for implants. I wanted you to know that I did not have chemo or radiation either. I was relieved not to have it but wondered if it would have given me some extra protection. But I went to Mayo Rochester for my surgery and treatment so I figured I was at a place on the forefront of treatment options. My ILC was triple negative and even so the oncologist and tumor board agreed on the no chemo decision. I am on Tamoxifen ( I have osteoporosis so that's why Tamoxifen even tho I am years past menopause) for the IDC which was estrogen positive. In the Breast Cancer Survivorship area of Mayo I was told that eating 7-9 fruits and vegetables a day would help to prevent recurrence and also daily exercise is very important so I am exercising and eating those 7-9 fruits and vegetables every day. Our goal on this site is to be a bc Survivor and I am sending out love and Survivor wishes to you and all on this site.❤️

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That gives me hope! I spoke to the oncologist for the first time today and he said the same thing! He said there's a good chance I won't need chemo and maybe not radiation either. So, don't go buy a wig just yet, he said. My surgeon wants to do the mastectomy within the next 3 weeks and I'm ready to get it overwith. Then they'll study the tumor and decide for sure about chemo. I'm feeling better about it already. I just wonder how long I'll not be able to do anything strenuous. I'm a bowler and found out how much I lost not being able to bowl during the pandemic. Just starting to get back to normal and now this. *sigh*

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@kimogi57

Thnk you so much! I have not heard of the Ki 67 test so I will ask my oncologis when I meet with him on Wednesday. I was self sedated when I had the MRI's and it worked. Year ago I tried and failed. My Dr gave me a valium. All I did was cry like a baby and left without the MRI. She gave me something different the last 2 times!! I met with my radiologist for the first time today. I will be having the Encotype DX to see if I qualify for the study re: no radiation and only medications for hormone blocking for 5 years. I can stop the study anytime. I am going to as much as I can about this cancer. If my Encotype comes back high, I am seriously considering what you did. Sending love and healing wishes your way also💕

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Sorry you had a real difficult time trying to have the MRIs. Good to hear that your Dr. gave you something that did help you in the MRI. A lot of the journey we are all going though is scary. I try to stay strong and believe that all will be well.

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@ssmab

Sorry to hear that you have been through a lot. Good news about your 1a result on the occular tumor tho! That was a victory!
I did not have an Oncotype dx test either. The oncologist said because my Ki 67 test number was low at 5%. From what I am reading not all hospitals do Ki 67 tests. Not sure on that tho. Maybe you can ask your Doctor what your Ki 67 test result was. I was told if it's under 14% usually no chemo and better all around.
They told me since I had a bilateral mastectomy no mammograms or Breast MRIs now. I just will have my chest wall and underarms checked every 6 months for 5 years. If they want to do a breast MRI on you once a year and you are very claustrophobic they can give you a medication to relax you. I have heard from people that does help. Maybe that's an option for you? You probably already knew that. My Mom got claustrophobic so I know how how awful that can be. I close my eyes as soon as I get on the table of the MRI machine and never open them until I am out of the machine. That helps me.
Good to hear about your Mom being a survivor at 84! Hooray!
Sending love and healing wishes to you❤️

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Thnk you so much! I have not heard of the Ki 67 test so I will ask my oncologis when I meet with him on Wednesday. I was self sedated when I had the MRI's and it worked. Year ago I tried and failed. My Dr gave me a valium. All I did was cry like a baby and left without the MRI. She gave me something different the last 2 times!! I met with my radiologist for the first time today. I will be having the Encotype DX to see if I qualify for the study re: no radiation and only medications for hormone blocking for 5 years. I can stop the study anytime. I am going to as much as I can about this cancer. If my Encotype comes back high, I am seriously considering what you did. Sending love and healing wishes your way also💕

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@kimogi57

I am also interested in recurrence. Having a mamogram only is also my biggest fear--I read this cancer is hard to detect with a mamogram until it larger. Have you been given the Oncotype DX test? I am 66yo. had a suspecious area on my right breast in July 2022. Left breast was fine. 8/23/2022 I had an ultrasound and they could see nothing so they ordered a MRI. I am highly clostrophbic and put off the MRI until 5/2023. The MRI with and without contrast showed an area calcifications on the right breast but also showed an enhancing 5 mm mass on my left breast. June 12, 2023 I had a contrast enhanced mamogram and ultrasound which showed a 6mm enhancing mass on the left breast. On 7/10 I had a MRI guided biopsy which which ultimately led to a diagnosis of Invasive Lobular carcenoma, Nottingham grade 1-2 and ER/PR 100% positive and HER ngative. I had a lumpectomy on 8/21. Two lymph nodes were negative and my tumor margins were clear. If I remember correctly, my surgeon told me I would most likely have a mamogram in 6 months and than yearly. At the time that frightened me because I read my cancer isn't detected with a mamogram until it is larger. I see the radiologist for the first time tomorrow and the oncologist on Wednesday. I found out about the Oncotype DX test on this site so I asked the nurse that the encotype DX test be preformed weeks ago. She said something to the effect that my tumor was too small for the test. What does the size have to do with it? It is used to tell me my chances of reoccurance which mentally is helpful. So, she called about a week ago and asked if I would be interested in participating in a study (my surgeon had mentioned it to me saying the radiologist may ask me about it). Before I can participate I have to have the Encotype DX test and I have a score of less than 18--not sure what it means. Funny that now it is not too small!! I am considering the study since I can quit it at any time. The study involves patients 50-70 having no radiation for ILC patients with small tumors. You are required to take the hormone blockers for 5 years. It is phase 2 of the study. I believe they already finished patients 70 and above. My mother had 1 breast removed at 73 and the other at 77. she is now 84 and cancer free. She did not take the recommended 5 years of Tomoxifen due to the side effects. On 1/21 i was diagnosed with Ocular Malignant Melanoma. A very rare tumor behind my left eye. I had brachetherapy and am cancer free. This cancer has a high rate of metastasizing so there is a molecular genetic test that was given to me as part of a study. You get a score of a 1 or a 2. Luckily I was a 1a!!! I have a very low chance of it spreading. If it had been a 2 I would have a 70% chance of it spreading ot my liver or lungs. My testing would have been more frequent and my stress level would have been very high. That is why I want the test for this cancer. If it is high I will consider different treatment. I am sorry this is so long and i wish the best for everyone on this site.

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Sorry to hear that you have been through a lot. Good news about your 1a result on the occular tumor tho! That was a victory!
I did not have an Oncotype dx test either. The oncologist said because my Ki 67 test number was low at 5%. From what I am reading not all hospitals do Ki 67 tests. Not sure on that tho. Maybe you can ask your Doctor what your Ki 67 test result was. I was told if it's under 14% usually no chemo and better all around.
They told me since I had a bilateral mastectomy no mammograms or Breast MRIs now. I just will have my chest wall and underarms checked every 6 months for 5 years. If they want to do a breast MRI on you once a year and you are very claustrophobic they can give you a medication to relax you. I have heard from people that does help. Maybe that's an option for you? You probably already knew that. My Mom got claustrophobic so I know how how awful that can be. I close my eyes as soon as I get on the table of the MRI machine and never open them until I am out of the machine. That helps me.
Good to hear about your Mom being a survivor at 84! Hooray!
Sending love and healing wishes to you❤️

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