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.

@hobo

Have you had genetic testing to see if you have genetic predisposition to cancer? Just curious? I had that done 1.5 years ago and found I was check 2 positive (increased breast cancer risk). Just received biopsy results following multiple 3D scans, ultrasound and biopsy results show:
Atypical lobular hyperplasia bordering on lobular carcinoma in situ in a background of slightly fibrotic breast tissue. Negative for atypical ductal hyperplasia, DCIS or invasive carcinoma.

Pathology is high risk and concordant. Breast surgical consultation is advised.

I’ve got a breast specialist who has been following me since genetic testing was done and he definitely wants to do lumpectomy. I worry if that’s enough???

Thankful this is not cancer, but want to get a step ahead if possible. I hope you get answers for your situation. Let’s share notes.

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SOOOOOooooo appreciative that you took your personal time to respond. YES...I am VERY thankful at this point it is NOT cancer as I KNOW some of the hell others have been and are going through but I too am like you and want to get a step ahead of it IF at all possible because once that rotten cancer grows it never stops!!! My specialist said that we should go ahead and remove what they say (only the size of a walnut so I know I am much luckier than most) so they can do a full pathology analysis on everything they removed. As that let's wait and see IF what you have grows more and then we can always remove it just scares me. I feel like a ticking time bomb just waiting and wondering if it is turning into cancer while we are waiting to see :(. It is good to hear that someone else wants to stay a step ahead like I do. THANK YOU again for your input and I HOPE NOTHING but the BEST for you!!

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@amolson

So I can see some are much worse off then me...but this is all so new and scary to me I thought I would get advice from those of you who have gone this route 🙁 I was just informed I have focal atypical lobular hyperplasia after my biopsy. The doctor said "this finding less likely needs to be excised further because they have a low likelihood of progressing to an invasive carcinoma" (no idea what that means yet) and she does recommend a visit with a breast surgeon to help decide on best next steps. Are there any comments or advice on what I should request or ask or do? 🙁

Jump to this post

Have you had genetic testing to see if you have genetic predisposition to cancer? Just curious? I had that done 1.5 years ago and found I was check 2 positive (increased breast cancer risk). Just received biopsy results following multiple 3D scans, ultrasound and biopsy results show:
Atypical lobular hyperplasia bordering on lobular carcinoma in situ in a background of slightly fibrotic breast tissue. Negative for atypical ductal hyperplasia, DCIS or invasive carcinoma.

Pathology is high risk and concordant. Breast surgical consultation is advised.

I’ve got a breast specialist who has been following me since genetic testing was done and he definitely wants to do lumpectomy. I worry if that’s enough???

Thankful this is not cancer, but want to get a step ahead if possible. I hope you get answers for your situation. Let’s share notes.

REPLY
@glendy

Only needed a biopsy on the original breast. The other spot was gone, PG! Now waiting to see if it is the same type of cancer. It is right next to the other one. Invasive Lobular Carcinoma...Hate the word Invasive but I guess that's why another spot showed up! Surgery still January 5th, just not sure what kind. Everyone is telling me to go ahead and have the whole breast removed. I'm kinda leaning towards that, will see what the Dr suggests.

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Glendy,
I’m navigating similar waters as you. I just got biopsy results today. Atypical lobular hyperplasia bordering on lobular carcinoma in situ in a background of slightly fibrotic breast tissue. Negative for atypical ductal hyperplasia, DCIS or invasive carcinoma.

Pathology is high risk and concordant. Breast surgical consultation is advised.

Breast specialist wants to do lumpectomy but I don’t want to face this potential ugly beast down the road. I’m putting serious thoughts on prophylactic mastectomy. I had genetic testing 1.5 years ago which revealed check 2 gene mutation making me high risk breast cancer. I also have had 10+ years of nipple discharge which was tested and deemed non-problematic. I wonder if this little nugget has been with me a while?! I’m a realist…I want to be strong and make wise decisions that are not alarmist, but make sense with my situation. I have just found this forum while researching today. I’m happy to mesh information with people sharing the same worries and situations as me.

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@glendy

Good Morning! I go back for more sonograms on 2 spots, 1 on each breast, tomorrow. If they are anything, they will take more biopsies. The MRI was terrible! It seemed like all my weight was on my sternum and created great discomfort that last for days. Hopefully I won't have to do that again or they will have to give me something beforehand. Surgery is still scheduled for January 5th, what type is still a lumposcopy but I'm sure that could change. Will let you know what they find after tomorrow.

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Only needed a biopsy on the original breast. The other spot was gone, PG! Now waiting to see if it is the same type of cancer. It is right next to the other one. Invasive Lobular Carcinoma...Hate the word Invasive but I guess that's why another spot showed up! Surgery still January 5th, just not sure what kind. Everyone is telling me to go ahead and have the whole breast removed. I'm kinda leaning towards that, will see what the Dr suggests.

REPLY
@amolson

So I can see some are much worse off then me...but this is all so new and scary to me I thought I would get advice from those of you who have gone this route 🙁 I was just informed I have focal atypical lobular hyperplasia after my biopsy. The doctor said "this finding less likely needs to be excised further because they have a low likelihood of progressing to an invasive carcinoma" (no idea what that means yet) and she does recommend a visit with a breast surgeon to help decide on best next steps. Are there any comments or advice on what I should request or ask or do? 🙁

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@amolson, you may also wish to see the helpful posts in this discussion about ALH:
- Atypical lobular hyperplasia: Did you have surgery? https://connect.mayoclinic.org/discussion/atypical-lobular-hyperplasia

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@amolson

So the fact that you took your personal time to respond and give me some advice brought tears to my eyes as that is BEYOND kind of you. I sooooo appreciate your time and concern and especially your advice since it sounds like you have been going through some very scary issues yourself!! I know I have to do more research because no one is going to advocate for me better than me but it is good to hear from people like you who have been dealing with it. I think I am going to want to have the surgical removal and pathology to look at all the cells they remove as this look and see attitude concerns me. I watched my mother and father both die of cancer this last year within 6 months of each other and it grows sooooooo fast 🙁 But time will tell as I do more research, THANK YOU AGAIN for you time as it did help and I TRULY appreciate it. Now YOU take GOOD care of yourself and follow your own advice too!! NOTHING but prayers being sent your way and try to have HAPPY Holidays!!

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@amolson thank you for your kind words….it’s a difficult journey and thank you for your support as well 💗 Prayers are being sent your way and Happy Holidays to you as well! 🎄🎁⛄️

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@delormv

@amolson I too, have been diagnosed with atypical lobular hyperplasia (ALH) I had invasive DCIS a year prior to the new diagnosis of ALH so I already had a surgical oncologist. I guess monitoring and sometimes medication is recommended for ALH. My surgical oncologist recommended monitoring only for me since I am already on an aromatase inhibitor because of the prior cancer diagnosis. I wasn’t comfortable with this recommendation because I had read that surgical removal is recommended for ALH because there might be cancer “lurking” near the atypical cells. I asked for a second opinion from Dana Farber cancer institute and the doctors there concurred with monitoring and medication approach. So, I guess my advice for you is to follow through with seeing the oncologist and ask questions about treatment options. Write the questions and answers down. Bring a friend with you to also take notes. Do a bit of research about your diagnosis so you understand what your diagnosis means. If you’re not understanding what the doctor is saying, ask for clarification. If you’re not comfortable with the recommendations, seek a second opinion. I hope this helps and please keep asking questions…you are your best advocate!

Jump to this post

So the fact that you took your personal time to respond and give me some advice brought tears to my eyes as that is BEYOND kind of you. I sooooo appreciate your time and concern and especially your advice since it sounds like you have been going through some very scary issues yourself!! I know I have to do more research because no one is going to advocate for me better than me but it is good to hear from people like you who have been dealing with it. I think I am going to want to have the surgical removal and pathology to look at all the cells they remove as this look and see attitude concerns me. I watched my mother and father both die of cancer this last year within 6 months of each other and it grows sooooooo fast 🙁 But time will tell as I do more research, THANK YOU AGAIN for you time as it did help and I TRULY appreciate it. Now YOU take GOOD care of yourself and follow your own advice too!! NOTHING but prayers being sent your way and try to have HAPPY Holidays!!

REPLY
@amolson

So I can see some are much worse off then me...but this is all so new and scary to me I thought I would get advice from those of you who have gone this route 🙁 I was just informed I have focal atypical lobular hyperplasia after my biopsy. The doctor said "this finding less likely needs to be excised further because they have a low likelihood of progressing to an invasive carcinoma" (no idea what that means yet) and she does recommend a visit with a breast surgeon to help decide on best next steps. Are there any comments or advice on what I should request or ask or do? 🙁

Jump to this post

@amolson I too, have been diagnosed with atypical lobular hyperplasia (ALH) I had invasive DCIS a year prior to the new diagnosis of ALH so I already had a surgical oncologist. I guess monitoring and sometimes medication is recommended for ALH. My surgical oncologist recommended monitoring only for me since I am already on an aromatase inhibitor because of the prior cancer diagnosis. I wasn’t comfortable with this recommendation because I had read that surgical removal is recommended for ALH because there might be cancer “lurking” near the atypical cells. I asked for a second opinion from Dana Farber cancer institute and the doctors there concurred with monitoring and medication approach. So, I guess my advice for you is to follow through with seeing the oncologist and ask questions about treatment options. Write the questions and answers down. Bring a friend with you to also take notes. Do a bit of research about your diagnosis so you understand what your diagnosis means. If you’re not understanding what the doctor is saying, ask for clarification. If you’re not comfortable with the recommendations, seek a second opinion. I hope this helps and please keep asking questions…you are your best advocate!

REPLY
@amolson

So I can see some are much worse off then me...but this is all so new and scary to me I thought I would get advice from those of you who have gone this route 🙁 I was just informed I have focal atypical lobular hyperplasia after my biopsy. The doctor said "this finding less likely needs to be excised further because they have a low likelihood of progressing to an invasive carcinoma" (no idea what that means yet) and she does recommend a visit with a breast surgeon to help decide on best next steps. Are there any comments or advice on what I should request or ask or do? 🙁

Jump to this post

Welcome to our board. I would imagine that you will probably be referred to a breast surgeon who will decide whether to remove the cells or just keep an eye on it. ♥️

REPLY

So I can see some are much worse off then me...but this is all so new and scary to me I thought I would get advice from those of you who have gone this route 🙁 I was just informed I have focal atypical lobular hyperplasia after my biopsy. The doctor said "this finding less likely needs to be excised further because they have a low likelihood of progressing to an invasive carcinoma" (no idea what that means yet) and she does recommend a visit with a breast surgeon to help decide on best next steps. Are there any comments or advice on what I should request or ask or do? 🙁

REPLY
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