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.

@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
@colleenyoung

@semurrey, what did you learn at your appointment with the radiation oncologist?

@glendy, as you said - you're a fighter. But even fighters have their vulnerable moments. Strange how the thought of losing one's hair can undo us. How are you doing today? Did you learn anything more after the MRI?

Jump to this post

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.

REPLY
@colleenyoung

@semurrey, what did you learn at your appointment with the radiation oncologist?

@glendy, as you said - you're a fighter. But even fighters have their vulnerable moments. Strange how the thought of losing one's hair can undo us. How are you doing today? Did you learn anything more after the MRI?

Jump to this post

Hi everyone- I guess I can say I have my "treatment" plan and am moving forward. I met with a few different radiation onco and I wanted to share first my finds on the proton beam for breast. While my lumpectomy was on the right side, even for those on the left- proton beam is not necessarily better or safer. The specialist from the proton beam center at MGH explained the results as some have mentioned do carry risks like rib cage fractures but also given the expense many centers will offer for breast cancer if they have the availability (cost benefit, insurance etc involved). I also learned that there was a recent UK study done which did show similar outcomes for those treated by regular external beam radiation for a week and for those treated 4-6 weeks. However, at Dana Farber the radiation team is very conservative and this study only studied outcomes for 5 -10 years and they like to see 20yrs. I'm 57 ILC, 1.8c, ER+, HER- and my oncotype was 14. I was relieved that I could skip chemo and decided to go with the recommended 19-20 treatments of full breast radiation (I have small breasts so I guess that makes sense to me). Two weeks after radiation, I will start with Letrozole for 5 years which really scares me but my oncologist said there was no way out of that. My radiation mapping was yesterday and the plan is for me to start radiation on 12/27 (roughly a month since surgery). Hope this info helps - I will stay in touch. xoxo

REPLY
@semurrey

I wish I could offer more specifics but I won't see a radiation oncologist until 12/19 but the surgeon said I could expect daily radiation treatments for 4-6 months depending on final analysis etc. Dana Farber in Boston does not offer proton beam radiation which surprises me but MGH Cancer also in Boston does have the proton beam. From the research I've done which many here have also mentioned is that proton beam seems to do the least damage to any nearby healthy tissue so I'm going to ask if I am a candidate. Let us know how your first radiation consult goes - I would think MD Anderson would have proton beam?? Regarding the hormone blocking it seems since I am post menopausal they would start with the AI's vs tamoxifen. Best of luck next week xo

Jump to this post

@semurrey, what did you learn at your appointment with the radiation oncologist?

@glendy, as you said - you're a fighter. But even fighters have their vulnerable moments. Strange how the thought of losing one's hair can undo us. How are you doing today? Did you learn anything more after the MRI?

REPLY

They have determined that I have stage 1, Grade 2, Her2+ ILC. I will have an MRI next week and they are talking Chemo for a year and Radiation for a week or 2. She said I caught it really early. I am ok with all this and I am a fighter. The part that really got to me was the answer to my question, will I lose my hair?...yes. That tore me up. I will find out so much more after the MRI and the appointment with the oncologist.

REPLY

Thanks KKS for sharing about your radiation treatment! I will inquire about clinical trials but my oncologist had mentioned that most were currently focused on ductal rather than lobular. Was your one week radiation as specific type - proton beam, external or internal beam? Just trying to get a better understanding of best options but I realize it depends on many variables.

REPLY
@lisakinpa

Perhaps your doctors meant having radiation for 4-6 weeks? I’ve never heard of having radiation for 4-6 months? ♥️

Jump to this post

Yes- sorry meant 4-6 weeks!

REPLY
@eaglewings22

Sue Ellen, what options were you offered re: radiation? I’m meeting with the radiation oncologist next week and want to request the shortest, least invasive option that still kills the cancer. Grandbaby expected mid March! That may not even be an option. I have ILC Stg 1 b and will have a lumpectomy (2 cm x 1cm by 1.5 cm) and immediate reconstruction at MD Anderson, followed by radiation. I’m really nervous about all of it! Any possible options that I can request re: radiation would be appreciated. I dread the hormone-blocking meds as well…Thanks for your sharing your story! I hope all of it goes well for you!❤️

Jump to this post

I just completed a one week radiation treatment for ILC at MD Anderson. Ask about the clinical trials. I was on the Opal trial.

REPLY
Please sign in or register to post a reply.