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.

Profile picture for ilcpfighter @ilcpfightee

I am pretty much the same as you. ER+, PR-, HER2-. I did a lumpectomy for mine. Clean margins and 1 node removed and was negative. They did and oncotype that showed aggressive cells so currently in chemo and then to radiation and endocrine therapy. I am grade three pleomorphic. Make sure you have a good breast surgeon as clean margins are very important.

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Thanks so much for your reply - a friend was diagnosed with ILC 8 yrs ago at age 49yrs and she went for double mastectomy but so much has changed and I understand that lumpectomy seems to be recommended. My MRI came back showing nothing in left breast. I meet with surgeon tomorrow and Thurs and hope to soon have more info to share. Takes a village -
xoxoxoxo

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Profile picture for lisamgee @lisamgee

Hi @cindylb ,
I have been recently diagnosed with stage 1 ILC., right breast. When mammogram came back suspicious, my very first though was no matter what, the breast has to go. No one is pushing me either way (lumpectomy or mastectomy) and I am still thinking mastectomy. Just had second opinion on my procedure options and now I am leaning towards lumpectomy. It's daunting! Can I ask how you came to your decision? I know it's an extremely personal choice. Thanks!

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I am er+, pr-, her2-. My doctor got clean margins and 1 node that was negative. I am stage 2. My doctor guided my choose as well. She explained that a lumpectomy flowed by radiation is within 3% of having the same outcome as mastectomy and that a mastectomy doesn't guarantee no recurrence as they can never get all the breast tissue. She also explained the risks of mastectomy vs. Lumpectomy. I decided lumpectomy. My oncotype came back high at 34, I was grade 3 pleomorphic, so currently doing 4 rounds of TC then radiation followed by endocrine therapy. Good luck with your decision, I know it is hard.

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Profile picture for segm @semurrey

Hi! Just recently diagnosed with ILC - just starting journey-in 2 weeks I meet with a surgeon at Dana Farber but have since I've ready ILC is "sneaky" I'm very anxious - I'm 57 yrs - E+,P-, HER-
and 1.6cm - do most breast surgeons treat ILC - seems uncommon and my surgeon is so very young. Thanks for any thoughtsxoxo

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I am pretty much the same as you. ER+, PR-, HER2-. I did a lumpectomy for mine. Clean margins and 1 node removed and was negative. They did and oncotype that showed aggressive cells so currently in chemo and then to radiation and endocrine therapy. I am grade three pleomorphic. Make sure you have a good breast surgeon as clean margins are very important.

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In May 2021, I was diagnosed with invasive lobular carcinoma (ILC) in my left breast and both IDC and DCIS in my right breast. The nodules were so small that it finally took an MRI to confirm the need for a biopsy. Even though the surgeon initially suggested bilateral mastectomies, I followed my intuition and chose bilateral lumpectomies. Stage 1, clean margins and clean lymph nodes. I had 5 consecutive days of radiation.
I’ve been on Letrozole for the past year. There have been numerous side effects from the Letrozole along the way; however, my system seems to be righting itself.
I do both strength training and yoga twice a week, and meditation. Going to counseling weekly. Eating as healthy a diet as I know to do. Have discarded 35 pounds and feel great.
My Mammogram and MRI this year were good. I thank God for where my current health is.

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Profile picture for southgawalker @southgawalker

My surgeon/ breast specialists did not recommend any surgery. The radiologist does recommend a lumpectomy based on her training.

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My surgeon asked if I wanted a lumpectomy to make sure there is no cancer around that area of concern. I went ahead with it. But even with the lumpectomy, it may not eliminate that increased risk we have as LCIS patients for breast cancer. Still needs to take preventive meds like tamoxifen and frequent screening.

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Profile picture for mayo101 @mayo101

Hello, I am in the same shoe as you. My surgeon recommends taking tamoxifens 5mg daily and yearly mammogram. May I ask whether the surgery your doctor is recommending is lumpectomy or mastectomy?

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My surgeon/ breast specialists did not recommend any surgery. The radiologist does recommend a lumpectomy based on her training.

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Profile picture for southgawalker @southgawalker

Anyone with recent LCIS diagnosis? What did your dr suggest you do? There appear to be two theories- surgery or watch with mammograms every 6 months.

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Hello, I am in the same shoe as you. My surgeon recommends taking tamoxifens 5mg daily and yearly mammogram. May I ask whether the surgery your doctor is recommending is lumpectomy or mastectomy?

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Profile picture for Colleen Young, Connect Director @colleenyoung

@mjay, great idea to bring women with lobular breast cancer together. @jackiestack and @ssalget, can you share more about your diagnoses?

I think @claudiamaria @ja5747 @marybe and @bowhunt1969 @cindylb @kszilvia @varalax @rarelybees2889 @nycoceans @lisman1408 @elsie37 @nobody may also want to join in.

What's you lobular breast cancer diagnosis? How are you today?

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Hi! Just recently diagnosed with ILC - just starting journey-in 2 weeks I meet with a surgeon at Dana Farber but have since I've ready ILC is "sneaky" I'm very anxious - I'm 57 yrs - E+,P-, HER-
and 1.6cm - do most breast surgeons treat ILC - seems uncommon and my surgeon is so very young. Thanks for any thoughtsxoxo

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Profile picture for Chris, Volunteer Mentor @auntieoakley

I am glad you are looking for more information! If there is one thing I can really support it is getting informed. I am terrible at keeping track of links these days, but if you are thinking you would like a second opinion at Mayo there is a link for a request for appointment that I am sure another mentor could provide. @hopeful33250 or @johnbishop probably have it quite handy. They are amazing. Advocating for yourself is so important, especially when you are talking about cancer.
If not Mayo, are you close to a large center or teaching hospital?

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Thank you. I will reach out.

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Profile picture for southgawalker @southgawalker

LCIS was diagnosed through core needle biopsy in 2021. Watch every 6 months.
was surgeon’s suggestion in. April. No other options mentioned.
Yesterday the radiologist came out to talk to me after the mammogram and said her training indicates Surgery and then tamoxifen as the way to go.
Mayo is the best so I am looking for answers.

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@southgawalker, I'd like to add my welcome. I moved your posts to this existing discussion in the Breast Cancer support group.
- Lobular Breast Cancer: Let's share and support each other https://connect.mayoclinic.org/discussion/lobular-breast-cancer/

I did this so you can read previous posts and connect with other post-menopausal women who have LCIS who can share their treatment experiences.

This discussion will also be of interest to you I think:
- LCIS: What treatment(s) did you choose? https://connect.mayoclinic.org/discussion/lcis-and-double-mastectomy/

Have you considered getting a second opinion?

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