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.

I was diagnosed with lobular HR+ breast cancer in 2004 at age 60, stage 3A, 7 positive nodes. I was told it had likely been growing for 10 years and was missed on regular mammograms due to the shape it presents. I did a double mastectomy, 8 rounds off chemo, 40 radiation sessions, had silicone reconstruction, and began anastrazole. I took it for 17 years even though research has not been done past 10 years. My oncologist always believed it would return, and it a few bone spots were discovered last December on an xray taken ahead of a steroid shot for arthritis in a hip. I am on maintenance meds now and all spots have disappeared. It is very slow growing and I was told it was not a death sentence at all, just a chronic condition at this point.

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I was diagnosed with invasive lobular carcinoma in both breasts in August of 2021. It was found from a scan done for chest pain in June of that year because of chest pain that turned out to be a heart attack. I survived that and then started on the breast cancer journey. After several biopsies, in October 2021 I had a bilateral mastectomy and sentinal lymph nodes removed on both sides. Pathology found ILC , Stage 2, no lymph involvement. All margins clear. Tumors from 2mm to 10. I was almost 69 years old and chose not to have any breast reconstruction, with the support of my wife. I was told that I was not a good candidate for radiation or chemo. I started letrozole 2.5 mg in December 2021. By May of 2022, I had developed carpel tunnel with locking thumbs in both hands, as well as total body pain and stiffness. I had been on bioidentical hormone replacement therapy for many years for depression issues that run in my family, before the cancer was found. So oncology suggested a break from the AIs. I am trying to schedule an appointment with oncology now. I have only seen her twice since the mastectomy, so I don't have a good idea of what will be next. But I really don't want to go back on AIs. I do everything with my hands. I am a mechanic by trade. I am a carpenter and a fixer of three dimensional stuff! I don't really have a quality of life without my hands.

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@ssalget

I was diagnosed with invasive lobular carcinoma in both breasts in August of 2021. It was found from a scan done for chest pain in June of that year because of chest pain that turned out to be a heart attack. I survived that and then started on the breast cancer journey. After several biopsies, in October 2021 I had a bilateral mastectomy and sentinal lymph nodes removed on both sides. Pathology found ILC , Stage 2, no lymph involvement. All margins clear. Tumors from 2mm to 10. I was almost 69 years old and chose not to have any breast reconstruction, with the support of my wife. I was told that I was not a good candidate for radiation or chemo. I started letrozole 2.5 mg in December 2021. By May of 2022, I had developed carpel tunnel with locking thumbs in both hands, as well as total body pain and stiffness. I had been on bioidentical hormone replacement therapy for many years for depression issues that run in my family, before the cancer was found. So oncology suggested a break from the AIs. I am trying to schedule an appointment with oncology now. I have only seen her twice since the mastectomy, so I don't have a good idea of what will be next. But I really don't want to go back on AIs. I do everything with my hands. I am a mechanic by trade. I am a carpenter and a fixer of three dimensional stuff! I don't really have a quality of life without my hands.

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I forgot to add that the cancer is er+, pr+, HER2-.

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@jackiestack

I was diagnosed with stage 3 lobular cancer in December 2013. Had a single mastectomy, chemo and radiation. Then took Letrozole until cancer metastasized to the bone in September 2018. I have been on the chemo, Capecitabine since then. I am grateful for my competent and caring Mayo team, my supportive husband, family and friends. It has been a challenging journey, and I have gained so much respect and love for all who are and have taken it. I am 75.

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How are you today? Thinking of you. Do you find this hard to talk about?

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@windyshores

My tumor was mixed ductal and lobular, and because the tissue showed loss of e-cadherin throughout, I suspect it is mostly lobular. I know that "mixed" is different from pure lobular but would still be interested in reading this thread. I am especially concerned about how we can tell there has been metastasis. I am 7 years out from diagnosis.

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Hi Windyshores! For us “lobsters,” there’s a lot of discussion that centers around follow up as we move forward in our journey because lobular can be “sneaky.”

My cancer team and I discussed alternating my annual mammogram with having a breast MRI but I decided to forgo the MRI for now because since I’ve been diagnosed, I’ve had two false positives.

I also have bloodwork every six months along with a breast exam and follow up with my breast surgeon every six months.

I’m assuming that schedule will change to yearly checkups I believe when I hit the five year mark. ♥️

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@jkh

How are you today? Thinking of you. Do you find this hard to talk about?

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Today I am actually challenged with a new, rare development. I am on Xgeva to keep my bones strong, and was diagnosed by X-ray for atypical femur fracture in both legs. Symptoms were getting painful to walk. An excellent Mayo surgeon put a titanium rod down the center of left femur 5 days ago. Recovery is usually 6 weeks, then they will do the right side. My goal is to be walking normally by fall, and the surgeon says I will have no trouble meeting my goal. I have no trouble talking about it, but am careful to be sensitive to who wants to hear any of it. After reading your stories, I find that it is a real relief to think of lobular cancer as a chronic condition. I call that realization a flash of the obvious. Thank you for sharing and suggesting this thread!

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@windyshores

My tumor was mixed ductal and lobular, and because the tissue showed loss of e-cadherin throughout, I suspect it is mostly lobular. I know that "mixed" is different from pure lobular but would still be interested in reading this thread. I am especially concerned about how we can tell there has been metastasis. I am 7 years out from diagnosis.

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@windyshores I too am interested in hearing more about how various doctors are following ILC for future metastasis. Since I opted for the bi lateral mastectomy (my first Lobular was in situ in the left breast and the second time was invasive in my right breast) I get visual exams every 6 months to 9 months but wondering if an MRI might be a good idea in the near future? They say I'll feel it on my chest wall but it's very hard to determine because I have various pains and bumps and lumps it seems, mostly from my lymphedema. Curious about this and hope people will share.

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@jkh

I was diagnosed with LCIS at age 49, took tamoxifen for 5 years. During that time I developed external polyps on my uterus. I had a complete hysterectomy after 3 1/2 years of tamoxifen and then went into full blown menopause. The lobular breast cancer was discovered 9 years after I stopped taking tamoxifen, at age 63 through a yearly mammogram. It was discovered in the same (left breast) as the LCIS was discovered. I had a lumpectomy and 3 lymph nodes removed. The site where the lymph nodes were removed became infected. Not sure that it was healed well enough to start the radiation as I have had swelling and problems with lymphedema since. I have to look back in my records to be exact on the rest of my treatment. I wonder why I have trouble remembering the details but I suspect just due to the trauma of a cancer diagnosis. The cancer was invasive, size? 1.5-2mm? Oncotype score was, what they called, the grey area. It was left up to me as to have chemo or not. I choose no after I asked what the studies for someone who had lobular breast ca said. There was only one study that the Dr. Was aware of and it did not show any improvement in life expectancy. I started on anastrozole and after 2 years of lots of joint pain I went on exemestane. I still have what I call flare ups of joint pain, exhaustion and mild depression. I have a regular Yoga practice walk 3-4 miles regularly, eat a vegetarian diet and struggle mightily to lose any weight. I put on about 10-15 pounds after the cancer diagnosis and haven’t taken it off yet. But there is always a new day and I am very thankful for that!

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@jkh Sorry about your struggles. I can relate to much of your post. I 'thought' I'd beat the cancer struggle when I was diagnosed with only Stage 1 cancer. It was a good sign but I too developed lymphedema and had a bout with cellulitis and went into sepsis about 3 years ago. A very scary and unexpected situation. I struggle daily with the lymphedema and have joined the Lymphedema Action Network where they have multiple video presentations and informative emails. I highly recommend signing up for that. I opted not to use the AI drugs - they all had severe side effects for me but I am quite a bit older than you and was diagnosed about 5 years later in life than you. I guess cancer always finds a way of reminding you it's there no matter what you do so we have to try to make peace with that (not easy). Interestingly, I have many of the 'side effects' of the AI's now anyway due to aging....in fact my blood work shows I have little, if any estrogen, no progesterone (guess I never had much of that to being with) and little testosterone....so no hormones to feed the cancer. However, not having those hormones means - weight gain, depression, aching joints and for me a complete drying of my body (eyes, hair, mouth and....unfortunately my vagina - all of which presents challenges). But, I'm here and so far no return of the cancer so I'm thankful for that. Hugs to you. It sounds like a lot to cope with day to day.

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@cindylb

@jkh Sorry about your struggles. I can relate to much of your post. I 'thought' I'd beat the cancer struggle when I was diagnosed with only Stage 1 cancer. It was a good sign but I too developed lymphedema and had a bout with cellulitis and went into sepsis about 3 years ago. A very scary and unexpected situation. I struggle daily with the lymphedema and have joined the Lymphedema Action Network where they have multiple video presentations and informative emails. I highly recommend signing up for that. I opted not to use the AI drugs - they all had severe side effects for me but I am quite a bit older than you and was diagnosed about 5 years later in life than you. I guess cancer always finds a way of reminding you it's there no matter what you do so we have to try to make peace with that (not easy). Interestingly, I have many of the 'side effects' of the AI's now anyway due to aging....in fact my blood work shows I have little, if any estrogen, no progesterone (guess I never had much of that to being with) and little testosterone....so no hormones to feed the cancer. However, not having those hormones means - weight gain, depression, aching joints and for me a complete drying of my body (eyes, hair, mouth and....unfortunately my vagina - all of which presents challenges). But, I'm here and so far no return of the cancer so I'm thankful for that. Hugs to you. It sounds like a lot to cope with day to day.

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Oh how I relate to the drying up! I even had a procedure called the Monalisa to bring moisture back to my vagina. It is a laser treatment. It was successful but only temporary. I suppose when you keep taking medicine to block the hormones it was inevitable. Thanks for sharing a bit of your story.

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I come from a similar history
ILC 2013 lumpectomy Right

Turns out had in both breasts and by 2015 I had bil Mx and Hysterectomy (found unusual tumors in the ovaries). I declined any chemo or tamoxifens because studies did not demonstrate much improved longevity. It is debatable certainly but it was under 20%. 2nd opinion at Moffitt explained Lobular CA doesn’t visualize as easily as others, so I opted for the surgical option. I had my implants removed after 5 years. A plastic surgeon gave me a soft appearance - it helps this nearly 70 yo
Thanks for sharing

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