Attention all Invasive Lobular Breast Cancer Ladies

Hello Misty K. I was incredibly lucky in that my ILC made my boob feel heavier than normal which took me to GP despite clear mammogram six months earlier. I was luck that ILC invaded a duct and what was spotted by a very eagle eyed consultant radiography was a small ductal tumour. The biopsy showed lobular features so had an MRI when my 80mm ILC was found. MRI also showed a grade 1 tiny thing in my other boob. So I had a lumpectomy and one lymph test on the left for the little thing and a mastectomy and lymph on the right. Right came back 2/3 lymph positive so having a full axillary clearance this Thursday then Chemo about six weeks later with Radio at some point in all this. Like you I have done a lot of reading and there is so little known about effective treatment for ILC. My chemo benefit is 5-9% between 5 and 15 years so happy to go for it. Thank you so much for starting this thread the lobular world can feel a bit lonely at times.

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@jennyb1 good luck with your ongoing treatment

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Hello jennyb1

Thank you for your appreciaton. Iā€™m just glad to have pulled we lobular ladies together here. x

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Hi, I found a lump around Christmas 2023, inner, lower, left quadrant. I saw the GP early February, 1st time seeing him, he was rude and abrupt so I didnā€™t bother telling him about my lump and just told him my antidepressants werenā€™t working. I had my hubby with me at the time but as I not told him about the lump he couldnt speak up for me.
April I couldnt feel the lump but could feel a different one upper, outer, left quadrant.
3rd May I again saw the GP, by now hubby knew of it. GP referred me on the urgent 2 week referral. Appointment came through and wasnt until mid June. We paid private for tests.
24th May I had mamogram on both, 3D mamogram on the left, ultrasound on both and both armpits, followed by biopsies. 9mm on mamo, 7mm on ultrasound. I was then told I had cancer.
4th June biopsy results 7mm invasive ductal, ER8, PR5, HER2 (low) grade 2, stafe 1. the report said I have a mix of fatty and dense breasts.
I was transferred back to the NHS.
24th June I had lumpectomy and sentinal node removal.
4th July surgery results. Clear margins, 1 node taken and clear. But it was now 35mm and multifocal, invasive ductal and invasive lobular. Now stafe 2.
None of the lobular showed on any of my pre surgery tests. My oncotype score was 14. Currently waiting to start radiotherapy, oncologist appointment is on 4th September.
The consultant and the MDT are refusing to do any further tests until my annul check in July next year. I have no idea if the first lump is still there and whether any hidding in my right boob.
I have twice been refused brca2 testing, 2012 England and 2018 Wales, Iā€™ve been referred again to genetics after my surgery.
My mum had cervical in 1977, lobular in March 2012, reoccurrence in 2018 and died Feb 2020. Her sister, their mum and a few other family have all had breast cancer. My mum, aunt and grandma where 66/67 when diagnosed, aunt and grandma lived just under 5 years, my mum just under 8. My dad had prostrate Feb 2012.
Im 61.
Sorry for the long post. I donā€™t know what to do next to get further tests and I cant live on 3 hours sleep for the next 10 months.

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Sorry to hear that. If I were you I would push for both more genetic testing given family history, and also an MRI scan. I had a lump which didnā€™t show up in mammogram and they did an MRI of both breasts because of that. Found another lump in my other breast, so had both removed and radiotherapy. Now Iā€™ll get annual MRIs. I also have dense breast tissue.

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Hi Lobular Ladies.
Having read through this thread so much has resonated. I had a lumpectomy early august with 7mm 'pleomorphic ā€™ lobular BC. ER and PR+ 8, HER2 neg.
Everyone said its all very positive etc, good prognosis. When i mentioned lobular i felt it was always brushed off ā€˜oh it doesnt make any difference etcā€™. Then i looked at 'pleomorphic ā€™ which raised a lot more questions - less than 1% (some studies say poor prognosis) - still no answers.
Had an appointment last week with what i was told would be an oncologist but turned out it was tha radiologist to plan the radiotherapy. Apparently im not due to see an oncologist or have an MRI or oncotype. I rang the breast care nurse and she said she would ask the radiologist my questions but he didnā€™t know the answers before so whatā€™s the point?
I think i might have to see someone privately

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Hi Iā€™m so sorry you are not getting the answers to your perfectly reasonable questions.
I take it that you did not get an MRI scan before your lumpectomy surgery.
I was diagnosed after finding a lump through ultrasound, the mammogram never picked up my lobular cancer.
Initially told lumpectomy and rads , only after MRI did they discover 2nd 6mm lobular.
Missed on both mammogram and ultrasoundā€¦which changed my treatment plan to single mastectomy.
Itā€™s so important to insist on MRI for lobular, and my oncologist has agreed to push for annual MRI checks rather than just mammograms.
I think it does vary enormously on where you live as to the treatment you receive. I was very lucky that my local hospital had a specialist breast care centre, with everything in house.
The team have been absolutely amazing , informative, reassuring and thorough , but I know not everyone is so lucky.
Trust your instincts and keep asking those questions. You deserve answers, is it a financial or medical decision behind the lack of MRI?
Wishing you all the best in your recovery.

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Hi. The radiologist said that they normally order an MRI for lobular but because mine was small and an actual lump it wasnā€™t thought necessary.
The pleomorphic bit worries me because the studies ive seen say it can be more aggressive, but again he said it wasnā€™t important. But if heā€™s not an oncologist and actually didnā€™t know anything about it, how could he know?

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I had a lower likelihood of recurrence than you in the next 9 years but Iā€™m overwhelmed by the thought that it can be dormant for ten to 15 years and therefore more likely to recur after that period anyway.