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KezzaG's avatar
KezzaG
Member
7 years ago

Stage 3 Invasive Lobular Cancer diagnosis

Hi everyone, this is my first time on here and I've been reading everyone's stories and comments.  What an amazing bunch of people that are here.  Having read so many stories has encouraged me to post my on story and questions that I hope some of you  may have an answer on or even just an opinion on.
I'd been having regular mammograms for a few years as my Mum had breast cancer a number of years ago.  She had an optional mastectomy and is still going strong today, 15 years later.
My last mammogram was in March this year and I was given the all clear and advised I didn't need to come back for 2 years. In early August whilst showering though I found a small lump in my breast.  I wasn't overly concerned but went to the doctor and he sent me for an US.  The results of the US showed a small lump but also a swollen lymph node.  I was then sent for biopsies and an MRI. The biopsies returned showing cancer in the lump and the lymph node. The MRI also showed a small lump. I was booked into the surgeon 3 days later and was advised that I could have a lumpectomy but was offered a mastectomy if I wanted.  I absolutely didn't want a mastectomy. One week later I had the surgery and was thinking that I was glad that was over and done with.  The removal of the lymph nodes and my right arm was definitely far more painful and difficult to manage than the actual lumpectomy.  But I was glad it was all over and done with.
5 days later I returned to the surgeon only to be told that 9 out of 21 lymph nodes removed were cancerous along with the surrounding tissue from the lump.  She advised I had Stage 3 Invasive Lobular cancer and had to have a mastectomy on my right breast and needed to consider having my left breast removed as well. Talk about totally shell shocked..... I couldn't understand or stop crying. 
After as much research that I could fit into a few days and many discussions with family and friends I opted to have both breasts removed. It's been the hardest thing to come to terms with.  I know everyone is different and some women make this choice willingly but it was one of the hardest things I've had to do for me personally.  I was very large busted (Double F) so my boobs were definitely a big part of me! 
When I returned to the surgeon after my double mastectomy she advised me that on examination of my right breast after the surgery that the cancer growth in total was over 12cm. I was absolutely blown away.  How could this be missed on all of my mammograms and the MRI???  I was told that the Lobular cancer grows like a spiderweb and is very hard to detect, where as Ductal cancers are more common and grow into lumps which are much more visible in scans and easier to feel.  The surgeon told me I was lucky at all to feel a lump myself as most women with this cancer don't feel anything.  I can't even explain what was going through my head at this time. 
My Oncologist has since advised my that 90% of breast cancer is Ductal and only 10% is Lobular. 
I've just undergone my second chemo treatment and have 14 to go followed by 6 weeks of radiation. 
I'm still shell shocked everyday and emotions are just all over the place.  I am truly blessed to have an amazing partner who has been more supportive than I could ever have imagined and the most beautiful family and friends that support me everyday.  
I'm really interested to hear from anyone that has been diagnosed with this same cancer or from anyone that has and advice or feedback on moving forward. I'm inspired by the stories I've read on here and the beautiful messages of support.
Thank you for taking the time to read my long winded story :smile:
KezzaG

16 Replies

  • Hi @KezzaG  - so sorry to see you here - but you are in the right spot for support from those who've gone before you.  WOW!  Your tumour was MASSIVE!!

    I was diagnosed with ILC in January this year and had my lumpectomy 2 weeks later - my GP found my lumps totally by accident the previous November (even my surgeon said she must have wonderful fingers - as it is one of the more difficult ones to detect by touch!)  My Mammogram just 6 months earlier had not picked it up & the MG and U/S shortly after detection also did not show it, even tho the GP indicated the precise location!  I had a biopsy 3 weeks later & ILC diagnosis was confirmed on Jan 5th.  

    I was lucky to have clear margins & no node involvement - so no chemo was required.  I had 4 weeks of radiation & now on Exemestane/AIs for 5 years.

    Having 'dense breast tissue' makes MGs almost 'non effective' in identifying ILC - as it is tucked in the lobules (I call them cabbages.)  They are 'already the lumpy bits' in the breast, hence manually detecting the lumps can be tricky.  Often, those with ILC are not detected until it is already Stage 3 or beyond  :(   
              

    At this point in time, Breast Screen Australia in most states does not inform women if they have dense breast tissue - and it is currently being hotly debated that we SHOULD be advised, as early detection with ILC is vital for a better long term outcome.   It might be worth mentioning to family members & friends to ask the BreastScreen people if they have Dense Breast Tissue at their next MG - as other  screening methods may be more reliable - Ultrasounds and/or MRI.  

    All the best with your ongoing treatment - the girls will be able to give you heaps of tips on chemo - I'd just recommend making sure you drink HEAPS OF WATER after every treatment to help flush it out (my husband had chemo after having most of his stomach removed some years back.)   Try to be as active as you can when you feel up to it - accept any help that is offered.  Do you have access to a good Breast Care Nurse?  Or a BC group within your area?  

    Throw up any questions that you may have re your treatment or any side effects you may have - the good thing is that not everyone gets extreme side effects. :) 

    Big hugs coming your way  xxx
  • Hi @KezzaG I'm another lobular BC person and my diagnosis was similar to yours. It's a very sneaky cancer and most of us are shocked to find how extensive the tumours actually are once they are removed. I had a double mastectomy as well--the 'good' boob wasn't, so I'm glad I went for that option as it probably saved me more grief later.  Which is a weird thing to say--glad I decided to get my tits lopped off--but you do get over the initial horror of it all. I have had a recurrence, but I'm pretty sure things would have been worse if I'd fiddled about with my treatment in 2006.

    So, I'm still going 12 years after first finding I had cancer. None of this is pleasant and I'm sorry you find yourself here, but keep plodding along and you will get through the treatment stage on step at a time. Moving on afterwards presents it's own set of challenges for some of us, but first things first. Good luck Mxx

  • Hi @KezzaG, I had 2 lobular tumours, neither of which were detectable as lumps but my nipple became inverted so that was my first clue something was wrong. Like you I had a lumpectomy but due to unclear margins needed a mastectomy. That's where I learnt the extent of the tumours - spread out over 9cm of breast. The spiderweb analogy is a good one and my breast surgeon said that lobular tumours were tricky to detect so that the mammogram and ultrasounds before my surgery didn't show anything like the extent of it - it was thought that maybe it was spread 2-3cm. The surgery also showed another "surprise" - a very small but aggressive HER2+ ductal tumour. That was 6 years ago now and so far all is going well. Best wishes to you xx
  • @KezzaG welcome to you , a place we all thought we'd never be !!
     I don't have the same diagnosis as you but can imagine your shock on discovering this shitty disease .
    Glad you have wonderful support 
    best wishes & lots of hugs 
    xx
  • Oh Kezza, I'm so sorry that you've had to join us here. What a shocker of a time you've had of it with this bugger of a disease. Welcome, and I hope you find the forum as helpful and supportive as I have.

    There are quite a few lobular people here, @Sister, and @Eastmum come to mind. I was ductal, and found my tumour due to a regular mammogram. It was so deep in my large breast that I would have been in much more serious trouble by the time it made itself known.

    However, 17 months earlier my sister had died from breast cancer (I'm now raising her kids along with my own), and my mother had had it and survived, at my age. There's something going on in my family (not BRCA1 or 2, I'm currently waiting on test results for the CHEK2 gene mutation) so after a lumpectomy, a re-excision for margins (which discovered a previously unseen 4cm of DCIS), chemotherapy, and a lot of thought and discussion, I had a double mastectomy (which found more unseen DCIS) and DIEP reconstruction.

    It was one of the hardest decisions I've ever made as well. It was helped that I had a good amount of time to make it, and it has not been easy, but I have no regrets. I know it was the right thing for me.

    Humans are remarkably adaptable. We get used to stuff! BC is definitely something that challenges us and I'm still having trouble adjusting. But I trust I'll get there one day. It's great that you have a wonderful support group. If you feel you're getting 'stuck' with your emotions, get some counselling. It helped me a lot in the early days when I was devastated and furious.

    Deep breaths, and hang in there Kezza. Big hug, K xox
  • Hi @KezzaG  There are a few of us on here that have had ILC.  It's a particularly sneaky type of BC and often not detected until it has advanced.  You can read my story by clicking on my profile but it's a similar story to yours re: lumpectomy then mastectomy, etc.  I was fortunate in that I went for a screening mammogram and amazingly, a tiny, slightly abnormal feature was picked up. I had all of the diagnostic tests before the first surgery and the cancer showed as 2.5cm with no nodes involved.  Path report after first surgery came back with 4.5cm tumour with no clear margins and node involvement.  My initial diagnosis came on 5 December last year so my 12 month scan is coming up.  My surgeon didn't think I needed the other breast removed but that option is still there and I guess, things may or may not become clearer when I have the scan.  I have now finished active treatment - 6 months of AC-T chemo and 3 weeks of radiation - and I'm on Letrozole for 5-10 years.

    It does come as a complete shock but you've come to the right place for personal experiences and understanding.