Mixed Feelings from Surgeon Review
I had an appointment with my surgeon yesterday - the first since finishing active treatment. I went in knowing it was just a review and I had my usual list of questions with me. I'm not really sure ...
Forum Discussion
Oh dear @Sister, I feel your anxiety! Great news that the port can go & that the Letrozole is also protecting the other boob too! ..... So your cancer must have been Lobular, like mine?
I've just found this site that is an interesting read, specifically on Lobular BC, even tho it is American!
https://www.cancer.org/treatment/understanding-your-diagnosis/tests/understanding-your-pathology-report/breast-pathology/lobular-carcinoma-in-situ.html
It has this bit about Pleomorphic:
Pleomorphic means that the LCIS cells look more atypical under the microscope than the usual case of LCIS. Necrosis means that some of the LCIS cells are dead. LCIS with either of these features (when compared to LCIS without them) may be more likely to grow faster and to spread, and is linked to an even higher risk of invasive cancer. LCIS with either of these features may be treated differently than most cases of LCIS.
I am thinking that it is another term for 'invasive' - which I was told was a faster growing one? Do you remember them telling you yours was Invasive (or seeing it on your Path Report?) Mine was Invasive - but the word Pleomorphic wasn't mentioned?
It could just be a pathologist who enjoys using the 'fancier words'?
Gosh ... deciding on whether to have the other one off or a recon on this one ..... Big decisions. TBH, if I had had a mastectomy, I wouldn't have a recon - as to me it is just more invasive surgery impacting my body. But it is a very personal decision & one that only you can make & have to be comfortable with. The Plastic surgeon's gap mightn't be so low, either!
Did you have a MG or U/S leading up to this review (on the other boob?) Not long til Nov now, tho, I guess. Nov was when my lump was found!
I've just found this site that is an interesting read, specifically on Lobular BC, even tho it is American!
https://www.cancer.org/treatment/understanding-your-diagnosis/tests/understanding-your-pathology-report/breast-pathology/lobular-carcinoma-in-situ.html
It has this bit about Pleomorphic:
Pleomorphic means that the LCIS cells look more atypical under the microscope than the usual case of LCIS. Necrosis means that some of the LCIS cells are dead. LCIS with either of these features (when compared to LCIS without them) may be more likely to grow faster and to spread, and is linked to an even higher risk of invasive cancer. LCIS with either of these features may be treated differently than most cases of LCIS.
I am thinking that it is another term for 'invasive' - which I was told was a faster growing one? Do you remember them telling you yours was Invasive (or seeing it on your Path Report?) Mine was Invasive - but the word Pleomorphic wasn't mentioned?
It could just be a pathologist who enjoys using the 'fancier words'?
Gosh ... deciding on whether to have the other one off or a recon on this one ..... Big decisions. TBH, if I had had a mastectomy, I wouldn't have a recon - as to me it is just more invasive surgery impacting my body. But it is a very personal decision & one that only you can make & have to be comfortable with. The Plastic surgeon's gap mightn't be so low, either!
Did you have a MG or U/S leading up to this review (on the other boob?) Not long til Nov now, tho, I guess. Nov was when my lump was found!