Invasive Lobular Cancer - Chemo or not

Hi ALL< 

I was diagnosed with Invasive Lobular Breast Cancer two months ago:

ILC, 22mm, Estrogen positive, Progesterone negative and HR negative. The tumor was removed surgically (mammoplasty) when Sentinal Lymph Node was removed and his biopsy showed that it was negative (he was not infected with cancer). The margins around the tumor were cysts. Genetic analysis (prosigna) showed a "medium" level of cancer recurrence. The PREDICT predictive program (used in England) shows the chances of 10th annual survival:

• Operation 78%

• Chemotherapy 4%

• Hormone therapy 4% (graph attached below)

breast.predict.nhs.uk/tool

 

Reading the latest scientific papers, I know that Invasive Lobular Cancer is present in only 5-10% of all breast cancers and that the prognosis is not as good as for Invasive Ductal Cancer (IDC). I also learned that chemotherapy in ILC is not as successful as in IDC.

 

The Oncology Commission has informed me that I am on the verge of considering the benefits of chemotherapy and it is up to me to decide for or against chemotherapy. Both my parents died relatevely early (64 and 67) of cancer (gastrict cancer and rectocolon cancer). The big decision is now up to me to decide whether to consent to hemotherapy or not.

 

I would be grateful for your comment / and your experience in treating this unusual breast cancer. Thank you!

Parents
  • Hi there,

    I had a 4cm lobular breast cancer. I had a mastectomy followed by 4 sessions of EC chemo. I also had one lymph node involved. I then had 15 sessions of radiotherapy. 

    I had read that chemo wasn't effective for lobular breast cancer but when I queried this I was told that there's no way I'd be given chemo if it was of no benefit (it costs the NHS a fortune so they wouldn't give it for no reason) so, I decided to have it, even if the benefit was small. I also asked about lobular being "worse" than ductal. I can't remember the exact answer but it's something about hormone negative lobular being slightly worse than hormone negative ductal . If it's hormone positive there's really not much difference 

     

  • Thanks Moll

    That's interesting about the hormone comparison and yes some people want chemo but aren't offered it . To me even if it's a small benefit I am going to take it. 

    I have been told I am having 4 EC followed by 4 Pac , wasn't explained why the two different drugs.

    Also having 15 x radiotherapy afterwards

    x

  • Most ladies do seem to have both of those drugs. Or a combination of slightly different drugs. It's always worried me slightly that I only had 4x EC and nothing else. But I just have to trust my team and go with what they said !

    Good luck with your treatments. For what it's worth (I know everyone is different) I had very minimal side effects with my EC. Felt slightly queasy for 20 mins the following morning of each cycle when I first woke up, but other than that I was fine. 

  • How are you Minty? How is your treatment? Hope all is going well. I have finished my radiotherapy 5 days continuing... still debating with my oncologist about chemo... in the meantime discovered i have CHEK2 mutation... let me know how are you ... hugs from Cambridge 

  • you must be very healthy and brave so minimal effect :-) What does EC stands for ? hope you are well and healthy! 

  • Hi there  It stands for Epirubicin cyclophosphamide. That's just the names of the drugs. I am doing really well thank you. Hope you are too x

  • thank you. i am told i will be having 4xTC 

    Taxotere (docetaxel) and cyclophosphamide (TC) given the node negative scenatrion. 

    Also learnt that my tumor is lobular but agreesive: Invasive pleomorphic lobular carcinoma (PLC). and htis is the reason it was classed as Grade 3. This is subtype of invasive lobular cancer which compromises approximately 1% of all epithelial breast malignancies and is characterized by higher nuclear pleomorphism and poorer prognosis than classic invasive lobular cancer (ILC). So chemo is now MUST and I feel good aboout choosing to go for it. 

  • Wishing you all the very best of luck with your treatment. X

Reply Children