Invasive lobular cancer & LICAP & mastectomy

Hi, am posting under this heading as couldn’t see many quoting it when I searched. I have a diagnosis of invasive lobular cancer in one boob. The other boob and lymphs show clear on MRI (thank goodness). 

After initial results meeting where treatments were discussed I had been looking at lumpectomy with possible LICAP. Now been advised mastectomy the better option but is my choice. 

Can I ask for replies from people with lobular cancer - it appears it can be a little so and so. 

Anyone had LICAP?  Thoughts/experiences?At same time as lumpectomy or delayed? Radiotherapy impact on LICAP?

Comments welcome from those who chose a mastectomy over lumpectomy as opposed to being told mastectomy/lumpectomy only.

Post mastectomy reconstruction decisions. Thoughts on own tissue versus implants. Not sure I want the hassle of another surgery site? But also like the idea of it being from me and not a foreign body so to speak  

Oh and I should mention I am small breasted - any lump removed (mine is 30mm) is still a pretty sizeable amount to remove from what little there is to start with.  Keep thinking being smaller should make the decision just to opt for mastectomy and possibly no reconstruction even easier!  Though of course am looking at all reconstruction options too.

Sorry this is a bit of a brain dump  but am sure we have all been through this horrible Ito was of deciding what for the best.  Ooh my brain hurts .  That’s a relatively young (!?!) 50 year old brain btw  

wishing you all well on your journeys and peace in your decision making x

 

  • Hi Neenj,

    I can't help with the first bit but can give some opinion on the second.

    I had no choice but to have a mastectomy with reconstruction using an implant (not enough fat to use my own tissue apparently).  Initially I would have preferred reconstruction using my own tissue for the same reasons as you and the fact that things like 'alien products inside me' trigger my depression.  This would be to the extent that I could end up attacking my own breast just to get rid of it.  However, I have come to realise that we don't actually feel most of our breast tissue, any sensation is actually on the skin and that sensation is retained even with having an implant.  Makes sense really since our breasts are mainly fat anyway and fat doesn't feel.  So thankfully I am not remotely aware of having anything 'alien' inside my breast, except that I know it's an implant, thankfully there is no feeling of it being different.  My surgery had a great result and I've healed well.

    My mum, on the other hand, was able to have her mastectomy reconstruction from her own tissue, she also had a great result and healed well.

    I guess one downside is that any tissue of your own can develop cancer where the implant can't, but the chances of it are so slim anyway.  There are potential downsides to the implant in the sense of lifespan etc. but the warnings all err very much on the side of caution.

    So it really is personal choice and maybe one way to look at it is to see which type of surgery your surgeon has best results with?  Still, if your main reason for being against implant is the sensation of something alien inside you then thankfully I can state that it isn't like that at all.  Good for me as my only other option was to have no reconstruction and then I'd have to buy a whole new wardrobe.

    Best wishes with your decision-making.

    LJx

  •  

    Hi Neenj,

    This is a difficult decision. I have had 2 bouts of mucinous breast cancer in the past 8 years. First time around I had a lumpectomy, followed by Tamoxifen. A year later I had a double mastectomy, followed by Letrozole. I felt much better after my mastectomies, as I felt that I had done all that I could to get rid of the cancer. Due to having previous surgery, I was not a suitable candidate for reconstruction. 

    I have managed well with my prostheses and have a selection for different purposes. I still manage to go swimming and to the gym every week, without being too self-conscious.

    I hope that this can help you in your decision making.

    Kind regards,

    Jolamine xx

     

     

     

     

     

  • Thank you Twintwo for taking time to reply to my ramblings. It’s good to hear others’s Stories and really does help to read of different perspectives and experiences. 

    Still not really decided but am just absorbing info at the mo. Hoping for that epiphany moment....  

     

    i hope your journey is going well x

  • Hi Jolamine

    Really good to hear from you. Must confess I’ve been following your GB&U page since first receiving my recall following mammogram. I’ve dipped in and out and you and the other ladies helped me loads. Was good to see such honesty and humour winning through such horrible moments. Such support, even, from afar is fabulous. Warms the cockles

    not sure what I will decide as yet. But talking about it definitely helps. Tis difficult when there is no black and white path to choose between. Shall await my epiphany whilst trying to assess my own personal pros and cons. 

    Thank you once again for your reply. I really do appreciate you sharing your story - and boy is it a story and half!  

    Take good care x

  •  

    Hi Neenj,

    One advantage of not having reconstruction is that you can vary your bust size whenever you want. I was the opposite to you and always had big breasts. Now I can go without anything in the house to different rostheses to suit the occasion.

    Do you have a timescale to make your decision by? Only you can make this decision. By all means listen to all viewpoints, but then decide yourself, as you'll have to be happy with whatever decision you reach for the rest of your days. This is one of the many problems with cancer, nothing is black and white.

    I hope that you reach the right decision for you.

    Kind regards,

    Jolamine xx