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Medical Forum / Diseases and Disorders / Breast Cancer / August 2004

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Lobular

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Ruth - 10 Aug 2004 00:59 GMT
What are the stats on lobular recurring in the other side of the breast and
would it be beneficial to just go ahead and have another mastectomy.  Does
insurance pay for something like this?

Ruth
ABdikjse - 10 Aug 2004 03:17 GMT
Ruth,

Don't know if this will help much or not. When I had my bilateral it was due to
lobular and the stats then were about 13-15% for recurrence in opposite breast
(IF I'm remembering correctly!) -- S ince then, I understand new studies have
been done and the chance of that happening are actually a lower percentage.
Just don't know how much less.

I finally chose bilaterals for 'even-ness' -- ie: thinking of the time was,
came in flat chested, so why not go out the same way. --- Turned out to be the
right decision because the opposite breast was in pre-cancerous stages (which
didn't show up on mammograms... they didn't do ultrasound, MRI or pet ). --
Yes, insurance paid for it.

Good luck in your decision making. I haven't been sorry ..felt I did what was
right for ME at the time, and only later was it proven it was the right choice
all around.

Take care, namaste,
Adrienne
Kaye301 - 10 Aug 2004 03:57 GMT
Hi Ruth, I had invasive lobular and opted for a bilateral.  Mine was dx'd 9
mos. after a supposed normal mammogram.  Within a day or so after that mammo I
found a hardened area which I showed my dr--who reminded me that the mammo was
normal.   9 mos. later I developed pain in one breast and 10 days after that my
nipple began changing.  A  new mammo showed what appeared a mass that was
highly suspicious of b.c. in same area that I pointed out after that last
supposedly normal mammo.
I did  the bilateral because lobular is the type that is more likely to recur
on the other side and because of a bad family hx of breast cancer.  At the last
moment I wondered if I were doing the 'right' thing, so I posed the following
question to my surgeon at my pre-op appt.  I was told that the lobular had been
growing for the past 5 to 10 years before I felt it and it showed up on the
mammo.  For the previous 10 years the mammos had been normal.  So, I
asked--since my last mammo showed an area that was suspicious and proved to be
malignant in one breast and it supposedly has been there for the past 5 to 10
yrs but wasn't showing up on the mammo, could it not still be possible that
even though this most recent mammo was normal for the other breast, couldn't
the same thing be happening in that breast too?  My surgeon quickly said,
"yes."  I went ahead without any regrets.
I have read (research article or professional discussion re lobular) that some
dr.'s/researchers view the breast in cases of lobular as a single entity or
organ with two mouths.  Lobular grows in sheets and appears as thickenings
rather than as tumors and it is hard to detect through a mammogram.  From what
I have recently read, it is easier to detect through an MRI>
DOANDRI - 10 Aug 2004 19:11 GMT
Hi Ruth,

I had invasive lobular in my right breast and had a lumpectomy - actually was
called wide excision. All was well till my mammo one year later when LCIS was
found in the left breast. I could have just waited and watched but opted for
bilateral mastectomies with no reconstruction and have been adapting to
dressing with a flat chest ever since with no regrets. You definitely get more
skilled with time! It's a hard decision to make; I talked to everyone I knew
just to get my own feelings to gel - and finally they did...  Write if you have
any more questions.
Doris
 
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