Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
| Forum | Questions | Ask a Question | |
|---|---|---|---|
 |
LCIS - Lobular Carcinoma In Situ Questions about lobular carcinoma in situ. |
142 |  |
| Asked | Publicly Submitted Question | ||
|---|---|---|---|
| 2/13/2011 | Hi Lillie! Pathology from lumpectomy showed ILC (0.7cm removed with clean margin but additional area noted in sample so need re-excision). It also showed extensive LCIS - classic type. Is there more than one type of LCIS? What does "classic" type mean?My surgeon said I have "the kind of LCIS that always turns into cancer" so recommends mastectomy. Second opinion doctor said to treat the ILC and ignore the LCIS. He recommends re-excision with sentinel node biopsy followed by radiation. How will the radiation effect the LCIS cells?Background: Grade 1, 5/9 ER+ PR- HER2- 62 yearsMany many thanks for providing this service which is so helpful to so many. | ||
| Replied | JHU's Breast Center Reply | ||
| 2/13/2011 | LCIS -- there's just one kind per se. And the majority of women with LCIS never get breast cancer. It also doesn't turn into breast cancer. it actually can't. That said, sound like doctor #2 is following standard of care! re-excision. radiation. There is also no need to surgically remove all LCIS. it is merely a marker for risk. nothing more. Great to see grade 1. great to see some estrogen receptivity. great to see HER2 negative!!! so hormonal therapy will probably happen post radiation. be well dear! | ||
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.