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|LCIS - Lobular Carcinoma In Situ
Questions about lobular carcinoma in situ.
|Asked||Publicly Submitted Question|
|5/19/2011||I was diagnosed with LCIS in 1995 and had a modified radical mastectomy right breast(clear nodes) and was cancer free until 2007. In 2007, I was diagnosed with DCIS in the left breast, had a mastectomy and was told nodes were clear. Later was told that one node was diagnosed with invasive lobular carinoma, they then reexamined the breast tissue and found a minute spot of invasive lobular carcinoma.|
Both times I received chemo.
I just was diagnosed with invasive lobular carcinoma in the skin of the right breast near the mastectomy scar. It looked and felt like a blind pimple. The doctors are calling this a local recurrence.
My question is this, can LCIS 16 years ago cause a local recurrence of invasive lobular carcinoma? Or is it from the other breast?
They are suggesting I get treated by radiation. Wat do you think?
|Replied||JHU's Breast Center Reply|
|5/19/2011||sorry you are dealing with all of this again. you would not have had just LCIS however the first go round. LCIS is not cancer. it is only a marker for increased risk. Given you had chemo as well, makes it highly probable that you had invasive lobular the first time. Then in 2007, you had to have invasive disease of some kind (lobular or ductal) to have a positive node. now you have recurrence in the skin. Before doing radiation, get a second opinion as to whether it is also recommended to excise this skin area. that is commonly done before radiation happens in such cases. if you want to come to us, do. 443-287-2778. you also want your pathology re-read as well to verify for 1995, 2007 and now the accuracy of these findings in all three cases. probably a scan would be in order too to check your internal mammary nodes. if you call, simply tell sheila that you had email with Lillie this evening and i recommended you see surgical oncology, and radiation oncology. if you have had reconstruction done then we should add plastics to the team to see you-- a multidisciplinary team of doctors who specialize in breast cancer seeing you all together. terrific way to get answers to your needed situation.|
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