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All TopicsForum: Mixed Type Breast Cancer → Topic: Multifocal or multi centric breast cancer

Topic: Multifocal or multi centric breast cancer

Forum: Mixed Type Breast Cancer — Meet others who have mixed type breast cancer.

Posted on: Oct 29, 2012 08:00PM

deliaxoxo wrote:

I am awaiting surgery but I am expecting a multifocal or multi centric breast cancer diagnosis when I have surgery. There are three spots- the largest is 1.7 to 1.6 cm. I am writing because I would like to hear if you have dealt with a similar diagnosis.only the largest is confirmed. They originally told me that my nodes didn't appear enlarged or anything particular on MRI to indicate metastasis. Now I understand there is likelihood to have positive nodes if multifocal.I was having a hard time, now it is all just compounded. I thought i had lucked out because my tumor was not 2cm. Now i fear i may have a worse prognosis. I just want to be here for my family. I can't find too much information online about multifocal so I am turning here. Thank you all.

What are chances other spots are benign? And do the doctors already know? Can they tell by the MRI? delia

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Nov 19, 2012 06:52PM comingtoterms wrote:

bump

Dx 1/9/2009, IDC, 2cm, Stage IIa, Grade 2, 1/27 nodes, ER+/PR+, HER2-
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Nov 19, 2012 06:59PM jenn333 wrote:

I was multifocal (5 tumors from 0.5mm - 2.1cm), all the same cancer, IDC grade 1. My oncologist said that it looks like it started as DCIS and just invaded in 5 separate places.  Very indolent tumors, low Ki67, low oncotype score.   No node involvement and no chemo.  I had UMX, radiation and am on tamoxifen.  I've never heard the suggestion that multifocal means node involvement.

Hang in there.  You won't know your full picture until after post-surgery pathology but the biology of the tumors is much more important than how many there are.  What else do you know from the pathology that came back from your biopsy (ER, PR, HER2 status, grade, etc.)?

Dx 8/3/2011, IDC, 2cm, Stage I, Grade 1, 0/5 nodes, ER+/PR+, HER2-Surgery 09/14/2011 Mastectomy (Right); Reconstruction: DIEP flap (Right)Radiation Therapy 11/15/2011 ExternalHormonal Therapy 01/28/2012 Tamoxifen
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Nov 19, 2012 08:52PM Blessings2011 wrote:

I was multifocal. I had two areas of DCIS, with two areas of microinvasions of IDC.

At BMX, all margins were clear, as were the three lymph nodes taken during Sentinel Node Biopsy.

I did not need chemo or rads.

Dx 9/15/2011, IDC, <1cm, Stage Ia, Grade 2, 0/3 nodes, ER+/PR+, HER2-Surgery 12/05/2011 Mastectomy (Both); Lymph Node Removal (Left); Reconstruction: Tissue expander placement (Both)Surgery 08/22/2012 Reconstruction: Breast implants (permanent) (Both)Hormonal Therapy 09/05/2012 ArimidexHormonal Therapy 10/22/2013 Femara
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Nov 19, 2012 09:19PM kyliet wrote:

Deliaxoxo. I have posted before on these boards trying to get info on multi-focal with no luck. I hope you get some answers. 

I had one satellite (multi-focal) 3/26 nodes with ECE. My tumour was Grade 1 so originally they said all good, easy treatment etc etc. I am IDC with no DCIS. Doctors seem to brush off the multi subject and say radiotherapy will get any others that may be lurking - multi didnt show on scans. 

General consensus with my Drs is that as long as they get clear margins and you are treated as needed - in my case chemo and radio. the prognosis is no different from 1 tumour. Putting my trust in them.

When life gives you a 100 reasons to cry, show life you have a 1000 reasons to smile. Mulitfocal, ECE, lymph. channel invasion, Chemo. RADs. Arimidex. Monthly Zoladex.

Dx 11/11/2011, IDC, 1cm, Stage IIa, Grade 1, 3/26 nodes, ER+/PR+, HER2-
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Nov 20, 2012 02:03AM Blessings2011 wrote:

Forgot to add that after BMX, my risk of recurrance (local or distant mets) was 1% to 2%. I reduced that risk by 23% just by losing weight, and once I started taking the Aromatase Inhibitor (Anastrozole) I further reduced my risk another 50%. It's now at 0.33%.

Dx 9/15/2011, IDC, <1cm, Stage Ia, Grade 2, 0/3 nodes, ER+/PR+, HER2-Surgery 12/05/2011 Mastectomy (Both); Lymph Node Removal (Left); Reconstruction: Tissue expander placement (Both)Surgery 08/22/2012 Reconstruction: Breast implants (permanent) (Both)Hormonal Therapy 09/05/2012 ArimidexHormonal Therapy 10/22/2013 Femara
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Nov 20, 2012 09:37PM Wren44 wrote:

Mine was multifocal, with the second one found by accident. My onc didn't think that added to my risk. My nodes were clear. Since I had the umx, I didn't need radiation. Chemo was never in the picture. I'm on anastrasole now.

Dx 11/11/2011, IDC, <1cm, stage 1b, Grade 1, 0/3 nodes, ER+/PR-/HER2-. Lumpectomy and SNB 1/4/12. Reexcision for better margins found 2nd IDC >1cm, stage 1b, grade 2, ER+/PR+, HER2-. Mastectomy 2/22/12. Arimidex.

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Nov 27, 2012 09:47PM besa wrote:

http://www.mskcc.org/cancer-care/adult/breast/prediction-tools

Sloan kettering has a prediction tool that can be used to determine the chances of being node positive- of course these are just percentage odds not a crystal ball.   I had a 2.5 cm main tumor and was node negative, no chemo, mastectomy and reconstruction, no radiation, took tamoxifen.  (Oncotype dx test was done using tissue from the main tumor.)

Dx 2007, IDC, 2cm, Stage IIa, Grade 1, 0/1 nodes, ER+/PR+, HER2-
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Jan 21, 2013 02:10PM, edited Jan 21, 2013 02:12PM by lilithmoon

I had multifocal (IDC and DCIS) but it wasn't until after my UniMx that I found out I also had LCIS and ADH all in the same breast.  My 3 sentinel nodes were negative.  My other breast was healthy - I had a hard time deciding whether or not to remove it.  I'll have it augmented for symmetry in 6 months and do the 6 month MRI's.  Hopefully they'll be able to detect an abnormality sufficiently early.  

Multifocal IDC ( 2 tumors 6mm and 4mm), DCIS, LCIS, ADH. OncotypeDX 9.

Dx 11/20/2012, IDC, <1cm, Stage I, Grade 1, 0/3 nodes, ER+/PR+, HER2-Surgery 12/21/2012 Mastectomy (Right); Reconstruction: Breast implants (permanent) (Both)Hormonal Therapy 01/18/2013 Tamoxifen
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Jan 22, 2013 03:20AM Lydiaj96 wrote:

I too had multifocal tumours in both breasts. They had real difficulty finding them all with mammogram and MRI. Biopsy of what they found confirmed both benign and cancerous tumours. Due to allergies I couldn't get a sentinel node biopsy but had multiple lymph nodes removed on both sides. They were all clear! Good luck with yours

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Jan 22, 2013 11:34AM lilithmoon wrote:

I also had benign fibrocystic changes in the same breast, confirmed after two biopsies - and in the same quadrant as the IDC with stuff in between that they weren't sure about.  That's why I did the Mx.  The two tumors were right next to eachother.

Multifocal IDC ( 2 tumors 6mm and 4mm), DCIS, LCIS, ADH. OncotypeDX 9.

Dx 11/20/2012, IDC, <1cm, Stage I, Grade 1, 0/3 nodes, ER+/PR+, HER2-Surgery 12/21/2012 Mastectomy (Right); Reconstruction: Breast implants (permanent) (Both)Hormonal Therapy 01/18/2013 Tamoxifen