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Jul 31, 2007 07:04AM
I have both pleomorphic ILC (grade 2)and pleomorphic LCIS. As far as I understand it, pleomorphic doesn't have to do with grade. Rather, it's a subtype of lobular cancer, named b/c of the cell shape (pleomorphic is a general term that means large and round, I think). Some research suggests that pleomorphic lobular cells behave more aggressively than classical lobular cells.
My oncologist said that many pathology labs do not identify the subtype of lobular cancer, and my surgeon said the subtype is more of an issue for the LCIS than for the ILC (as far as the pleoporphic LCIS being a more aggressive marker for future bc than the classical LCIS).
Hope that helps!
Stage IV Pleomorphic ILC, initially diagnosed at age 38
6/7/2007, ILC, Left, 2cm, Stage IV, metastasized to bone, Grade 2, 0/4 nodes, ER+/PR+, HER2- (FISH)
7/19/2007 Lumpectomy: Left; Lymph node removal: Sentinel
12/27/2007 Whole-breast: Breast, Chest wall
3/1/2008 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
4/24/2015, ILC, Left, 1cm, Stage IV, metastasized to other, Grade 2, 0/10 nodes, ER+/PR+
5/15/2015 Mastectomy; Reconstruction (left): Latissimus dorsi flap
2/1/2018, ILC, Right, 6cm+, Stage IV, metastasized to other, Grade 3, ER+/PR+
2/15/2018 Cytoxan (cyclophosphamide), Taxol (paclitaxel), Taxotere (docetaxel)
6/20/2018, ILC, Both breasts, 6cm+, Stage IV, metastasized to brain/bone, Grade 3, ER+/PR+
7/1/2018 Ibrance (palbociclib)
7/17/2020, ILC, Both breasts, 6cm+, Stage IV, metastasized to brain/bone, Grade 2, ER+/PR+, HER2- (FISH)
7/17/2020 Xeloda (capecitabine)
Faslodex (fulvestrant), Zoladex (goserelin)