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onecent

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Reply with quote  #1 
I read about Anne Romney's new cancer. They said it was a precancer but that it was very aggressive because it was ductal? Is ductal more aggressive? I never heard that before.
Does anyone know?
Thank you,
Penny


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Karen1956

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Reply with quote  #2 
I thought lobular was worse as it is so sneaky. But I am no expert here.
Karen
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Reply with quote  #3 
Hi Penny

I have not heard that either..sorry to hear about Anne

you know the newscasters tend to know very little about

most medical things.....


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Reply with quote  #4 
I have been meaning to write a blog post about this.
Thank you for reminding me, Penny.

Anne Romney was diagnosed with DCIS and she had a lumpectomy.
They interviewed a doctor, who did not treat her, who said that ductal is very dangerous but she didn't really have cancer- but a pre-cancer- and she has nothing to worry about now.

You can imagine the reaction I had to that one.

Ductal is not worse than Lobular and Lobular is not worse than Ductal.
What the doc was trying to say, I think, was that INVASIVE is worse than DCIS.

I also don't agree, and either does the ACS, that DCIS is nothing. They don't even know if she has clear margins yet. It still must be taken seriously and treated seriously. 

The article mentioned she may do rads. I certainly hope so!

But, please, let not your heart be troubled- one is not worse than the other. It all breaks down to your individual pathology- size, nodes, grade, etc.

I pray Mrs. Romney will be OK. She is a lovely woman who is also battling MS.

Love,
g


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StacyL

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Reply with quote  #5 

I was confused when they called my cancer invasive ductal carcinoma in situ. How could in situ be invasive. Apparently there were three tumors varying in size form 2-5 cm. I could only feel one (at first). So, one was DCIS,  one was invasive in the tissue and muscle. That's how I understood it. I may still not understand fully. I do know that it has not left the breast. I did the bone scan, ultrasound, chest x-ray, etc. Thank God. Has anyone gotten this kind of diagnosis? or heard of it? I don't even know about my nodes, because on my MRI it said no evidence of node invasion, but my Onc. said we'll find out for sure when we do surgery. I'm on chemo now. Done with A/C. 2nd Taxol tomorrow (4 total).

Calico

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Reply with quote  #6 
She calls it a "pre" cancer  
http://thecaucus.blogs.nytimes.com/2008/12/05/ann-romney-diagnosed-with-early-stage-breast-cancer/

Also,
the articles below say the same thing.
Then WTH cutting it out???


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onecent

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Reply with quote  #7 
Thank you for clearing this up!!!
Warmly,
Penny


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MicheleS

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Reply with quote  #8 
I haven't read the story but comparing lobular to ductal is like comparing apples to oranges.  They present so differently... I don't know how you could compare.

for instance (just a couple of examples):
1. lobular is difficult to dx by mammogram of even BSE.  It forms sheets of abnormal calls that don't always form a "lump".  Therefore, these can be diagnosed later and have more LN involvment.
2. IDC's can be quick little buggers and pop up between mammogram visits.  However, they are usually in the form of a lump and are better felt during BSE and seem by mammography.  So... there are USUALLY found smaller.  *If* you are unlucky enough to have a fast growing grade 3 IDC... then, you'll have better luck with chemo.  That's pretty cool in cancerland.

But, never forget that cancerland is a freaky place to visit... an ILC lady with a giant tumor has a GREAT chance of being just fine 'cause that ILC tumor could be a lazy one that doen't really want to take a tour of your body.  Those IDC's (grade 3 anyway) are of the traveling sort even when small... therefore the need for chemo.

That was a really rambling explanatin (aided by chemo brain, and steriods, and ativan) but my take home message is that neither is better or worse... there are soooo many factors to consider.

To end with my peeves de jour:
1.  If one more person says (in a pittying voice) "I hear you have the bad one, do you think it will come back after chemo?"  Wouldn't I like to know...
2.  "You know, Christina Applegate was CURED without any thing but surgery, why are you doing that?"  Ummm, I just really like chemo?  ssheesh

I'll have to go back and read the Romney article.
Sorry for rambling
Michele S

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Reply with quote  #9 
Michele, I will add one of my peves...
People saying that we will lose weight with cancer.
That one gets me.
The average weight gain for BC is 18-30 pounds!


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