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Old 01-06-2010, 07:02 PM   #1
Cal-Gal
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Join Date: Jun 2009
Location: Los Angeles, CA
Posts: 309
Re: Invasive Lobular Cancer HER2+ve - anyone else?

I think the nuclear score is part of a 3 part series called an SBR Score

My path shows:

Tubule score+Nuclear score+Mitotic score=SBR Score

I had 4 ILC tumors:
All my Tubules are a 3--and all my Nuclears are a 3---3of4 Mitotics are a 2--and one is a 1.

Evidently the highest SBR Score is 9--I am 8/9 for 3 tumors and 7/9 in one tumor--

I am not sure what tubule-nuclear and mitotic are indicitive of---
__________________
DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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Old 01-06-2010, 07:21 PM   #2
SuePen
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Re: Invasive Lobular Cancer HER2+ve - anyone else?

Mine was grade 3 made up of Nuclear grade 3, tubule formation 3 and Mitoses 3 which add up to 9 - ie grade 3. Just means it's very agressive. That's the highest grade they give.

I also had no lypmhovascular invasion which is apparently good.

It also said I had extensive lobular carinoma in situ surrounding the invasive tumour, so it sounds like it had just started turning bad.

Boy, am I lucky it was found so early, that's all I can say. I was told it was 11mm but it was actually elongated 11mm x 6mm x 7mm which as my husband says is equivalent to a 5mm circular shape.

Now I want an MRI of the other breast seeing lobular is so sneaky, but my onc said nothing would happen while I'm having treatment anyway. But I'll be asking for one later.
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ILC 1.1 cm HER2+ ER+ PR+ Node negative
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