Multi focal breast cancer

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Hi I understand this is quite rare. I’ve just been diagnosed with multi focal invasive breast cancer in one breast, not picked up until they attempted a lumpectomy for a small DCIS I had in that same breast. I also had invasive breast cancer in the other breast, but that was a more compact, typical lone tumour, which has been removed. The multi focal cancer is odd cells and tiny grains dotted throughout my breast, not specific to any particular tissues and even including the nipple. Having a mastectomy in a few weeks and I wondered if anyone has heard of this? It isn’t the same as micro calcifications that I know we’ve discussed recently. Thanks 

  • Is it quite rare ? I didn't know that. We've conversed about this before. I was told it was complex. Have you seen what it looks like on a mammogram ? I have and it looks like a cloud. I had same as you in other breast as well. 

  • It didn’t show up on the mammogram and wasn’t picked up in biopsies, even in the core biopsy. Presumably my ‘cloud’ was too thin to show up at this stage. It’s interesting to hear you have something similar though thanks

  • Hi my lumpectomy was for a 9mm ductal cancer but it turned out to be 21mm lobular with 2 others that were 3mm and 1.5mm, extensive LCIS and low grade DCIS which weren’t seen on mammogram or ultrasound. Lobular cancer doesn’t stick together in a lump so it’s harder to see on a mammogram if it’s picked up at all and can form in flat non cohesive sheets or it can form into strings, the cancer cells don’t stick together so it’s more likely that there will be multiple bits.

  • That’s really interesting thank you. I suppose because my left sided lobular invasive breast cancer was in a neat ball that that was it’s normal form. But yiur description sounds an awful lot like mine, with DCIS, LCIS and invasive cancer all mixed up. Only I literally have dozens of lesions and microscopic lesions and no bundles of cells at all. I suppose that’s the rare bit of it. But I figure mastectomy should fix it if it’s been caught early enough. 

  • I am sure it will fix it. It's horrible to know there is a mix up of everything, but the main thing is that they can sort it out. It is more unusual to have tumours in both breasts, I knew that much. So annoying also when people keep complaining about their little problems like minor things like sore throats when we have had to endure so much and the investigations are so lengthy and the operation a major one, plus of course the emotional effects.