Description

Invasive lobular carcinoma is a type of breast cancer that begins as a growth of the cells in the milk-producing glands of the breast. These glands are called lobules.

Invasive cancer means that the cancer cells have broken out of the lobule where they began and spread into the breast tissue. The cells have the potential to spread to the lymph nodes and other areas of the body.

Invasive lobular carcinoma makes up a small portion of all breast cancers. The most common type of breast cancer begins in the ducts of the breast. This type is called invasive ductal carcinoma.

Symptoms

In the first place, invasive lobular carcinoma can cause signs and symptoms. As it grows, invasive lobular carcinoma can cause:

  • A change in the texture or appearance of the skin over the breast, such as dimpling or thickening.
  • A new area of fullness or swelling in the breasts.
  • A newly inverted nipple.
  • An area of thickening in part of the breast.

Invasive lobular carcinoma is less likely to cause a company or other lump in the breast than other types of breast cancer.

When to see a doctor

Make an appointment with a doctor or other health care professional if you notice a change in your breasts. Changes to look for may include a lump, an area of puckered or otherwise unusual of the skin, thickening of the region under the skin, and nipple discharge.

Ask your health care professional when you should consider the possibility of breast cancer screening and how often it should be repeated. Most health professionals recommend that you consider routine screening for breast cancer beginning in their 40s.

Causes

It is not clear what causes invasive lobular carcinoma.

This form of breast cancer begins when cells in one or more milk-producing glands of the breast to develop changes in their DNA. A cell's DNA contains the instructions that tell the cell what to do. In healthy cells, the DNA contains the instructions to grow and multiply at a set rate. The instructions that tell cells to die at a set time. In cancer cells, changes in DNA to give different instructions. The changes, to tell the cancer cells to make many more cells quickly. Cancer cells can continue living when healthy cells would die. This makes too many cells.

Invasive lobular carcinoma of the cells tend to invade the tissue of the breast by diffusion rather than forming a firm lump. The affected area may have a different appearance from the surrounding breast tissue. The area can feel more like a thickening and fullness, but it is unlikely that feels like a lump.

Risk factors

Risk factors for invasive lobular carcinoma appear to be similar to risk factors for breast cancer in general. Factors that may increase the risk of breast cancer include:

  • A family history of breast cancer. If a parent, brother or son had cancer of the breast, the risk of breast cancer is higher. The risk is higher if her family has a history of breast cancer at an early age. The risk is also greater if you have multiple family members with breast cancer. Even so, the majority of people diagnosed with breast cancer do not have a family history of the disease.
  • A personal history of breast cancer. If you have had cancer in one breast, you have a higher risk of developing cancer in the other breast.
  • A personal history of breast conditions. Certain breast conditions are signs that you have a higher risk of breast cancer. These conditions include lobular carcinoma in situ, also called LCIS and atypical hyperplasia of the breast. If you have had a breast biopsy that found one of these conditions, you have a higher risk of breast cancer.
  • In the beginning of your period at a younger age. In the beginning of your menstrual period before age 12 increases your risk of breast cancer.
  • Beginning menopause at an older age. Starting menopause after age 55 increases the risk of breast cancer.
  • The fact of being a woman. Women are much more likely than men to suffer from breast cancer. Everyone is born with some breast tissue, so anyone can get breast cancer.
  • Dense breast tissue. The tissue of the breast is composed of fatty tissue and dense fabric. Dense tissue is made up of milk glands, milk ducts and fibrous tissue. If you have dense breasts, you have more dense tissue than fatty tissue in their breasts. Having dense breasts may make it more difficult to detect breast cancer on a mammogram. If a mammogram showed that they have dense breasts, your risk of breast cancer is higher. Talk with your health care team about other tests you might have in addition to mammograms to detect breast cancer.
  • The consumption of alcohol. Drinking alcohol increases the risk of breast cancer.
  • Having your first child at an older age. Give birth to your first child after 30 years of age may increase the risk of breast cancer.
  • Having never been pregnant. Having been pregnant one or more times, reduces the risk of breast cancer. Never having been pregnant increases the risk.
  • Inherited changes in the DNA that increase the risk of cancer. Certain changes in DNA that increase the risk of breast cancer can be passed from parents to children. Two changes in the DNA associated with an increased risk of invasive lobular carcinoma include BRCA2, and CDH1. BRCA2 increases the risk of breast cancer and ovarian cancer. CDH1 increases the risk of breast cancer and stomach cancer. CDH1 is closely associated with a rare inherited disorder called hereditary diffuse gastric cancer syndrome.
  • Hormone therapy for the menopause. Taking certain medications for hormonal therapy to control the symptoms of menopause can increase the risk of breast cancer. The risk is linked to the hormone therapy medications that combine estrogen and progesterone. The risk decreases after you stop taking these medicines.
  • Obesity. People with obesity have a higher risk of breast cancer.
  • Advanced age. Your risk of breast cancer increases with age. Invasive lobular carcinoma tends to occur at an advanced age in comparison with other types of breast cancer.
  • The exposure to radiation. If you have received radiation treatments to your chest as a child or a young adult, your risk of breast cancer is higher.

Prevention

Make changes in your everyday life can help to reduce the risk of invasive lobular carcinoma and other types of breast cancer. Try:

Ask about breast cancer screening

Talk with your doctor or other health care professional about when to start screening for breast cancer. Ask about the benefits and risks of the test. Together, you can decide which screening tests for breast cancer are right for you.

Become familiar with your breasts through breast self-exam

You can choose to become familiar with their breasts from time to time inspection of them during a breast self-exam for breast awareness. If there is a new change, a lump or something that is not typical in their breasts, and report to a health care professional immediately.

Breast awareness can't prevent breast cancer. But it can help to better understand the look and feel of your breasts. This may make it more likely that you'll notice if something changes.

Drink alcohol only in moderation, if at all

If you choose to drink alcohol, limit the amount you drink to no more than one drink per day. For the prevention of breast cancer, there is no safe amount of alcohol. So if you are very concerned about your risk of breast cancer, you can choose not to drink alcohol.

Exercise most days of the week

Try to do at least 30 minutes of exercise most days of the week. If you haven't been active lately, consult with a medical professional if you feel well and start slowly.

Limit of hormone therapy for menopause

The combination of hormone therapy may increase the risk of breast cancer. Talk with a health professional about the benefits and risks of hormone therapy.

Some people have symptoms during menopause, causing discomfort. These people may decide that the risks of hormone therapy are acceptable in order to obtain relief. To reduce the risk of breast cancer, the use of the lowest dose of hormone therapy possible for the least amount of time.

Maintain a healthy weight

If your weight is healthy, work to maintain that weight. If you need to lose weight, consult with a health care professional about the healthy ways to lose your weight. Eating fewer calories, and gradually increase the amount of exercise.

Talk with a health professional about your risk of cancer

If you have a family history of breast cancer, or feel that you may have an increased risk of breast cancer, talk with your health care professional. Preventive medicine, surgery, and more frequent screening may be options for people with a high risk of breast cancer.

Diagnosis

Diagnose invasive lobular carcinoma and other types of breast cancer often begins with a review and an analysis of their symptoms. Imaging tests can be seen in the tissue of the breast to everything that is not typical. To confirm if there is cancer or not, of a sample of tissue is removed from the breast to the test.

The breast exam

During a clinical breast exam, a health care provider looks at your breasts searching for something that is not typical. This could include changes in the skin or the nipple. Then, the health care professional feels the breast for lumps. The health professional also feels along the collarbone and around the armpits for lumps.

Mammography

A mammogram is an x-ray of the breast tissue. Mammograms are commonly used for the detection of breast cancer. If a screening mammogram is something relative, you might have another mammogram to look at the area more closely. This in more detail mammogram is called a diagnostic mammogram. It is often used to closely look at both breasts. Invasive lobular carcinoma is less likely to be detected on a mammogram than other types of breast cancer are. Even so, a mammogram is a diagnostic utility of the test.

Breast ultrasound

The ultrasound uses sound waves to make pictures of structures inside the body. A breast ultrasound can give to your health care team for more information about a breast lump. For example, an ultrasound can show if the tumor is a solid mass or a fluid-filled cyst. The health care team uses this information to decide what tests you might need next. Invasive lobular carcinoma may be more difficult to detect with ultrasound than other types of breast cancer.

Magnetic resonance imaging of the breast

The machines of magnetic resonance imaging uses a magnetic field and radio waves to create pictures of the inside of the body. A magnetic resonance imaging of the breast can make more detailed images of the breast. Sometimes this method is used to observe closely to any other type of cancer in the affected breast. It can also be used to detect the cancer in the other breast. Before a breast mri , you will usually receive an injection of dye. The dye helps the tissue to see better in the pictures.

Breast biopsy

A biopsy is a procedure to remove a sample of tissue for testing in a lab. To obtain the sample, a healthcare professional is often a needle is inserted through the skin and the breast tissue. The health care professional guides the needle through the images created with X-rays, ultrasound, or other types of images. Once the needle reaches the right place, the health care provider uses a needle to remove tissue from the breast. Often, a marker is placed at the location where the tissue sample was removed. The small metal marker is displayed in the test image. The marker helps your health care team to monitor the area of interest.

Testing cells in the laboratory

The tissue sample from a biopsy goes to a laboratory for analysis. The tests can show if the cells in the sample are cancerous. Other tests give information about the type of cancer and how quickly it is growing. The results of these tests tell your health care team if you have invasive lobular carcinoma.

Special tests to give more details on the cancer cells. For example, the tests for the hormone receptors on the surface of the cells. Your health care team uses the results of these tests to make a treatment plan.

Staging of breast cancer

Once your health care team diagnosed invasive lobular carcinoma, may do other tests to find out the extent of the cancer. This is called the stage of the cancer. Your healthcare team uses the stage of the cancer to understand your prognosis.

Complete information about your stage of cancer may not be available until after breast cancer surgery.

Tests and procedures used to stage invasive lobular carcinoma may include:

  • Blood tests, such as a complete blood count and tests to show how well the kidneys and liver are working.
  • Bone scan.
  • Computed tomography.
  • The magnetic resonance imaging .
  • The positron emission tomography scan, also called a PET.

Not everyone needs all of these tests. Your health care team picks the right of the tests based on your specific situation.

The stages of invasive lobular carcinoma are the same as the steps for other types of breast cancer. Breast cancer stages range from 0 to 4. A lower number means the cancer is less advanced and more likely to be cured. Stage 0 breast cancer is the cancer that is contained within a duct of the breast. He has not broken to invade the tissue of the breast yet. As the cancer grows in the breast tissue, and it becomes more advanced, the stages get more. A stage 4 breast cancer means that the cancer has spread to other parts of the body.

Treatment

The treatment for invasive lobular carcinoma often begins with surgery to remove the cancer. Most people with breast cancer have other treatments after surgery, such as radiation, chemotherapy, and hormone therapy. Some people may have chemotherapy or hormone therapy before surgery. These medications can help reduce the cancer and make it easier to remove.

Invasive lobular carcinoma treatment is very similar to the treatment of other types of breast cancer. Some things may be different with this type of cancer are:

  • The majority of invasive lobular carcinomas are sensitive to hormones. Breast cancers are sensitive to hormones are likely to respond to hormone-blocking treatments. This type of treatment is called hormone therapy or endocrine therapy.
  • The majority of invasive lobular carcinomas do not make extra HER2. HER2 is a protein that some healthy breast cells do. Some breast cancer cells develop changes that will make them do a lot of extra HER2. The treatments can target the cells that are making the extra HER2. Invasive Lobular carcinomas are less likely to commit extra HER2, so they are less likely to respond to this treatment.

Your treatment plan will depend on many factors. Your health care team considers the stage of the cancer and how quickly it is growing. Your health care team also considers your overall health and what you prefer.

Breast cancer surgery

Surgery for invasive lobular carcinoma usually involves a procedure to remove the breast cancer and a procedure to remove some of the lymph nodes nearby. The options include:

  • Extraction of breast cancer.A lumpectomy is surgery to remove the invasive lobular carcinoma, and part of the healthy tissue around it. The rest of the breast tissue is not removed. Other names for this surgery are breast-conserving surgery and wide local excision. Most of the people who have a lumpectomy, also the therapy with radiation. Lumpectomy could be used to remove a small cancer. Sometimes you may have chemotherapy before surgery to shrink the cancer so that the lumpectomy is possible.
  • The removal of all the breast tissue.A mastectomy is surgery to remove all breast tissue from a breast. The most common mastectomy procedure of total mastectomy, also called simple mastectomy. This procedure eliminates nearly all of the breast, including the lobules, ducts, fatty tissue and skin, including the nipple and areola. Mastectomy can be used to remove a large invasive lobular carcinoma. It may also be necessary when there are multiple areas of cancer in one breast. You could have a mastectomy if you can't or don't want to radiation therapy after surgery. Some of the new types of mastectomy procedures may not remove the skin or the nipple. For example, a skin-sparing mastectomy leaves the skin. A type of mastectomy leaves the nipple and the skin around it, called the areola. These new operations can improve the appearance of the breast after the surgery, but there are options for all tastes.
  • Removing a couple of lymph nodes. A sentinel lymph node biopsy is a surgery to remove some lymph nodes of the test. When invasive lobular carcinoma and other types of breast cancer spread, they often go to the nearby lymph nodes first. To see if the cancer has spread, a surgeon removes some of the lymph nodes near the cancer. If no cancer is found in lymph nodes, the chance of finding cancer in any of the other lymph nodes is small. There are No other nodes need to be removed.
  • Removal of several lymph nodes. Axillary lymph node dissection is an operation to remove many of the lymph nodes of the armpit. Your breast cancer surgery may include this operation if imaging tests show that the cancer has spread to the lymph nodes. Can also be used if the cancer is found in a sentinel lymph node biopsy.
  • The removal of both breasts. Some people who have invasive lobular carcinoma in one breast may choose to have the other breast removed, even if you do not have cancer. This procedure is called a contralateral prophylactic mastectomy, or a risk-reducing mastectomy. Could be an option if you have a high risk of developing cancer in the other breast. The risk may be higher if you have a strong family history of cancer or changes in the DNA that increase the risk of cancer. The majority of people with breast cancer in one breast will never get cancer in the other breast.

Extraction of breast cancer. A lumpectomy is surgery to remove the invasive lobular carcinoma, and part of the healthy tissue around it. The rest of the breast tissue is not removed. Other names for this surgery are breast-conserving surgery and wide local excision. Most of the people who have a lumpectomy, also the therapy with radiation.

Lumpectomy could be used to remove a small cancer. Sometimes you may have chemotherapy before surgery to shrink the cancer so that the lumpectomy is possible.

The removal of all the breast tissue. A mastectomy is surgery to remove all breast tissue from a breast. The most common mastectomy procedure of total mastectomy, also called simple mastectomy. This procedure eliminates nearly all of the breast, including the lobules, ducts, fatty tissue and skin, including the nipple and areola.

Mastectomy can be used to remove a large invasive lobular carcinoma. It may also be necessary when there are multiple areas of cancer in one breast. You could have a mastectomy if you can't or don't want to radiation therapy after surgery.

Some of the new types of mastectomy procedures may not remove the skin or the nipple. For example, a skin-sparing mastectomy leaves the skin. A type of mastectomy leaves the nipple and the skin around it, called the areola. These new operations can improve the appearance of the breast after the surgery, but there are options for all tastes.

Complications of breast cancer surgery depends on the procedures you choose. All operations have a risk of pain, bleeding, and infection. Removal of the lymph nodes in the armpit carries a risk of arm swelling, called lymphedema.

You may choose to have breast reconstruction after the mastectomy surgery. Breast reconstruction is surgery to restore the shape of the breast. The options may include the reconstruction with a breast implant or reconstruction using your own tissue. Consider asking your health care team for a referral to a plastic surgeon before your surgery for breast cancer.

Hormone therapy

Hormone therapy, also called endocrine therapy, which uses drugs to block certain hormones in the body. It is a treatment for breast cancers are sensitive to hormones estrogen and progesterone. Health professionals call these types of cancer positive for estrogen receptor and progesterone receptor positive. Cancers are sensitive to hormones, the use of hormones to fuel your growth. Blocking the hormones can cause cancer cells to shrink or die. The majority of invasive lobular carcinomas are hormone-sensitive, so they are likely to respond to this treatment.

Hormone therapy is often used after surgery and other treatments. It can lower the risk that the cancer will come back.

If invasive lobular carcinoma spreads to other parts of the body, the hormonal therapy can help to control it.

Treatments that can be used in hormone therapy include:

  • Medications that block the hormones attach to the cancer cells. These medications are called selective modulators of the estrogen receptor.
  • Medicines that stop the body from producing estrogen after menopause. These medications are called inhibitors of aromatase.
  • Surgery or medicines to prevent the ovaries from producing hormones.

Sometimes hormone therapy drugs are combined with drugs for targeted therapy. This combination can make the hormone therapy more effective.

Hormone therapy side effects depend on the treatment you receive. Side effects can include hot flashes, night sweats, and vaginal dryness. More serious side effects include the risk of thinning of the bones and blood clots.

Radiation therapy

Radiation therapy treats cancer with powerful rays of energy. The energy can come from X-rays, protons or other sources.

The radiation that is used to treat invasive lobular carcinoma and other types of breast cancer is the frequency of external-beam radiation. During this type of radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body. Less frequently, the radiation can be placed inside the body. This type of radiation is known as brachytherapy.

Radiation therapy is often used after surgery. It can kill cancer cells that may remain after surgery. The radiation reduces the risk of the cancer coming back.

Side effects of radiation therapy include feeling very tired and having a sunburn-like rash where the radiation is aimed. The tissue of the breast may also be swollen or feels firmer. Rarely, more serious side effects can occur. These include damage to the heart or to the lungs. Very rarely, a new cancer can grow in the treated area.

Chemotherapy

Chemotherapy treats the cancer with strong medications. Many chemotherapy drugs exist. The treatment often involves a combination of chemotherapy drugs. Most are administered through a vein. Some are available in pill form.

Chemotherapy for invasive lobular carcinoma and other types of breast cancer is often used after surgery. You can kill any cancer cells that may remain and reduce the risk of the cancer coming back.

Sometimes chemotherapy is given before surgery for invasive lobular carcinoma and other types of breast cancer. Chemotherapy can reduce the cancer of the breast, so that it is easier to remove. Chemotherapy before surgery could also control the cancer that spreads to the lymph nodes. If the lymph nodes do not show signs of cancer after chemotherapy, surgery to remove many of the lymph nodes may not be necessary. How the cancer responds to chemotherapy prior to surgery to help the health professionals to make decisions about what treatments may be needed after the surgery.

When the cancer spreads to other parts of the body, chemotherapy may help to control it. Chemotherapy can relieve the symptoms of advanced cancer, such as pain.

Side effects of chemotherapy depend on the drugs you receive. Common side effects include hair loss, nausea, vomiting, feeling very tired and have a greater risk of getting an infection. Rare side effects can include premature menopause, and nerve damage. On very rare occasions, certain chemotherapy drugs can cause cancer of the blood cells.

Targeted therapy

Targeted therapy uses drugs that attack specific chemicals in cancer cells. By blocking these chemicals, specific treatments can cause cancer cells to die.

The most common drugs of targeted therapy for breast cancer target the HER2 protein. Some breast cancer cells make extra HER2. This protein helps cancer cells grow and survive. Targeted therapy medicine attacks the cells that are making the extra HER2 and does no harm to healthy cells. The majority of invasive lobular carcinomas do not make extra HER2, so that little is likely to respond to treatments that target HER2.

Many other targeted therapy drugs for the treatment of breast cancer. The cancer cells can be tested to see if these medications can help.

The targeted therapy drugs may be used before surgery to reduce the size of a breast cancer and make it easier to remove. Some are used after surgery to decrease the risk that the cancer will come back. Others are used only when the cancer has spread to other parts of the body.

Alternative medicine

There is No alternative medicine treatments have been found to cure invasive lobular carcinoma or other types of breast cancer. But the complementary and alternative medicine therapies may help you cope with the side effects of treatment.

Alternative treatments for hot flashes

Hot flashes are episodes of sudden, intense heat, which can leave you sweaty and uncomfortable. They can be a symptom of the natural menopause or a side effect of hormonal therapy for breast cancer. Hormone therapy, also called endocrine therapy, is often used to treat invasive lobular carcinoma.

Talk with your health care professional if you are experiencing hot flashes. Many of the conventional treatments are available for hot flashes, including drugs.

If treatments for hot flashes don't work as well as you'd like, it might help to add complementary and alternative treatments to help you feel better.

The options may include:

  • Acupuncture.
  • Hypnosis.
  • Meditation.
  • Relaxation techniques.
  • The Tai chi.
  • Yoga.

While none of these alternative treatments have been shown to help control hot flashes, the evidence shows that some of the breast cancer survivors find them useful.

If you are interested in trying alternative treatments for hot flashes, talk with your health care team about your options.

Coping and support

Some breast cancer survivors say that their diagnosis is felt overwhelming at first. It can be stressful to feel overwhelmed right when you need to make important decisions about your treatment. In time, you will find ways to cope with your feelings. Until you find what works for you, it might help:

Learn enough about invasive lobular carcinoma to make decisions about your care

If you want to know more about your cancer, ask your health care team for the details. Write down the type, stage, and hormone receptor status. Ask for good sources of information where you can learn more about your treatment options.

To know more about cancer and your options can help you feel more confident when making treatment decisions. Even so, some people don't want to know the details of your cancer. If this is how you feel, that your care team that also.

Keep your friends and family close

Your family and friends can provide a crucial support network for you during your cancer treatment.

As you start to tell people about your diagnosis of breast cancer, the more likely it is to get a lot of offers of help. Think about the future, about things that you may need help with. Examples include listening when you want to talk or helping with the preparation of meals.

Connect with other people with cancer

You may find that it is helpful and encouraging to talk with other people who have been diagnosed with breast cancer. Contact with a cancer support organization in your area to find out about support groups near you or online. In the united States, you might start with the American Cancer Society.

Find someone to talk to about your feelings

Find a friend or family member who is a good listener. Or speak with a member of the clergy or a counselor. Ask your health care team for a referral to a counselor or other professional who works with people who have cancer.

Take care of yourself

During your treatment, allow yourself time to rest. Take good care of your body by getting enough sleep to wake up feeling rested and for taking the time to relax. Choose a diet full of fruits and vegetables and be physically active as you are able. Try to keep at least part of the daily routine, including social activities.

Preparing for your appointment

Make an appointment with a doctor or other health care professional if you have any symptoms that worry you. If an exam or imaging test shows that you might have invasive lobular carcinoma, your health care team is likely to see a specialist.

Specialists who care for people with breast cancer include:

  • Breast health specialists.
  • Breast surgeons.
  • Doctors who specialize in diagnostic tests, such as mammograms, called radiologists.
  • Doctors who specialize in the treatment of cancer, called oncologists.
  • The doctors who treat cancer with radiation, called radiation oncologists.
  • Genetic counselors.
  • The plastic surgeons.

What you can do to prepare

  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Write your family history of cancer. Note any of the members of the family who have had cancer. Keep in mind that each member has to do with you, the type of cancer, the age at the time of diagnosis, and if each person survived.
  • Make a list of all medications, vitamins or supplements you are taking.
  • Maintain all records related to the diagnosis and treatment of cancer. Organize your records in a binder or folder that you can take to your appointments.
  • Consider the possibility of a family member or friend. Sometimes it can be difficult to absorb all of the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write questions to ask their health professional.

Questions to ask your doctor

Your time with your health care professional is limited. Prepare a list of questions so that you can make the most of your time together. A list of questions from most important to least important in case time runs out. For invasive lobular carcinoma, some basic questions to ask include:

  • Do I have breast cancer?
  • What is the size of my breast cancer?
  • What is the stage of my breast cancer?
  • Will I need additional tests?
  • How will the tests help determine the best treatment for me?
  • What are the options of treatment for my cancer?
  • What are the side effects of each treatment option?
  • How will each option of treatment affect my daily life? Can I keep working?
  • There is a treatment that we recommend over the others?
  • How do you know that these treatments will benefit me?
  • What would you recommend to a friend or family member in my situation?
  • How much time will I have to make a decision about the treatment for cancer?
  • What happens if I don't want cancer treatment?
  • What will be the treatment of cancer of cost?
  • Does my insurance plan cover the tests and the treatment you are recommending?
  • Should I seek a second opinion? Will my insurance cover it?
  • Are there brochures or other printed material that I can take with me? What are the websites and books I recommend?

In addition to the questions you have prepared, do not hesitate to ask other questions to think about during your appointment.

What to expect from your doctor

Be prepared to answer some questions about your symptoms and your health, such as:

  • When did you first begin experiencing symptoms?
  • The symptoms been continuous or occasional?
  • How severe are the symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
Symptoms and treatment of Invasive lobular carcinoma