somewhere in mid/end of Dec 2012 she started to loose her appetite and also her weight, initially she liked it as she was slightly overweight (84Kg, 5ft 3 in) but then we noticed that she was really not eating anything and that lead to acidity and vomits. we took her for a checkup and they found some Minimal ascites and few enlarged Lymph nodes largest measuring 2.0X1.2cm in the abdomen. On a closer examination they found few more Lymph nodes on her under arms. An Biopsy conformed the "Metastatic adenocarcinoma" and later IHC also confirmed it as consistent from Primary from breast. An PET scan was done in the mean time to identify the origin and extent of this spread and it only showed spread to lymph nodes all over the body and no other organs were effected.
This I was told was a very atypical presentation for a Breast carcinoma and we were advised to do an second Biopsy to rule out Lymphoma which is what they suspected could be the reason for the enlarged lymph nodes all over the body and Biopsy of "right inguinal lymph node" though showed up as a "Non-Hodgkin lymphoma - high grade, features are suggestive of Diffuse large B cell lymphoma." in HISTOPATHOLOGY, but the IHC confirmed our worst nightmare "Metastatic lobular carcinoma of breast". its ER 90% and PR 30%
I have been trying to go through the internet to understand more about this, but there is nothing that talks of a spread like this or may be I don't understand the medical jargon. In the mean time our doc started her on FAC palliative chemo yesterday (6 cycles with 3 wks interval) to relieve of her weakness and symptoms and advised to continue on Femar 2.5mg after that. But he was not able to give us any information on how the prognosis are as its very unusual presentation.
I was wondering if someone on this forum has come across such a case and could help us better understand if the treatment plan and may be about the general prognosis we can expect.