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Published on: August 19, 2025
Lobular breast cancer statistics, 2025
Angela N Giaquinto1, Rachel A Freedman2, Lisa A Newman3
1Surveillance, Prevention, and Health Services Research, American Cancer Society, Atlanta, Georgia, USA.
Invasive lobular carcinoma (ILC) incidence is rising, particularly in certain demographics, and presents unique challenges in detection and treatment compared to ductal carcinoma. Further research differentiating ILC is crucial for improving patient outcomes.
Area of Science:
- Oncology
- Epidemiology
- Cancer Research
Background:
- Invasive lobular carcinoma (ILC) is the second most common breast cancer subtype, yet often overlooked in research dominated by ductal carcinoma.
- Distinctive features of ILC can lead to delayed diagnosis and treatment resistance.
Purpose of the Study:
- To analyze the incidence and outcomes of ILC in the United States across different demographic groups.
- To highlight the differences between ILC and ductal carcinoma in clinical presentation and prognosis.
Main Methods:
- Utilized national cancer registry data from the National Cancer Institute and CDC.
- Analyzed ILC incidence and outcomes stratified by age, race, and ethnicity in women.
Main Results:
- ILC incidence was 14 per 100,000 women in 2021, representing 10.6% of diagnoses.
- ILC rates increased from 2012-2021 across all racial/ethnic groups, with the highest overall incidence in White women.
- While early survival is comparable, ILC shows lower survival for regional/distant stages compared to ductal carcinoma, potentially due to unique metastatic patterns.
Conclusions:
- ILC possesses unique characteristics impacting detection, therapy response, and prognosis, especially in advanced stages.
- Distinguishing ILC in research and clinical settings is vital for identifying risk factors, enhancing treatment efficacy, and understanding metastatic processes.
- Improved understanding and tailored approaches for ILC are necessary to improve outcomes for the growing number of affected women.
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