Bone Mets? Please help me understand this MRI Report

Hammie28

I had an MRI for lower back pain that showed a 1cm lesion on my sacrum that is "concerning for metastatic disease". When the nurse explained the results to me over the phone she told me that the lesion is "highly suspicious" and that I should prepare myself to find out that it is cancer. I am waiting to find out if it can be biopsied. I am told that it if its mets the plan will be radiation and Ibrance. My question to anyone who might be willing to help me interpret these results is, is there hope that this is NOT a met? Or should I really start the process of accepting that I'm now StageIV? The emotional energy required either way is just exhausting and I'm really struggling. Also I'd love some feedback on the Ibrance experience. I know there's a whole thread on it on the stage IV boards, but it is so long that I find it overwhelming to try to filter through. Thank you in advance.

Emily2008

My experience is that if the MO or nurse says something like that, it's probably true. I'm really sorry to say that and I hope-hope-hope I'm wrong.

In the past, anything that lit up on a scan for me said "cannot rule out metastatic disease." But the "highly suspicious" phrase is a different story.

If it were me, I would prepare myself for a Stage IV dx, but still hope for the best.

Big hugs and prayers that your news is good.

Hammie28

Thanks for your response. I agree that high suspicious would pretty much be a sure thing. I'm just confused because the actual radiology report reads "concerning" which seems less serious. Either way... I found out that it can be biopsied so at least I'll know for sure.

Emily2008

I imagine it says "concerning" because you can't have a definitive diagnosis without a biopsy. There's probably a hierarchy of medical terms as imaging becomes more serious looking.

I'm glad you'll know for sure soon.