Signs of Mets
I keep reading about people getting mets and having no signs. How do you know if a ache or pain is mets-is there a rule. I was thinking that if you had it 2 weeks or longer and it was intense and didn't go away with asprin.
True?
Comments
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As with everything concerning cancer-there is no rule. I had no symtoms and was diagnosed with mets purely by chance. All I can suggest is that you try to remain rational, and not panic over every ache and pain. You will have things which happen in your life that have no connection to a previous cancer diagnosis. Try to remain as calm as possible, otherwise you run the risk of panicking over everything-and if you do that, then the cancer has truly won, as it dominates your thoughts.Don't go looking for trouble, where there may be none to be found. Even if you do get a mets diagnosis at some stage, a few weeks/months delay in having it confirmed makes no difference to the overall picture. But I would urge you to try and put this behind you as far as possible-dwelling on when/if you may gets mets is not good for your mental health and emotional well being. A degree of fear is natural-but don't let it run out of control.
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Pain or lumps that don't go away after 2-3 weeks should be looked at ... that's the only rule I know of.
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That is the rule I follow too. I found that every ache and pain had me wondering for the first few months after tx was over. I think this is pretty common. A lot of people dx with mets by routine scans are symptom free for years.
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The hard thing the docs don't scan unless you have symptoms.
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That disturbed me when I was first dx as stage III. However, I have decided that I prefer this approach. The medical information tells us that there is no advantage to treating mets earlier than it becomes symptomatic. That makes sense to me as it is a very different beast than the original tumour is. And, I have decided that I will chose to live as stage III, even ignorantly, as long as I can. I am one of those people who think that it is ridiculous to think that a stage IV woman is in the same emotional or physical place as a lower stage. I don't want to be there.
I have always found that my doctors are very accommodating when I have concerns. They will give me the necessary scans in a timely matter when I have symptoms that 'could' indicate mets.
And getting regular scans really doesn't change anything except give someone what might be a false sense of security. My friend who was stage II received annual tests that were quite extensive since she is also in a study group. Two months after her clear scans, she was having symptoms that required rescanning where mets were discovered.
Pure, you are also in a situation where your hormones may play havoc on you, emotionally and physically. So please, try to resist the temptation to assume mets right away. I know, hard to do.
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PIP - I am trying to think like you too. If finding mets early doesn't change anything, and I am symptom free, why would I want to know?
Doesn't stop me from freaking out sometimes though.....
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"The hard thing the docs don't scan unless you have symptoms."
Ok, let's start the rational process here. Imagine if everyone who had ever had a cancer diagnosis was routinely scanned-what would your preference be? Once a year? The system would grind to a halt. So often we read on the boards about how people get impatient and stresed over having to wait for a diagnostic test-imagine how much worse it would be if there were "routine" tests added to the mix! It's actually neither practical nor desirable-and prettyinpink has explained very well why this is the case. I hope you have no further problems-but if you do ever get a mets diagnosis, then speed of diagnosis is not a major concern, unlike a primary cancer where early detection can be important. Remain vigilant-but don't imagine that every headache=brain tumour, every backache=bone mets, every stomach upset=liver mets, etc.....
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Thanks Elaine-that makes sense.
How are you doing? I have a friend who has a local reoocurence after 12 years then it went in remission for another 8 years and then spread-but she does admit to quitting her tamoxfin drugs. She also never got rads.
I pray for yout hat since you had 12 years without a reoccurence that you can go another 12.
I heard the longer you go the longer you can go with a reoccurence.
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I stick by the 10 day rule I read on this board, if it still hurts after 10 days then get checked.
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This is such a hard issue and I really don't know if anyone has the answers. I didn't have any symptoms with my lung mets or my brain mets. I am very fortunate my brain mets were discovered early because my treatment options were vastly different because they were found early. I don't think early detection made a difference for my lung mets....
However, I have had no less than 25 scans of one type of another in the last year due to my mets and a little heart thingy caused by xeloda....I am very sure I will experience serious repercussions in the future. While it was awesome to find these things early, what price will I pay later because of the radiation and radioactive stuff I have been exposed to this last year....and in the years to come? It feels like a crazy crap shoot!
It sounds like the "wait two weeks rule" might be the best balance. Best to you!! lisa
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I worry about every ache and pain that I get in my lower back and hip. Always think what if it's mets?? I guess it's normal to worry after what we've all been thru.
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Uh, I hate to burst your bubble Pure, but for some combinations of ER/PR+/- and HER +/-, there is a higher incidence of recurrence AFTER 5 years. Don't remember the combo though....anyone?
PIP, I love the thinking of if no symptoms, don't check. I have been nervous over the past year as I didn't have rads or chemo and no hormone drugs. I feel better now that I've just passed my one year!
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Does anyone understand the total meaning of k-67 and p53 ? I saw it on my pathology report after my core biopsy and wondered what it meant in relation to risk of reccurence.
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Hi
Shanagirl- Ki-67 is a marker for the speed of growth of tumor or just how on the move it is!I am with Sherri, I hate scans and went through a horrible time in Feb and had severe hip pain and low back pain had never exerienced anything like it before I put off a scan and it got so bad after 3 months had to have a scan and I cried like a baby because I was so afraid of outcome.
The scan was normal just some bursitis and Arimidex! They repeated again and again normal.I couldn't believe it I was convinced of mets...!
My QUESTION is to you all how do you know if it is a pain from just working out too hard which I do or if it is something to look at, I mean my last pain did not go away in 2 weeks and it was not mets. Now I am having midback pain that radiates to shoulder, I lift weights and at the same time have started having Zoladex so wondered if it could be that. QOL was really getting good for me then this happened and it has been a downward spiral due to worry!
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mmm5 the pain could be from your workouts, but sometimes I get like a deep throbbing pain inside my hip bones and I guess it could also be weather related.
The K-67 on my path report says "low proliferation" so it must be slow moving type of cancer like they told me. My p53 was also low. Not sure what that means.
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That would correspond to your grade which is 1, and that is a good thing! My stepmom was same stats and she is 14 years out, a little smaller on the tumor but grade the same with 3 nodes, same low proliferation. She did 7 years of tamox and 5 of Femara.
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"I stick by the 10 day rule I read on this board, if it still hurts after 10 days then get checked."
I like this.
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I just did my second to last chemo today and was talking to the trial nurse about scans. She said like some of you said that first, we'll have to see if the insurance company will approve a scan. Second, the PET scan may not show anything, then in three months I may have symtoms and will need that PET scan and may run into trouble with the insurance company. She said for the most part if you're not having symptoms, aches or pains the onc doesn't go looking for it. It seemed to make sense while she was telling me what their procedure is. Of course she suggested I run this all by my onc when I see him again. He may have different plans because each case is different.
I am triple negative, grade 3 and have started to worry more a lot more lately. I know this is normal as we start to end treatment, but I do worry. Prior to having found BC I two ER visits back to back (and it had been 25 yrs since I had been in the ER) with unexplained pain in the abdomen and the only thing they found were increased liver counts, for which they couldn't explain because I don't drink and hadn't been drinking and all of the tests and scans came up clear. I've also had a lot of rib pain in the last year that my rheumatologist can't explain - so now I'm thinking "what if" it's mets that have been missed all this time? Through all of this I've been fine, upbeat plans to grow old in and wrinkly, but now I am terrified. I want the PET scan, but at the same time I don't. Oh the mental games this disease plays with us.................
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I had a full panel of scans (except MRI) at my one-year post chemo anniversary. I wanted to know how I stood then because I planned to move forward with reconstruction, but if there were mets, I planned to scrap the recon...I'd use the money for something else on my bucket list.
Well, after a slight delay due to a death in my family, the recon is set for next month. I won't ask for scans again unless I have symptoms that last. Two weeks seems a little short for me...I've had colds that lasted longer than two weeks and my arthritis certainly comes and goes for periods longer than that. But generally, if the symptoms are unusual FOR YOU, have them checked out.
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My onc is of the one month rule.
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i think just getting used to your post treatment body is part of all of this. i have a lot of aches that i didn't have before....and the first few years after treatment i was worried all the time about relapse. i found that the chemo, rads and arimidex caused a lot of "inflamation" in my body .and i had a hard time with that. even tho i was cycling and working out..during pretty much the whole time...i was still dealing with arimidex Sx ...etc. i think now...and after a few years...i could pretty much tell what was really related to inflamation ...aging...etc. now, i know which body parts ache. lol and aren't cancer....however...my onc and i both decided that IF i really sense something going on...over a period of time...scan it.. but, i also know that there are many people wout there who have mets and never knew it. so, i guess that is where the follow up and blood work..and regular looks at breasts..or other problem areas come in.
diana50
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barbe-I am not sure why you would want to bourst my bubble-but at this point I have no bubble to burst. It was burst 3 months ago when I was diagnosed.
Thanks everyone for great answers It's a hard one. I look at people like Elizabeth Edwards where it spread to her bones but she is fine. She just opened a store here in NC, she takes a pill each morning and feels she could live 10 years. So as we come up with more and more drugs that help manage the disease I am wondering if scam are more important ) in terms of catching early)
I am going to ask my very scientific doc thinks.I like the idea of living in denial:))) And my blood work looks good but then when you hear stories of brain mets with no symptoms it gets confusing.
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Pure, I said I would HATE to burst your bubble.....
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I don't think anyone here lives in a "bubble", but we all did before BC. When they told me I had breast cancer for the first time, hearing those words "burst my bubble". Words can be powerful. We all live with hope here and Pure and all of us have often felt the fear of mets. I do every day, and hearing someone say something negative, that makes my hopefulness diminish, especially when someone here says it, can be upsetting or depressing.
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Thanks Shana:)
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My mom was put on Femora after her lump/rads. Tamoxifin caused a lot of muscle joint pain. Anyway, she was feeling some pain in her lower back and leg so she decided, on her own, to lay off the Femora for a couple of weeks to see if the pain would go ahead. She was trying to figure out if it was being caused by the drug. Unfortunately she still has it and is now scheduled for an MRI. But I was wondering what those of you on hormonal therapy think about suspending your drug to determine if the pain/problem goes away. Dangerous? Good idea (a month isn't that long when it's a 5 year plan)?
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Shana said-"I do every day, and hearing someone say something negative, that makes my hopefulness diminish, especially when someone here says it, can be upsetting or depressing."
Therein lies the dilemna, of pondering on the possibilty of mets. It can be hugely dispiriting to hear that despite all treatments, a good prognosis, and every other thing going supposedly well, that mets still happen. It's for these reasons that I often urge non-metsters not to dwell (more than can be helped), on what may or may not happen. We are all so unique, that there is no straightforward equation which can show us how we will fare-and as Shana said, hearing bad news only serves to deflate and cause excessive worry.Please girls-live your lives to the full-hope and expect that cancer has been a dreadful experience that you have dealt with, and which won't return to cause you further problems. You could spend a lot of time worrying, when you could be enjoying life. Conversely, if you continue to worry excessively, and then do have further problems, you'll be filled with regret for the time that you've wasted worrying about what may happen. Plus, cling to the fact that each year new drugs are being found which can help-none of these will take the worry away completely, but may help it stay at a manageable level.
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The term "bubble" I used above was obviously mis-interpreted! I only meant to say that one does NOT have a better chance of not getting a recurrence the farther one goes on. In fact, there are some diagnoses that have a greater chance after 5 year!
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I don't think Barbe meant it the way everyone is taking it, I have seen her all over the board and she is always helpful and sweet.
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Everybody gets to a point in their cancer journey when worrying about mets is an issue. Then you realize that it's not so much the mets you need to worry about..it's the worrying about mets that needs to be dealt with.
Those of you in treatment or just ending treatment...you'll get there. You'll learn not to dwell on it so it overtakes your mind. That's not to say you won't have those concerns..but you'll only take those concerns "out of the box" when/if something crops up.
If it's one thing I've learned from being on bco is that cancer is a crap shoot. We can't compare diagnosis and then think "oh, wheww...that lady has THAT" (i.e. HER2+, triple neg, node +). It's an easy rut to get into ..but dangerous.
We had stage 3 cancer. That does not mean that it will progress to mets. PureE, ask your onc what type of symptoms to look for and what 'rule' he/she has for length of time for pain. Each onc is different. Mine says "more than a month and pain that gets worse, not better" He's also more concerned if it's a different type of pain than what I've had before.
Just know that the fear is normal to have. Just don't let it overtake you or dwell on it. If you find you are dwelling on it..it needs to be dealt with somehow. I'm sure there are no stage 4 women who wish they would have worried about mets MORE before diagnosis.
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