PET/MRI - How often?
All Stage 3 girls: Can you all weigh in and let me know what kind of follow-up your oncs are recommending?? I will not be getting any more mammos since my BMX, although I'm told to check for any bumps/lumps at the scar sites. And my onc is following nccn.org website guidelines, which do not recommend any further PET or MRI scans. This is because having these scans after treatment they claim hasn't proven to extend or lengthen life span -- huh? Sorry but I do not accept that as a valid reason. My onc will not recommend any further testing unless I have valid "symptoms". Excuse me, I had absolutely no "symptoms" of this beast to begin with. HELP?
Comments
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I know what you mean Shelly,
It's so frustrating that they can't do a test like those just for the peace of mind it gives. I suppose we could pay for them out of pocket but I know they are very expensive. That whole "symptom" thing freaks me out, for God's sakes, if there's symptoms, that CAN'T be good right?
Sharon
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My onc is of the same idea. No scans (other than dexa scans) unless symptoms warrant it. I'm OK with this. Most of the time
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I guess my Dr. is old school. I will be having chest, adominal CT scan and a Nuclear Bone scan in November. My cancer was DX in Nov. 2009. I also have to have a mamo on my left breast then.
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My onc doesn't think scans are necessary unless warranted. I think I'm okay with that, except when I stub my toe and think the pain is from cancer. Seriously, I do worry, but am confident in the follow up exams and the tests that are done if there is a question or I'm having discomfort. From what I can see not all doctors follow the same path....
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Same here,if there are symptoms,sounds crazy to me! I don't get it.I didn't even have a lump,just routine mammo for years,and look where that got me.I did comlain of rib pain and onco sent me for a bone scan,which came back clear.That set my mind at ease.I see the surgeon on Fri.and I have been having breast pain in my good breast,I can't wait to see what she says.
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amlg1: What did your doc say about the breast pain? I just had my 2nd bone density scan and am losing more bone mass due to the meds I take for hot flashes. There seems to be nothing out there I can take now, and especially not herbal supplements, since my cancer was er/pr positive.
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My doctor said no follow-up scans unless symptoms warranted further testing. Shelly56, just like you I had absolutely no symptoms that gave me any warning that something was amiss. I had negative mammograms for years, but did have very dense breasts. Never once did my gynocologist suggest an MRI because of the dense tissue. If that would have been done, I wouldn't be here on the stage III boards! MRI after diagnosis certainly showed my problem. I ended up with stage IIIc and many lymph nodes positive.
I am struggling with whether my back pain (around bra hook line) needs to be scanned. It seems more muscularskeletal than anything but is persistent. Spoke to ONC nurse who said to try taking 600 mg of Motrin three times a day for a week to see if this helps. So far that answer is no. Like others here, I don't want to cry wolf all the time for every little ache and pain, but I need to know this thing isn't back again doing damage somewhere else! I try to push this cancer diagnosis out of my mind but it is never far from the surface. I am scheduled for an echo on Tuesday to see if heart function is still okay to continue my Herceptin.
Also - is it just me - but I absolutely dread that October is Breast Cancer Awareness Month! It is everywhere from the grocery store to the clothing store and everywhere in between! No wonder I can't seem to get this thing out of my mind. I know this is for a good cause, but trying to keep focused on anything else but cancer right now seems next to impossible. Anyone else feel the same?
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Shelly,
I finally asked. I am 2 years out, Tn and ER+/PR+/Her2-. Freaking out at any and all symptoms. When I asked about scans, my onc calmly replied that I have no symptoms.... but would it make me feel better? Yes! I said, and so it was. He wrote an order for a "Staging MRI" ( I had also never ever been scanned... even with a BMX and chemo) which I had, and was fine. Demand it. It's the least they can do for us.
And yes.... I refuse to go to Safeway (grocery) this month. Too much pink, and when asked if I would like to donate to the cause, I pointedly look at my (flat) chest, and say that I already have!!!
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I finally made it to the visit with my onc when he said I'll see you in 3 months. It was my DH that asked about scans. He response was that he will only do scans if the symptoms warrant it. I'm OK with that. What bothers me is when I asked him if I have anything bothering me how long should I wait to contact him. I was expecting him to say 2 or 3 weeks. He siad to contact him immediately. I feel like I'm waiting for the other shoe to drop.
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AnacortesGirl: What did you mean by "DH"? Sorry if I'm not up on these abbreviated terms. That is very surprising that you were told to contact immediately. I think my doc would've said wait the 2-3 weeks and I think that's not right. I see her every 6 months now and wanted a PET before I do reconstruction surgery, but she said no unless I had symptoms. That doesn't do any good since I didn't have any symptoms when this all started ! How are they hoping to save people unless we have regular testing for a few years after treatment? Does anybody know that one?
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Daffodil45: I ABSOLUTELY LOVED what you told the grocery store clerk about donating. Wish I coulda been there !! I also find those stupid shirts with slogans like "Save 2nd base" and "protect your boobies" highly offensive. Makes it sound like women are thought of in terms of breasts only --
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DH is Dear Husband. And mine definitely lives up to the name!
I've been thinking about the "contact immediately" thing from my onc and I'm beginning to believe that the reason he said that is because he knows I'll probably wait a week or two or three (depending on the problem) before I contact him anyway. So he probably doen't want me to add more weeks on top of what I've already waited. I'm not one to complain about something unless it scares me or it's already been going on for a couple of weeks.
I do have a problem with what you are saying about your onc. First, I'm seeing mine every 3 months for the next 5 years -- not 6 months. And the second thing is that if I want a scan (especially if it's one that I haven't had) then he would accomodate just to help alleviate my fear. For instance, I had a colonoscopy and the only finding was a bulge that was attributed to something pushing on the large instestine. I expressed my concern that ILC can cause thickening of the intestines as a metastatic presentation and my onc's response was that we'd repeat the colonoscopy in 3 months. I said that I didn't want to repeat the test unless I'm feeling symptoms -- that I was just concerned and wanted to keep an eye on it. It made me feel good that he was willing to order tests if I feel something "in my gut" or just to keep me on an even keel.
But... I had a lot of scans over the past year. Combination of a trial, a study and standard of care. One thing I learned is that scans can cause more concerns. It took multiple PET scans before we determined that we were seeing false positives. I was on a study for using PETs to track the effectiveness of chemo and each time I would have a new area "light up" as excessive glucose activity indicating cancer. Scans do not give an absolute answer.
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I'm two and half years from diagnosis and two years from active treatment (except for Arimidex). A year ago, as I started to plan my reconstruction phase, I asked my onc for a follow up CT/PET scan as none had been done since treatment ended the year before. He thought that was an OK idea and ordered it for me.
Since then, I've only had bloodwork testing at my quarterly visits. Everthing has looked good, so I just graduated to every four months.
No more mammograms for me since I had bilat mxs and DIEP recons. I won't have any more scans on a regular basis, only if something in my bloodwork is abnormal or if I have physical symptoms.
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No follow up scans for me. I don't even get bloodwork done. My docs only do scans if I have symptoms that need checking out.
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No scans for me either..
every few years I feak a bit and have ascan for various aches and pains
...although we all would love to believe that finding mets earlier will prolong our lives..there is no evidence..much of medicine is based on evidence...which is the reason we are not offered them without symptoms...
To me ..peace of mind...keeping my fear at bay...is an important reason to have the occasional scan...so if a long period of time goes by( a year or more)..I bring up my continuing aches and symptoms and get scanned.
Because of various symptoms,I have has 3 bone scans since diagnosis...and 1 abd CT..and 1 head CT....my onc will not do PET scans for BC patients unless something equivocal comes up on one of the other tests. I am good with this approach..if I complain they check..otherwise I continue on my merry way trying to keep this as a thing of my past.
I see onc every six months, breast surgeon alt six months.
I get bloods every 6 months, and mammo/us/mri of my remainig breast yearly or more often if symptoms arise.
A negative scan gives me many months of fearless living!
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Thanks to all for the input. I'm now thinking I should change oncs and find one that wants to take a pro-active approach, not a reactive one. God bless !
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I have had lower back and hip pain ever since I began radiation and now that I finished it. It is worse at night and whem I first get up. I have had 3 sessions of acupuncture so far, and the pain is getting duller. I can't take anti-inflammatory meds, only arthritis strength Tylenol.
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My Onc also believes in no scans unless warranted. I would have liked one right after treatment but that is not the protocol here.
ml Cheryl
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My ONC also said only a chect xray every year unless I have symptoms. However, after neoadjuvent chemo, I still had 18/51 positive nodes, extra capsular extension and a 3.2cm tumor. Because of my path report, I will be doing more treatment, get more scans and be followed much more closely. Before I knew how much cancer was still left, I wasn't ok with a chest xray once a year. I know there is risk of to much radiation with too many scans, but it's still scary. Is taht the real reason for not doing them, or is it that insurance doesn't like to pay for them?
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Hi Girls,
Since it's Nov. I just just wanted to post here and say I am thankful for this site and thread. Mostly, because it is nice to know I am not alone in the freak out arena. I am going for my BMX on Nov.17 after having completed neo adj chemo on Oct 11th. The it's onto radiation. I haven't been staged yet, but based on what I know, I believe it will be stage III. I had a pain under my shoulder before being diagnosed and I still have it now and even though I know the bone scan came back clear I am obsessing on this stupid pain. Which probably was cause by being out of shape, turning 40, and shoveling at least 4 feet of snow this past winter. My onc was very sympathetic and said she was not worried but if I wanted a simple xray, she would order one. So I took a deep breath and declined because even if it is the worst case scenario, at this point treatment wouldn't change. I just have to figure out how to change my brain and thinking so I don't spend the rest of my life worrying. Easier said than done.
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Thanks SherriG,
I have been cyberstalking your posts because they are very encouring and of your ILC tag. That is what I have, so I have been using your diagnosed date as a touchstone and hope to be cancer free too! Sometimes it's hard not to go to those dark places though.
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Deenah: I don't know how each oncologist views the guidelines set out by the NCCN board, but I would like to see doctors study and treat each person individually. I don't see that happening, though. I think the Stage 2-4 should be followed very very closely for 5 years. I have switched oncs for just that reason, and he is taking this more seriously and doing more bloodwork to be pro-active. Keep in touch.
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