Mets to Ribs & Pelvis?
Can anyone that was dx'd with distant mets to ribs and/or pelvis describe what that felt like? And what do they feel like in the beginning stages and was pain there only when moving or actually touching the ribs? I hope that my many aches & pains are still ongoing result of taking tamoxifen. I know I could probably post these questions to the Stage 4 ladies, but wanted to start here first.
Any experience or opinions would be awesome !
Comments
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Hi, shelly56. i havent been diagnosed with mets to ribs and pelvis, but i have been so persistantly "complaining" of pain there and everywhere, for a year, that they are finally going to do a bone scan on me this week. i am not really sure its mets at all, i think it quite possibly WAS the arimidex, fotr sure was causing massive pain, and then for the last 5 months, tamoxifen WAS doing the very same thing. i got to go on a one month tamox break, and some of the pain resolved. just barely. so i got to stay off of it for the rest of the month, 6 weeks altogether, now, and it is marginally better. the bone scan would show cancer, arthritis, cartilidge damage, and inflammation. heres hoping that it is not cancer, but i would just really like to stop hurting!!! there is a thread called if you are not stage 4 but have questions. one lady, a very good one, chrissyb, is great at answering questions, and has a serious fund of knowledge, and great compassion. are you doctors trying to get to the bottom of it? i had swollen lymph nodes last month that they had to biopsy, not fun, but was causing rather severe pain on my ribcage, cancer side. benign. good luck to you.
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Hi Shelly,
I know how you feel, with these questions looming in your mind. kathec is right in recommending chrissyb over on the Stage IV forum with her thead that answers questions. Here is the link :
If you are NOT stage IV but have questions please post here
Oceana

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Kath - someone maybe other than onc at my clinic told me a bone scan would not see bone mets. Go figure. Now don't know....
Oceana - tks - I posted my question on the other forum.
Shelly
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Shelly, there are two kinds of bone scans. One is a DEXA for measuring bone mass (osteoporosis) and it will not detect bone mets. The other kind is done with a contrast injection and it will detect bone mets.
I have had three of those scans, one at DX, and one on each subsequent anniversary of my surgery. Before the last one I had some serious hip pain, but no mets. It could simply be the tamox/AI causing trouble. Does your onc do tumor markers?
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Shelly, I had a bone scan for pain in hip and ribs just last week, I sure do understand where you're coming from!
From my obsessive googling (I know, bad idea), it seems like bone mets can feel a lot like other bone issues or can have no symptoms at all, it varies from person to person and met location to met location.
Based on what my onc and the NM tech told me, a bone scan (not DEXA) will "light up" on places the bone has been damaged, so bone mets, but also arthritis and inflammation can have a similar look on the scan. Mine were inconclusive and I now have a PET-CT scheduled for tomorrow (weather permitting, ug).
But, again as I understand it, as part of ALARA and Image Wisely thinking, the goal is to start with the least radiation tests and work up, so that's why they started with the bone scan first--it can rule out bone mets (at lease non-microscopic mets) but can also have false positives.
Wising you comfort and great results!
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Firstly I should say that dont borrow trouble. Its easy to jump to conclusions and its most probably nothing.
I had extensive bone mets at diagnosis and had no real pain. However the pain I have now is very specific, I can touch the spot and feel pain but its not a generalized pain, its only on that spot.
But since diagnosis I have been convinced of brain mets, liver mets and more bone mets and it hasn't been the case so our minds can create all kinds of problems that dont exist. You are talking some strong drugs that can cause bone aches.
Speak to your onc if you are worried.
Good luck rosestoses I hope its nothing
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Momine - you're right of course -- and I knew it about the Dexa is the scan that won't see mets. Sometimes my typing won't communicate with my thoughts. I have had one or two bone scans in 4 years, but I always think the worst since the PET scan I had before surgery didn't light up even with my 6 cm tumor. My onc was doing markers (mind you only after I requested them) for the last 2 years, every 3 months, but now probably just once a year. I'll ask about how often at the next checkup in March.
RosesToeses - let us know about your scan -- sending good thoughts!!!
Shelly
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Shelly, got it, I wasn't sure if that is what you meant. Sorry! Yes, even the super-duper scans are not fool-proof, true. At first it freaked me, but I figure if they can't find any cancer, then I might as well go on as if I don't have any.
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Roses-toeses...sorry to hear of what your going through...will for sure be thinking of you and hoping all is well. It all gets so exhausting..tests, fear, dark thoughts and so on! We're here for you so keep us up-dated.
Shelly56...also sorry for your concerns and hope they too prove to be nothing related to cancer. I don't have much insight to add in regards to scans, but posting on the IV stage forum will be helpful to you I hope. Keep us posted!
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ShelyB, My bone mets were discovered by way of bone scan after having much pain. First I had an x-ray which didn't show anything, but my doctor said bone mets show on bone scan one year before they will on x-ray.
My rib met did hurt for a couple of weeks and then went away. I thought I had shingles, but never had a rash and the mets in the ilium was very painful and I could hardly walk. Kathy
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Thanks for the good wishes, much appreciated--I'm trying to keep telling myself it's nothing until they tell me otherwise.
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Mrsrockytop: was your rib pain all the time, or only when you felt your ribs?? I have had so much reconstruction surgery too that I wonder if that is some of what the pain is. Although it is definitely in the ribs and not the breast tissue. From what your onc said about bone mets show up a year before they would with x-ray, the scan would be the best way to go.
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Shelly, my rib pain was in the back and only if I leaned like on a chair at just the right height that would hit the 9th rib. Yes, I think bone scan is good. I am a missionary here in Costa Rica and we don't even have pet scanners yet. I will have another bone scan this month to check and see how it is going after 5 months of treatment. Blessings
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Mrsrockytop: Wish you the best with the scan this month & pls come back to this thread we're ALL here for ya. --Shelly
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Thank you so much Shelly. Praying there is nothing going on there. Blessings
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I knew I had BC in my T8 vertebrae before my mastectomy. Radiation and chemo "killed" it. I found out today after a bone scan that it is back and now, also, in my T6 vertebrae and both of my 9th ribs. My oncologist said That I will continue getting my Herceptin and Perjeta chemo every 3 weeks and Zometa every 3 months. She is changing my anti-estrogen med from Arimidex to Faslodex. Anyone else on Faslodex?
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Shelley, I was dx'd in Jan of this year w/bone mets to ribs, pelvis and a few other places, and I had absolutely no idea I had anything going on until I became extremely sick in mid-December with chest congestion and severe rib pain that Urgent Care docs initially dx'd as bronchitis, a severe viral infection, pleurisy, and rib inflammation. I'd had no pain in my ribs or anywhere else even the week before I got so sick, and I had x-rays twice looking for maybe a broken rib that never saw any mets. It finally took a visit to my onc -- because I was so sick and not able to shake whatever was going on (totally out of character for me) -- that showed a significant spike in my CA27-29, as well as my liver enzymes. A CTScan finally saw the lesions.
Between January and now, I had also been limping around with what I called "mobility issues," as I waited for MRI's scheduled @ UCLA (my ins. co. has 2x denied a PETScan) to pin down the extent of my bone mets. Long story short, after several weeks of increasing leg pain that I and my docs thought might be coming from a disc, I ended up in the ER on 3/23 with truly excruciating leg pain, and was shocked to find out I had a fractured femur and a fracture in my pelvis that necessitated pinning my leg and a total hip replacement on 3/25. Still waiting on the pathology report, but the MRI I had in the ER suggests significant bone mets in my pelvis -- which never really hurt that much.
I'm sharing all of this b'cuz I think it illustrates what Roses-Toses wrote above -- that bone mets can feel like a lot of other issues, and may not even hurt where you're having the actual problem. I also had a great DexaScan a few months ago that showed a significant increase in bone mass, which I find so hard to reconcile with this new dx.
I hope and pray that neither you nor Roses-Toses nor Kathec nor anyone else is dealing with a recurrence, but thought my very recent experience might shed some light. The bottom line is, if you are experiencing persistent pain over several weeks, don't worry if it doesn't sound like someone else's pain or experience. We're all different, and we know better than anyone else when something isn't right with our bodies. (((Hugs))) Deanna
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Deanna, thanks for all the info re mets, I wish it wasn't so. I had rib pain (again) yesterday but took two prescription pain meds and that did the trick. Had a whole body scan in February that didn't show anything unusual -- but.... now that you said something about increased bone mass, I'm going to ask onc if that would mean getting a CT. As my onc knows from the past, this body doesn't tell me if anything is wrong so that in itself, is scary. Hope you're healing well from the leg & hip surgery-- stay strong ! Hugzzzz - Shelly
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Deanna -Thank you for sharing your experience. It's very eye opening. I'm one who constantly worries about bone mets especially since I have continual rib pain on my left cancer side. Yet I wonder if it could be residual pain from cracking 4 ribs 3 years ago when I took a spill on the cement sidewalk. It also feels a little lumpy around that area and I wonder if these are nodes. I have to go tomorrow for my annual mammo tomorrow for my "good" side, but I worry more about the "bad" side where the cancer was. This hyper vigilation over mets is really getting to me.
Oceana

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Deanna,
I'm so sorry you have bone mets which have caused you so much pain and suffering. I can't believe your insurance wouldn't pay for a PET scan. For others out there who find themselves in a similar situation, I would ask your physician for a peer to peer review. I've found if your physician is willing to make the extra phone call, you can usually get the insurance authorization you need when a test is (obviously) indicated.
Deanna I hope the replacement will restore your mobility and relieve your pain
Elizabeth
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If we go to see Dr for all pains and aches we have to rent hospital room. I learned not worry so much for all the aches and pains unless it is for more than one week, persistent and localized.
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