New Study Shows More Women Stage IV
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A study of young women diagnosed with stage I-III breast cancer using traditional staging methods found that later PET/CT scans changed 21 percent of those diagnoses to stage III or IV. See Breast Cancer News on the LBBC.org website. This is why I believe that everyone should have PET/CT scans at the beginning of their treatment and dx.
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Aug, thanks for posting this. could you also provide a link to the article? As someone who never had a pet and who's onc does not scan or do regular labs, I'm interested to read more
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- Diagnosis: Doctors often suspect metastatic breast cancer because of a symptom – perhaps a recurring pain or cough, shortness of breath, lack of appetite, headaches or an injury. They can also identify possible metastases through routine scans. They cannot make an absolute diagnosis of metastatic breast cancer without a biopsy, however. Studies show, though, that finding metastases early does not help increase survival. It is important to not blame yourself for not finding your recurrence early if you missed a scan or test, or put off getting something checked for a little while.
The info above is from the website of Young Survival Coalition. Early discovery of mets, as stated above, does not help increase survival time (you just know about it longer and undergo more tx). This seems incredibly counterintuitive , but I have read this from other sources as well. Although not young, I am one whose single met, asymptomatic , was discovered by accident during a PET not related to bc. Hypothetically, let's say I did not have that PET and went on my merry way for five years before my met became symptomatic (it was a lazy grade 1). I then receive tx and liveanother five years. Now, given the early discovery of my met, due to the PET, if I pass away at the ten year mark, it's still the same survival time. I've simply known about it and treated it longer. Complicating this further, is the concept of oligometastases, the existence of five or fewer mets to a single site. Treating oligomets early may bode well for increasing survival time, but not all doctors agree that oligomets mean anything different from any other type of mets! Very confusing... All,this being said, I am psychologically and emotionally comforted by the fact that it was found early and that I am treating it. What this means for overall survival is unknown and only time will tell.
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I have also been told that earlier dx of stage 4 does not alter a lot. Maybe with the newer immuno treatments, things will change.
Maybe simply using something like that, you don't need to "find" more cancer, your body can do it for you.
Everyone has a different personality on knowing or not knowing. I also never had a scan of any sort after surgery. I don't even get routine labs for marker tests (except for the early detection ovarian cancer study I am in). For me, I think I would not wish to know. I'm a type-A, anxious sort as it is...knowing would decrease whatever quality of life I would have/had.
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exbrn..., wonderful discussion. Thanks so much for discussing. This is what I love about this website. Discussion.
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