Anyone else have breast Cancer bones and Marrow
- I have already had 4 blood transfusions because of Anemia caused by Bone Marrow infiltration. Now my spleen is making blood cells and Onc says its neither good or bad. Im confused. Its called Hematopoises.
- In other news my scan was stable on ibrance and faslodex.
- Anyone familiar with this issue
Comments
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Hi Sue! Yes, I have had breast cancer cells in my bones and also bone marrow, no other locations. I had a bone marrow biopsy to confirm. Main symptom was anemia and random fevers. I had one transfusion of packed red cells. Since I've been on Xeloda and Tamoxifen (Nov 2016, so far so good) my hemoglobin is slowly rising and tumor markers are falling, so we think the meds are working.
I'm confused as to how serious this development is. Marrow was almost completely cancer cells. One of my docs thinks that bone marrow is a no brainer because that is how it gets to the bones so of course it is there???
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Hi
Thats great that your numbers are coming up. I was on xeloda. It gave me a coronary spasm. I cant help but worry about the marrow because of all the transusions. The numbers seem to drop after about 3 weeks.
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Science Girl- That is an important point, have to read up on that. Maybe why a future cure will need to flush out those transformed cells..
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Sue, how low does your hemoglobin go? Do you have trouble with low platelets or neutrophils?
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Hello everyone
I was recently diagnosed Mets Carcinoma 3 days before Christmas 2016 and did not know I had breast cancer that spread to the skin. Also I have been going through the anemia getting worse since September 2016. The Onc I saw put me on Letzorole January 3 and I had a recent follow up and he still said my anemia is still worse. I had a second opinion appointment last Wednesday and the Onc wanted to see if the cancer was in my bone marrow so they did more blood work and it showed my red blood count is still very low plus the hemoglobin and hemocrit was low amongst other test that were abnormal. This is all new to me and it was a shocker to know I was in stage IV. I go back to see the second opinion Onc in 2 weeks so I am waiting to hear what the verdict is. This is happening so fast.
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The first time was in Ocrober. I went from 12 to 8.8. I was traveling so I didnt do a transfusion. In November it was 6.2. Jan 6.7, Feb 5.7 and 6.9. My WBC is about 2 something and platelets are out of range low. Probably combo Ibrance and Marrow.
Its like a new normal. I get dizzy when I stand up but fatigue not too bad.
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applewine- sorry to hear of your diagnosos. Blood transfusions are no big deal if you need one. Stay positive and best wishes.
Su
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I have marrow involvement too! Seems pretty rare. I'm not sure the people that responded have marrow involvement. It does have to be diagnosed by a bone marrow biopsy. Mine showed itself with pain moving to different places for months before my oncologist figured it out. My marrow has unpacked now with weekly doses of navelbine. I'm still on navelbine but every 3 weeks. How are things with you?
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Hello Eva! Sorry that you have bone marrow involvement, for me it was a scary development as I wasn't expecting it. I had only bone mets for about 2 years and always expected to progress to liver or lung, I never thought about bone marrow. I presented with anemia which we thought initially was due to Ibrance, but didn't resolve after stopping the Ibrance. I was so fatigued and feeling just really lousy for 2 months then I got the bone marrow biopsy which showed tons of cancer in the bone marrow, I switched to Xeloda and have been feeling really good after the first couple of weeks on the new treatment.
How are you feeling on the Navelbine?
Kim
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I went the opposite of you. I had liver/lung mets but stable for years. Then it moved to marrow and now lots of bone mets too. I'm doing much better too. My labs are close to normal after being neutropenic for months. My Pet scan in March showed much less disease though still lots of it. Have you had a pet scan? Marrow doesn't show up on CT scans or MRIs so other than labs, it seems to be the only way of checking the marrow. My bone marrow biopsy didn't show hormonal composition, so they're not treating me for that right now. Purely chemo. It's ok cause it's working, I do have about 3-5 rough days after the infusion. How about Xeloda?
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update... so I had my 6th blood transfusion 12 days apart from 5th one. My spleen is enlarged and causing pain and issues. They are going to lower my Ibrance to 100mg from 125. Not sure if that will help with Anemia but its worth a try. I was on xeloda and had coronary spasms weird. The only thing I could try next would be the IV version of xeloda. My bone mets are improving but the bone marrow involvement is very troubling. Cancer sucks!
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Hello All
My mother was diagnosed as stage IV last year with mets to both of her lungs. She had been on Taxol and Herceptin for 8 cycle and it still stable so the Onc will switch her to Xeloda along with herceptin by the end of the month.
I was worried that my mom could not walk from the SE , could you share me some experiences and advice?
Thank
orawan
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Just to be clear, bone mets and bone marrow involvement are very different things. If you haven't had a bone marrow biopsy, then it's not marrow involvement. Bone marrow involvement means the cancer has taken over your blood production in your marrow.
I had MRI of both hips yesterday as no one is sure if marrow causing hip pain or bone mets. MRI does not show marrow but it did show progression.
May have to get another pet scan again to compare apples to apples. I'm so frustrated. My nurse practitioner actually said "well bone marrow doesn't cause pain, bone mets do" Anyone that has bone marrow involvement knows the pain is horrendous and it moves around. I know BC with BMI is extremely rare but frustrated that my own team isn't listening. And I don't want to switch chemo already.
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Hi ! Checking in to see if anyone is still following this post. Discover bone marrow mets in April. I seem to be unable to get through a full cycle of Ibrance without an infection and anemia. Wondering how you ladies are doing.
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Hi - I had a recurrence of my ER+/PR+/Her2- breast cancer with mets to my bones in October of 2013. Was prescribed Femara and scanned every 6 months. Fast forward to August 2016, I'm complaining of SOB and dizziness and my CBC is wacko. Bone marrow bx confirmed mets. D/C'd Femara and started Faslodex and ibrance. Tried the 21 days on/7 days off = unsuccessful. So I take 75 mg of ibrance 7 days on/7 days off. I had a total of 3 transfusions, 2 in September 25 days apart and the next one 7 weeks later. As of this week my hgb has climbed to 11.7 and everything else is WNL. What a difference a year makes. I feel great. Fatigued at times and have to pace myself but overall a very nice QOL.
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scout-a-bout thank you for your reply ! Just wrote a long reply back that has disappeared. I realize you have "spoken" to me on another thread. But, that thread is so busy I didn't notice it.
Thank you so much for your info. It is so encouraging! I have been worried about my trouble starting Ibrance and wondering what kind of life I would have if I started off so badly.
I think my RBC is low right now. I should know by tomorrow if I need an infusion. I will suggest your protocol to my MO. She is very open to tweaking my meds as long as we stay in touch.
Many thanks
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