Spots on lung and sternum after 11 years

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Had stage 1 no lymph node involvement 11 years ago, BRCA + had double mastectomy. Just had CT scan with contrast and dr. called and said- your breast cancer has returned. You have spots on your lung and on your sternum. I see oncologist this week and have a bone scan... Question.. how can they be SURE it is cancer from the CT scan? How rare is it to have this happen after stage 1 and after 11 years?

I go from being in despair to being in denial...certain the dr. is mistaken!!! Any help appreciated.

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  • melmcbee
    melmcbee Member Posts: 1,119
    edited September 2017
    1. Bailey I am so sorry you are facing this. A radiologist can say what the lesions could be consistent with. Only a biopsy will show what it is. They have to cover their butt by saying all the possibilities or what its most consistent with. I had a ct chest in december that said breast metastesis couldnt be ruled out. Then they wanted mri so i did that. Shiwed possible bone lesion. Then they wanted a bone scan which showed nothing. I thought i was scott free. But my mo wanted a ct of abd and pelvis. It shiwed many tiny lesions. Said it needed a biopsy. Found a rad who said he could get one of the small things. He did and it was positive. Took 4 months of scans so my suggestion is go right for biopsy. Oh and it also makes a difference how recent your prior ct was. Lots of people have benign lung nodules. I would get a copy if that report. Have these changes occurred in the last year. Does the report say lung nodule but metastesis cant be ruled out. Im a ct tech and see this stuff from both sides. Read the report. Gentle hugs. My bone bx was a peice if cake. I think they mustve knicked me out
  • Jaylea
    Jaylea Member Posts: 478
    edited September 2017

    Baily, I hope you find answers and comfort in this community. I'm recently diagnosed and certainly no expert but agree with Melanie, your doctor is looking at the likeliest outcome. My ct showed lung tumors. Doctors said likely cancer, maybe lung cancer but more likely return of breast cancer after 11 years (initial dx stage II). A biopsy will confirm the diagnosis and chart a course of treatment. Denial, despair, and shock are all part of the process. As you get more information it will help you and your family cope.

  • Kandy
    Kandy Member Posts: 1,461
    edited September 2017

    Bailey, I'm so sorry you got this news that you maybe joining our elite group. No matter what the length of time is since your original diagnosis, it is very hard to wrap your head around and accept it. With time, it will all be clearer to you. I would think that they will schedule you for a biopsy, which will confirm it for you. If they don't schedule it, then I would highly recommend you requesting it to be done. The biopsy will tell whether the receptors are the same as your original or if they have changed. That's very important info for your treatment plan. You asked how rare it was for it to come back after 11 years, I don't know statistics but it does happen. A Dr told me that the only way you would know that you actually survived breast cancer, was when you died from something else. There is a chance of it coming back 30, 40 years or whatever the lengh of time. I'm sure you ll feel much better after you see the oncologist and get questions answered and a treatment plan in place. To answer your question as far as how they can be sure, there are certaIn things they look at on a scan that tells them rather or not it is suspicious for cancer. The way the lesion looks on imaging. It was probably read out as highly suspicious or very worrisome for cancer. Like I said above I'm sure they will probably biopsy. I wish you the best. Try to stay living in the moment for now, praying for you.

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited September 2017

    Bailey. Hi sorry to hear you are joining our group. You will find alot of support and valuable experiences and knowledge here Yes a CT can look suspicious but a biopsy should really be required. Now not only can the biopsy show if it is or is not cancer but in many cases they can actually test biopsy to see which treatment would be most effective. Also need to get full body scan if not yet done. You need to know the whole pic before deciding on treatment. The good news is this is not an immediate death threat. If you look on different threads you will see many people are living long productive life. Many oncologists will actually say now stage iv is a chronic disease. My oncologist doesn't agree but I'll prove him wrong. It is not at all unusual for it to come back after this long. You will hear many stories here like that My cancer came back 11 years later and my stage iv diagnosis was lil over 4 years ago. My mom lived with stage iv over 20 years. Not perfectly healthy care free years but she would def say more good days then bad. An treatment is often much easier then the first round if you had chemo and or radiation. Many ladies start on a daily pill not iv chemo esp if it is er positive. I encourage you to check out some threads here. Jump in anytime with questions or comments.


  • Lauriesh
    Lauriesh Member Posts: 692
    edited September 2017

    I am sorry you are now dealing with this. I agree that a biopsy will confirm for sure, but because there are 2 spots in 2 distinct areas ( bones and organ) increases the likelihood that it is indeed cancer.

    Good luck

    Laurie

  • 50sgirl
    50sgirl Member Posts: 2,527
    edited September 2017

    Bailey, I am sorry that you are going through this experience. Unfortunately, it is possible for cancer to recur, even in distant sites, after many years. The CT scan and bone scan are excellent tools. As others have said, a biopsy is really the best way to confirm the diagnosis, and the only way to determine whether or not the tumors have the same characteristics as your original bc. If your current Doctor is not planning a biopsy, please get a second opinion. If you do have mets, there are many treatments available. It is normal to feel the way you do. We have all been there. I have to confess that I still find myself in that land of denial sometimes and am quite happy there. Of course, I do continue my treatments.

    If you do have mets, remember what Patty said - many people live for many years with MBC. Don't think that life with MBC is always miserable. Many of us leave lives that are quite normal. Many of us work, attend school, travel, raise children, run, hike, bike, exercise, pursue lots of hobbies, etc. Although some of us have limitations, we learn to adjust when necessary. That is not to say that life is perfect, but no one's life is free of obstacles. Most of us will admit to periods of stress, fear, anxiety, depression, and uncertainty, but there is help available.

    Please let us know how things are going. I pray that you don't have MBC, but if you do, we will all be here to support you.

    Hugs from, Lynne


  • Bailey2017
    Bailey2017 Member Posts: 6
    edited September 2017

    Thank you all for your thoughts and your encouragement! I have a bone scan on Thursday and meet with the oncologist...the nurse said we will discuss a tissue biopsy.

    I am thankful I found this site.


  • Bailey2017
    Bailey2017 Member Posts: 6
    edited September 2017

    Again, I appreciate everyone's comments. You are strong women!


    Having CT biopsy tomorrow. Original CT scan showed 2 sites on my sternum...one crushed part of the bone which is why I am in pain...and 2 spots on the lung. Dr. isn't sure if it is breast cancer mets or a new cancer (bone cancer most likely) that spread to my lungs. Either way it looks bad.... The waiting is so hard....I want to start treatments ASAP. Could use some more encouragement

  • 50sgirl
    50sgirl Member Posts: 2,527
    edited September 2017

    Bailey, I am sorry that you are going through this terrible time. For me, the waiting has always been the most difficult part of this stupid cancer dance. I wish that doctors could just tell us right away what the definitive diagnosis is, but of course they can't tell until tests are complete. If you are like most of us, you are imagining the worst. I don't have any experience with bone cancer, but I do have firsthand experience with metastatic breast cancer. I was diagnosed with metastatic breast cancer more than two years ago. I knew very little about the disease and thought I wouldn't last for more than a few months. Now, I realize that I could live for a very long time. The same could be true for you. Some people on these boards have had the disease for many years. Some show no evidence of disease. There are many treatments available, and many more are being tested in clinical trials. The advances in treatment and research have been expanding in the past few years. Many of us with mbc are leading normal lives - working, traveling, going to school, continuing with old hobbies and developing new ones. Many of us feel quite well. How soon will you receive the results of the biopsy? Once your doctor has the results, you should be able to begin treatment. I know that the waiting is hard, but people are here to support you and answer any questions you have. I will keep you in my thoughts tomorrow as you go for your biopsy.

    Hugs and prayers from, Lynne


  • 50sgirl
    50sgirl Member Posts: 2,527
    edited September 2017

    Bailey, I am glad that your doctors are being so thorough. They will have all the information they need to start you on the right treatment plan. You will be in my thoughts tomorrow when you have the biopsy. Do you know when you will have the results? Keep us updated and let us know if you have questions. We are here supporting you.

    Hugs and prayers, Lynne


  • Bailey2017
    Bailey2017 Member Posts: 6
    edited September 2017

    Thank you, Lynne.... just waiting for results.... which is so damn hard!

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited September 2017

    Waiting sucks. Wishing the best for you


  • Bailey2017
    Bailey2017 Member Posts: 6
    edited September 2017

    Well I am officially now a member of your group.


    Now I just need to find a good oncologist that takes my Obamacare insurance.....I live 10 minutes away from one of the best hospitals in the country yet my insurance won't cover it. The only dr it will cover (I am serious...the only one within 50 miles)....is a general oncologist at a 3rd rate hospital 45 minutes away with good traffic.


    Anyone else have issues finding a qualified doctor that accepts their insurance? The stress is too much!

  • 50sgirl
    50sgirl Member Posts: 2,527
    edited September 2017

    Ugh! Bailey, I am sorry you are officially a member of the club, but welcome. I am afraid that I don't have any experience with insurance coverage problems. It makes no sense, medically or ethically, for you to be put into such a situation. Is your plan an HMO? Is it possible to get a referral to the big hospital as an exception? Do they at least pay for a second opinion at the nearby hospital? If not, is it at all possible for you to self-pay for a second opinion? I only ask because many people see a local onc for treatment, but get a second opinion in a big cancer center. The information from the second opinion can then be compared to local MO's, in your case the doc who is 45 minutes away so not so local, treatment plan, and the info can also be shared with him/her. That MO's care can then be covered even if treatment is changed from original recommendation. I don't know how much second opinion would cost, and that fee could be prohibitive. Maybe you could call the big center and explain the situation to see if they could give you a discounted rate for a second opinion. Maybe social services would be a good place to start. Medical appointments are expensive, so I am sure your question won't be uncommon. The worst thing that can happen is that they say no, right?

    How are you feeling? Do you have an appointment yet to discuss a treatment plan? Do you have support from someone close to you?

    Hugs and prayers, Lynne

  • wam
    wam Member Posts: 168
    edited September 2017

    I hope your biopsy is benign. Your description of your feelings is so right on! If it is cancer you will learn to live in the middle. You have much to be hopeful for.

  • wam
    wam Member Posts: 168
    edited September 2017

    Your description of your feelings is so right on! you will learn to live in the middle. You have much to be hopeful for. I am on letrozole 2.5 for the last year and I have remained stable. You will have a good plan soon.

  • Bailey2017
    Bailey2017 Member Posts: 6
    edited September 2017

    I am trying for a waiver but the insurance company is making it VERY difficult. It is an HMO through the Market Place... I am calling OSU to find out about private pay and financial assistance for a consult.... I'm going to the "local" dr. Tuesday to see what he has to say. I also had a heart valve replaced and have a pacemaker due to complete heart block (I was far more concerned about my heart than the recurrence of cancer!!)...and I want to be associated with a good hospital that can handle any complications with that.... ahhhh.. I felt so overwhelmed but thankfully some friends came over and we brainstormed and made lists of who to call and ways to fight the insurance company. I am prepared to start phone calls first thing tomorrow morning and we shall see what happens!


    Thanks for the advice and the support!!!!!!!!!

  • Eyedeerman38
    Eyedeerman38 Member Posts: 2
    edited March 2018

    I'm sorry to hear that, Bailey. My mom IMO is going to get the same diagnosis as you did. Wish the best for you!

  • klvans
    klvans Member Posts: 258
    edited March 2018

    Bailey was your original diagnosis triple negative? I'm stage 1 triple negative so I'm always thinking it can or will come back. I hope you are doing ok.


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