If you are not Stage IV but have questions, you may post here

Options
1149150152154155171

Comments

  • funthing42
    funthing42 Member Posts: 418
    edited November 2018

    Hi

    Heads up on the markers make sure you get regular imaging.

    Went from 36 to 108 now liver mets no imaging for almost 2years. I was told markers were fine!!!!! No imaging nessecary!

    Both should be checked! Always!!!!!!

  • funthing42
    funthing42 Member Posts: 418
    edited November 2018

    Sorry one more thing trust your gut!!!!!

    With cancer the only piece of mind we get is through vigilance.

    Do not regret not demanding it you deserve the best treatment possible. Get a second opinion if they dont think its nessecary.

    😊

  • MeToo14
    MeToo14 Member Posts: 493
    edited November 2018

    Hi all, I was diagnosed at 35 with stage 3 IDC. I did all the treatment and then some. I'm on OS and an AI. For about 2 years I've had back problems. I had an x-ray and MRI and it all showed fine. For the past 8 months I have had hip and thigh pain and much worse back pain. I know I have problems with sciatica, that happened long before cancer. But the hip pain is pretty bad. My blood work looks great. I am having a MRI next month. I am wondering if anyone else had normal blood work and this kind of pain. Did it turn out to be something other than cancer? Thank you!

  • chrissyb
    chrissyb Member Posts: 16,818
    edited November 2018

    Hi Metoo, you may find that the AI is making arthritic pain much worse as it has a tendency to do that. I've had both knees replaced due to advanced arthritis as I was on an AI for a number of years. Hopefully this eases your mind a little.

    Goodluck with your MRI and do please let us know how you get on.

    Love n hugs. Chrissy

  • bevin
    bevin Member Posts: 1,902
    edited November 2018

    hi MeTOO, I had similar issue

    Pain intensified over 8 months or so.

    My hip, was so bad I thought I broke it. I could barely walk. I had an MRI and emergency surgery the same day by the neurologits that afternoon. It for me was not cancer but a VERY compromised and compressed spinal cord from two herniated discs. In words of neuro, " I was in trouble ".

    They did spinal cord decompression and also fixed the two discs.

    So telling you this as it can be many other things and I am glad you are having an MRI.

    Good luck! Praying for you.


  • tangandchris
    tangandchris Member Posts: 1,855
    edited November 2018

    HI

    I'm currently in the land of total anxiety. I just got a call from my GP that after running my liver enzymes twice they are still elevated. In addition to that my ammonia level is high which can indicate liver function problems as well.

    Im waiting for a call to set up u/s and to see a GI. Doc.

    Is this indicative of mets? She was asking me lots of questions about the breast cancer. Im at work and so distracted and nervous. Help

    Edited to add....they are sending over in the morning for an ultrasound of my abdomen. They aren't wasting any time and that has me wrecked.

  • Piterpan3
    Piterpan3 Member Posts: 8
    edited November 2018

    Thank you all for the answers!

    she will have the bone scan tomorrow and i hope the results is on our side!

    Happy thanksgiving to everyone

  • chrissyb
    chrissyb Member Posts: 16,818
    edited November 2018

    Tangandchris, deep breath.......hold it........now let it out slowly. The urgency is not necessarily about the possibility of mets but about the liver function itself. There are many causes of liver problems, not just mets so please try to not worry yourself to distraction until you have some results. Once you have results you will be too busy doing what you need to do, for whatever reason, that you won't have time to worry.

    Deep breathe and try to relax a little, you got this.

    Love n hugs. Chrissy

  • tangandchris
    tangandchris Member Posts: 1,855
    edited November 2018

    Thank you Chrissy.

    Im getting dressed now to go for the u/s.

  • MeToo14
    MeToo14 Member Posts: 493
    edited November 2018

    Thank you bevin and chrissyb, I'll let you know when I have the MRI and get the results. Happy Thanksgiving!

  • Esmerelda
    Esmerelda Member Posts: 243
    edited November 2018

    Dear friends,

    I thought of posting in the "not diagnosed with a recurrence but worried" but I'm SO worried I might have bone mets... I think I should just post here. I've been lurking for a few weeks, after having been gone from this site for several years, trying to just move beyond this and focus on my girls (Originally diagnosed in 2012 - see more info below).

    I'm sitting here this early morning, about to get my girls up for school (4 yo and 10 yo), and then I will be driving two hours for an appointment at Univ of Michigan for a clinic appointment. I feel so sad and hopeless. I just thought it was time for me to write and seek support from you dear people. We moved to a new home (same town) in late September, and in the midst of prepping our home to sell (beginning in August, my husband herniated a disc and was essentially out of the packing, moving, renovating, unpacking game until now - he had surgery three weeks ago. I ended up doing it ALL. And subsequently hurt my back as well. Many times over those long weeks, after putting in a new kitchen floor (!) or carrying too many boxes, etc., I could feel the back pain creep in. Fiinally I started pyhsical therapy at my husband's urging- we can't BOTH be down for the count! I've been in physical therapy now for over a month and I'm not really getting any relief.

    I know when I tell that story, it absolutely sounds like a simply injury. Only my symptoms have really changed in the subsequent weeks and seem to be worsening. Earlier I might get a day of relief, but now it's everyday. I currently have a nagging, unending burning sensation in my tailbone. I have tingling in the toes on my left foot, and I have an occasional sharp twinge in my mid back vertebrae. I also feel a sensation in my sternum (not pain, really, just discomfort?), and an occasional burning sensation in the upper verterbrae, neck area. Oddly, when I sleep, all of these symptoms go away. I wake up with no pain/discomfort, but as soon as I get up they start in again and are there all day long, often worse by the end of the day. (Or maybe I'm just tired of it all by the end of the day.) Oh, and most recently - no pooping these last three days.

    My crazy-worried thoughts tell myself this: I had bone mets all along - and the intense physicality of single-handedly moving our family just broke what what already weakened by bone mets, They were there - with no symptomology - and I overdid it and now vertebrae, coccyx, sacrum (?), are fractured, etc.

    Is that a possibility? Can anyone offer me any wisdom or perspective? I don't have any scans scheduled yet. My onco wanted me to start with my PCP and an MRI, because they thought from my story it was injury induced. Well now these injuries don't feel the same - they feel ominous. (Burning tailbone and the rest???). I asked to see my onco first and today is the day. I am terrified. I don't know how to live with this. I don't know how to not live without feeling in utter despair from my girls losing their mother. I don't know that I can do this. Any help is welcomed and so appreciated. Thank you, thank you, thank you. (Currently sobbing at the keyboard.) <3

    (Edited to say: maybe I'll copy and post this message to the "worried and undiagnosed" thread - I guess that is a more appropriate place. Blessings and peace to all of you lovely sisters.)

  • chrissyb
    chrissyb Member Posts: 16,818
    edited November 2018

    Hi Esmeralda, so sorry you are having all that pain and discomfort. First of all a little encouragement........I have had bone mets for almost ten years......I'm still here, still living life to the full, driving long distances, going on overseas trips......basically having a blast. What I'm trying to say is, even if you have bone mets you may still have years and years before you need to start thinking about your death.

    I'm glad you are seeking information on you pain and honestly, I'm not a doctor by the way, but what you are describing is more like injury than mets. For starters, for me, it was more pain at night, enough to stop me from sleeping. In the day, it was a constant deep ache that did not respond to over the counter pain meds.

    Chin up lovely, you have a lot of living to do yet so dry your tears, seek out the medical help to get those answers so you can put your mind at ease.

    Love n hugs. Chrissy

  • grrifff
    grrifff Member Posts: 104
    edited November 2018

    Esmeralda-I was diagnosed de novo in July 2017 bone mets only. I never had an ache or pain. I was waitressing 4-5 nights a week from 4-10pm. I felt great. The only symptom I had was fatigue. I was very tired especially in the morning. I would bring my three kids to school and come home and nap for a few hours. Then I had a lump pop up in my right underarm and a lump in my breast shortly after. Yours sounds more like an injury but definitely get it checked out. I never apologize for going to the doctor. Don’t let anyone shame you for worrying too much. We’re here if you need us.

    Jill

  • Esmerelda
    Esmerelda Member Posts: 243
    edited November 2018

    Thank you so much, Chrissy and Jill! Chrissy, I have followed you for years, as you are such a comfort to others facing this battle. You are an incredible inspiration to us all! I so appreciate you chiming in and offering support. And you, Jill! Thank you so much. Yes, I do try and take solace in that all my pain seems to go away at night. Though I know nothing can offer 100% assurance. I’ve been agonizing over this for so long - I’m frustrated that even after today (just a clinic appointment) I won’t have any any answers - any scans or tests will still be days/weeks away. (Happy holidays! Ugh.) I know my onco will dictate - but do any of you have any perspective on what scan would be best to offer the most accurate findings? Blessings to you all. (Also, just FYI,my name is Jen, Esmerelda was my dad’s nickname for me.)


  • chrissyb
    chrissyb Member Posts: 16,818
    edited November 2018

    Jen, for my bone mets I have nuclear bone scans done. The mets light up like a Christmas tree as my onc puts it. Here is Australia Pet scans are not used that much but I have heard that in the USA Pets are used in conjunction with the bone scan. I also know that your Medical Insurance is a lot different as well so they may only approve the nuclear bone scan. Which ever happens eventually you will get some answers.

    Thank you for your compliment, Jen, much appreciated.

    Love n hugs. Chrissy

  • grrifff
    grrifff Member Posts: 104
    edited November 2018

    Jen-CT scans seem to work for me. I remember how happy I was when my surgeon at a weekly appointment after my lumpectomy said my bone scan was clear. But in the next breath he said “but the CT scan shows a few spots on your spine” Because the spots were less than a centimeter and they were lytic they didn’t show up on the bone scan. I’ve only had one PET and it didn’t offer much more than the CT scan did.

  • MJHJAN1014
    MJHJAN1014 Member Posts: 708
    edited December 2018

    Esmerelda-Sounds like nerve pain to me. Maybe from compression of the spine? Not sure, but it does not sound like the pain I experienced when diagnosed with bone mets. Best of luck, MJH

  • Beznaranca
    Beznaranca Member Posts: 9
    edited December 2018

    Hi to you all,

    I was diagnosed with breast cancer at the end of the August this year. The operation was in mid-September (2cm diameter). At the beginning of November I received the first dose of chemotherapy. It should take another dose for 4 days. I'm worried since last 2-3 days I have elevated temperature and last 10 days cough. Tumor markers are normal all the time, and all lymph nodes were clean after surgery. Is it possible that lung metastasis will occur in such a short time?

    How much are tumor markers reliable in the context of disease spreading to distant organs?

  • Murfy
    Murfy Member Posts: 342
    edited December 2018

    Dear Bez, it is more likely that you are having side effects due to chemo. You should call your oncologist and let them know that you are having these symptoms so they can treat you before your next chemo. I also had a bad cough following taxotere, so I can relate.

    Take care!!

  • pajim
    pajim Member Posts: 2,785
    edited December 2018

    Hi Beznaranca, it seems much more likely that your symptoms are either due to a virus or a side-effect of the chemo you received last month. I don't know what drug you are taking but did your cancer center tell you to call if you have a fever (usually more than 100.5F)? That's pretty standard. You should call in and tell them.

    Did they do a scan before surgery to make sure you didn't have mets? If that was clean I would fall out of my chair in surprise if you had mets now.

    Tumor markers are reliable for some women most of the time and for some women none of the time.

  • Beznaranca
    Beznaranca Member Posts: 9
    edited December 2018

    Thank you for your answers.

    I'm taking AC mix of chemo for now, cough started 5-7 days after first dose, and started to be a little rougher after 2 weeks, in the same time as i got 37.5 degrees temperature.

    After 3-4 days temperature is gone but cough is still here.

    They did MRI of both breasts and chest wall before surgery, everything was clean.

    Surgeon said tnat PET-CT is not necessary, that I should do it after chemo

  • SierraPineapple
    SierraPineapple Member Posts: 47
    edited December 2018

    Beznaranca do you have asthma at all? I have activity enduced asthma and before chemo I used my inhaler about 4 times ever. It is a very mild kind of asthma. I noticed during AC I developed a mild cough, but ended up in the ER due to acute acerbation of my asthma. I did also get a fever after each infusion a few days out, usually around night time, but it went away within a few days. I used iced packs, cool showers and Tylenol to keep the fever down.

    That said you know your body best so if you feel like something is wrong then better safe than sorry.
  • Beznaranca
    Beznaranca Member Posts: 9
    edited December 2018

    No, I didn't have any signs of asthma in my life

  • dya
    dya Member Posts: 35
    edited December 2018

    This week they found new spots in my lungs on my dec scan that are highly suspected to be mets. Pneumologist said that it looked like mets. I’m expecting to get stage iv diagnosis this week after my lung biopsy.


    I’ve been on chemo a lot this year. I’ve got 3 taxotere, 1 CEF and 12 taxol. Pathology indicated my cancer is not responsive to chemo yet they give it to me along with herceptin and perjeta. I’ve had a recurrence at the start of the year when they stopped herceptin to give me CEF. Again I’m having a recurrence after they’ve stopped herceptin.


    Are there stage iv ladies running exclusively off targeted therapies? I don’t think I can do chemo right away again... I need some time

  • LoriCA
    LoriCA Member Posts: 923
    edited December 2018

    I'm so sorry to hear that they suspect lung mets dya, keeping my fingers crossed that the spots turn out to be something benign.

    There are several women here who have been on only Herceptin or Herceptin & Perjeta long term, 7-10 years. As my MO says, it's a maintenance treatment and as long as your mets are stable and not causing any problems (or you are NED) you can stay on it as long as it works. If your mets are growing and causing trouble, then it's time to consider other treatment. That doesn't always mean systemic treatment (chemo), if the rest of you is responding well to targeted therapy there are usually options for localized treatment of mets if they are causing problems. As a general rule of thumb, if the mets are small and not causing any symptoms, there's no need to rush into a change of treatment. At Stage IV it's all about quality of life.

    You might want to look into Kadcyla (f not now, for the future), which is a targeted therapy that combines Herceptin with emtansine. It seems to be fairly easy to tolerate, more so than a harsher chemo. I'll be moving to that next when I finish this round of Taxol. I seem to be the opposite of you - my mets respond very well to H&P (my liver mets have completely resolved on H&P) but when I stopped chemo I had a primary recurrence. Kadcyla seems to be the best of both worlds (hopefully).

  • funthing42
    funthing42 Member Posts: 418
    edited December 2018

    DVA

    I had a reoccurrence less than a month off of herceptin.

    It went to my skin. My battle is fruitless.

    They told me I was Her 2 + then they said I was Her 2-.

    Im sorry to hear this. I'm waiting for xeloda to work. Do Genetic dna testing if you haven't already.

    I seemed to be resistant to everthing no remission just progression. Hang in there. Never dreamed of this and no one every really goes there to elaborate or think outside the standardized care.

    • NotBrokenJustBent
      NotBrokenJustBent Member Posts: 394
      edited December 2018

      I have posted twice in the last 5+ years and fortunately I have had no need for support in quite awhile. I just again want to thank you all for the support and service you offer to this community. I find it so admirable and may you know what a difference you make to many. Bless you.

    • dya
      dya Member Posts: 35
      edited December 2018

      Hi funthing,

      I did do genetic testing since I got diagnosed at 36. They did not find any known mutation or variation

    • Salamandra
      Salamandra Member Posts: 1,444
      edited December 2018

      Thank you for opening this section and answering some questions.

      I was wondering how much impact the location of mets has on prognosis. I get the impression that a lot of the very long term survivors started with and mostly stayed with bone mets. My mother died of de novo stage IV, however about 20 years ago, and it had already metastasized to the brain by the time she caught it. She survived less than two years from diagnosis. Is there anything to this impression I've got?

      As I learn more, I am sort of constantly surprised by how diverse breast cancer is. I guess I wonder how is stage IV kind of subdivided (like we get a's and b's in the earlier stages now) and how much it has to do with location of mets, versus hormonal/genetic components of metastatic tumors, etc.

    • dlb823
      dlb823 Member Posts: 9,430
      edited December 2018

      Salamandra, even though it was 20 years ago, I'm so sorry to hear that you lost your mother to mbc.

      There are actually a couple of factors that influence long range survival after an mbc dx. The first is how a patient responds to meds, but as you suspect, location of mets is also a factor. Newer stats show that many with bone only mets are surviving considerably longer than previously quoted averages. 10+ years is not uncommon. And if the mets is in one or just a few locations (ogliometastatic disease), the goal can be "cure" (although we realize that is a fluid situation) vs. control.

      This Consumer Reports link re. increased survival with mbc is based on a 2017 NCI study.

      https://www.consumerreports.org/breast-cancer/wome...

      And the following probability statistics were recently compiled from information in the SEER database.

      image

    Categories