How long with no treatment for ^econdary bone mets?

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Lily55
Lily55 Member Posts: 3,534

I am trying to find out what the survival time is likely to be if I refuse chemo and any other treatment for bone mets? There does not seem to be any reliable information anywhere......does anyone know please?

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  • Meow13
    Meow13 Member Posts: 4,859
    edited April 2019

    Lily, I haven't seen any data on no treatment for bone mets. Has your doctor mentioned radiation as a treatment? My coworker who was diagnosed 6 months after me, she also had ILC stage 1 and months later had pain and her radiologist found lesions in her hip. I asked her about her treatment and she had targeted radiation and she was feeling pretty good.

    Also I have seen an MRI guided method to get relief from bone mets

    http://sperlingmedicalgroup.com/a-new-treatment-fo...

    MRI ultrasound treatment

    http://sperlingmedicalgroup.com/mr-guided-focused-...


  • Meow13
    Meow13 Member Posts: 4,859
    edited April 2019

    Anyone else hear of mri ultra sound treatment for bone mets?

  • Lily55
    Lily55 Member Posts: 3,534
    edited April 2019

    Thanks Meow, I had targeted radiation done to selected mets as first treatment, it was a very long session.......and had a positive effect but they said they cannot do more radiation....I will look in to MRI ultrasound treatment....

    I don´t have a husband anymore and miss him terribly, what I would give for a hand to hold or a cuddle...no family here, I live alone and can see no real future, have no fight in me and yesterday and today I just felt horrible again, I literally drop asleep anywhere and wake up hours later........each treatment session is worse afterwards and there have only been three. I am bloated up, struggle to eat as everything tastes vile, I have a week of next week and am using the time to decide if I am going to sign myself out of treatment as I cannot see any possibility of a normal life or anything approaching what I would consider as quality of life......driving etc......there really is nothing I like doing that I can still do now.....can´t go anywhere on my own, can´t walk my dog, can´t drive, don´t enjoy eating.....hardly eating or cooking anything anyway......

    Sorry for the pity party but I am really low and its clear there is a mutual lack of trust between me and the oncology department.....I see no real hope of a life I think is worth having

  • Nkb
    Nkb Member Posts: 1,436
    edited April 2019

    Lily55- I hope that you are feeling better soon. I understand how hard it is to go through this by yourself- I wonder if a support group could help you in the interim? I wonder if a palliative care doctor could help find a treatment that you feel well with. I don't know how many treatments you have tried. It would be good to see if there is a passion or project or "bucket list" you have as planning for the future as if you are going to be here for awhile is vital to survival. Maybe a second opinion with someone you could trust at least for fresh eyes on your situation. It is said that people with ILC progress later- so several years doing ok and then start to go downhill. For me (bone mets) I also have bone marrow mets and before treatment I got very short of breath walking up hill because the bone marrow was filled with cancer and couldn't make cells- so very anemic (also they said that I had permanent bone marrow damage from my original chemo). I think that without treatment I would have had bone marrow failure- I actually don't know when the bone mets started since I was on Arimidex without any monitoring or scans or TMs etc. So, I don't know how long it would have taken for failure.

    Hugs to you

  • Meow13
    Meow13 Member Posts: 4,859
    edited April 2019

    oh lily, I am sorry. It is really difficult when someone so close is gone. I still have my husband but I feel so sad about the loss of my father. I don't think I have enjoyed my retirement I feel like I've lost touch with all my work friends. It is really hard to move on. I was thinking of you when I saw the mri guided ultrasound treatment Sperling medical. They are in Florida I was impressed with the fast pain relief they offer with little risk and side effects. However, the tumors have to be in certain spots.

  • JFL
    JFL Member Posts: 1,947
    edited April 2019

    Likely 6 months to years, depending on one's current status of how advanced the bone mets are, whether they spread to other organs without treatment, grade/aggressiveness, tumor type, genetic mutations/amplifications, etc. It is all anyone's (possibly educated) guess. No one really knows how any one person's experience will play, not even the medical community. Advanced bone mets can be so excruciatingly painful. Close coordination with a palliative doctor to manage the pain would be a good idea. At the end of the day, it is your decision but I was a few weeks away from dying of bone mets when I was diagnosed - suffering from uncontrollable hypercalcemia despite aggressive medical intervention to control it and heading toward a hypercalcemia coma - but had a miraculous turnaround over 4 years ago. I had mets in pretty much my entire skeletal system with swiss cheese bones. It took a good year for my bones to heal, slowly but surely. I went from barely being able to walk, unable to walk a step up or down, unable to stand up/sit down without putting all my weight on my arms and off my hips and in excruciating pain throughout my entire body 24/7, to completely healing. I didn't know at the time but also had 2 wedge fractures in my vertebrae. I was in misery. A year later, I was running three times a week. I didn't think I would ever be able to run again and was hoping just to be able to walk and put weight on my hips again so I could sit/stand without snapping my hip bones and sleep without extreme pain. There is hope. I still have the "stable wedge fractures" as those don't really return to normal state even after the cancel heals but they haven't caused me problems or given me any limitations with physical activity. I do everything I did before. I know that won't last forever but I have had a good run of nearly 4.5 years so far.

  • Lily55
    Lily55 Member Posts: 3,534
    edited April 2019

    Wow thank you JFL......did you do this with Taxol? You are one powerful strong woman......full of admiration for you......

    So you can drive a car and have strength? I have mets in whole rib cage, back.back of head, shoulders, tops of femurs. vertebras, all over.......

    I have been strong this far but am emotionally worn out now and find people just don´t seem to understand......there is a big difference in treatment to be cured and knowing that i may have to have chemo for ever, as it is not agreeing with me

  • pajim
    pajim Member Posts: 2,785
    edited April 2019

    Lily, it seems a bit odd to me that your doctors started with Taxol, but I assume they are trying to "hit the mets strong" for some period of time? Did they give you a rationale for this? An end date? If not it's time to have a heart to heart with your doctor. Tell him or her you are miserable and you want other options.

    Is there an end in sight for Taxol and a start to hormonal treatments? I presume you are still ER+. Because if you're this unhappy it's time to switch to something else. You can switch to 'nothing at all' or you can switch to something less toxic. Femara and Ibrance come to mind. Even Xeloda would be less toxic than what you are doing now.

    Another thought -- do you know if your mets are responding to Taxol? Sometimes knowing it's helping (and that there's light at the end of the tunnel) can help you make it through.

    If your doctor pooh-poohs your concerns it's time for another doctor. YOU are in charge. Remember that. The doctors work for YOU, not the other way around. They have the expertise, but they should be able to give you options that you can choose from.

  • Lily55
    Lily55 Member Posts: 3,534
    edited April 2019

    Hi Pajim

    THanks for your response.....No I have not been given any rationale and when I asked for length of treatment was told we don´t know........I think the cancer has been quite aggressive as I had two more vertebra fractures while wearing a brace......over the space of 2 weeks. They did radiotherapy to various selected areas, including ribs......and then said there are no targets other than Taxol......they said it was the only option there was

    I did 6 years of hormone treatments before but now there is only 6% oestrogen positivity now anyway, zero on progesterone.....

    I have only had 3 sessions of TAxol,,,I don´t know how or when they will know if its working......I think it is doing something as I am getting a lot of pain afterwards.......

    Where I live there is no choice of oncologist,,,,,I cannot change the hospital or the doctor treating me.......today I feel angry that they had such a negative attitude to me.....I have a week off now and am spending it thinking of what i might be able to do..........and whether I am going to carry on with treatment.....someone said just count each one as a success ....

    I am very upset about my hair as losing it very very fast and feel very strange now

  • pajim
    pajim Member Posts: 2,785
    edited April 2019

    Aah, maybe they feel that the hormonal treatments won't work. Particularly if you've had a lot of it already. But they should explain this to you!

    Maybe where you live Taxol is the only option. Sigh. I was given the choice of Taxol or Halaven. [whichever one I chose the other will be next] So I don't want to say they are wrong. There are other chemos but they're even more toxic. Xeloda (capecitabine) should be available everywhere in the world -- it's a generic drug.

    The pain could be what they call 'tumor flare' -- the cells dying. I've never experienced it myself but a lot of women have. If they measure your tumor markers or do a scan after three months you should be able to tell if it's working.

    Hair loss is annoying. I feel for you. I was told that on Halaven my hair would gradually thin out. Of course it ALL came out over the course of two days. Surprise!! I will wear a baseball cap in the summer.

    I'm not sure how to help you. The week off may assist your thinking. it's hard to think when you're in pain and feeling so ill.

    Edited to add: I can offer some hugs!!

  • JFL
    JFL Member Posts: 1,947
    edited April 2019

    Lily, I have not taken Taxol for mets, as I am allergic to the binding agent in Taxol and have only tried it once 12 years ago. Went into severe anaphylaxis. However, I have taken its two sister drugs for mets - Taxotere and Abraxane. Since my mets diagnosis, I have taken many chemos - Taxotere, Xeloda, Abraxane, Doxil and Halaven, in that order, as well as some hormone therapies, targeted therapies and Y90 radioembolization thrown into the mix. I fall into the heavily pretreated category. I do have strength and drive a car. A big factor in strengthening the bones and eliminating the pain for me is XGeva (generic name = denosumab). Are you taking XGeva or a bisphosphanate to strengthen your bones? It sounds like you are very low hormone positive now at 6%. Xeloda is a much more tolerable chemo - it is pill form/no IV, no hair loss and minimal side effects. If you decide to keep trudging along, you may want to inquire about Xeloda when it is time to move on to another treatment.

  • msmann63
    msmann63 Member Posts: 59
    edited April 2019

    Hello All:

    I am a Stage IV MBC patient with Mets to the bones. I have undergone treatment for the last 3 years: Taxotere, Ibrance & Letrozole, Abraxane, and, most recently, Taxotere again. I am scheduled to begin a new chemo on Thursday called Doxil. Have any of you had experience with this drug? What I’ve read has me so scared

  • JFL
    JFL Member Posts: 1,947
    edited April 2019

    Doxil is great. I took it for 9 months. It is a liposomal, targeted form of doxorubicin, nothing like its earlier generation version Adriamycin (aka the Red Devil). My only side effect was rashes and hand feet issues the 2nd and 3rd cycles. No hair loss, fatigue, nausea, etc. After 6 months, I did develop anemia though. It is super convenient because it is only given every 4 weeks. The drug goes undetected by the immune system and circulates in the body for a few weeks. I didn’t feel like I was on chemo when I was on Doxil.

  • msmann63
    msmann63 Member Posts: 59
    edited April 2019

    Thank you, JFL. Had you received other chemo drugs in the past? If so, did you have SE from them? I am the “queen of side effects”.

  • msmann63
    msmann63 Member Posts: 59
    edited April 2019

    Hi Guys:

    Received first Doxil treatment yesterday. Had a bag of steroids, a drip anti-nausea med, and an anti-nausea injection. Waiting for my Nulasta On Pro to do its thing by 5pm.

    No issues with the infusion. I'm taking nausea meds every 6 hours faithfully. Have slept nearly continuously since yesterday, but that keeps me off my painful, blistered feet. I've felt like a dishrag today. Will wait and see if I develop any other side effects (mouth sores, digestive issues). Praying that I don't.

    Hope you are all doing well!

    Bridge

  • msmann63
    msmann63 Member Posts: 59
    edited April 2019

    Is anyone here currently on Doxil

  • pajim
    pajim Member Posts: 2,785
    edited April 2019

    Hi mamann, There is a Doxil thread. You should join it! If anyone is on Doxil they will hang out there. People looking at this thread think they're discussing treating bone mets.

  • msmann63
    msmann63 Member Posts: 59
    edited April 2019

    I’ve found the Doxil page. Since I do have bone Mets, I am interested in hearing/learning about treatment options and experiences. Thank you for the suggestion to join the Doxil thread.

    Hope you’re doing well!

    Bridge

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