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Worried about breast cancer spreading to the bone - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   hi
Doctor :   how can I help you?
User :   hi
User :   i have some questions on cancer
Doctor :   ok
User :   my mother is suffering from breast cancer
Doctor :   continue with your querry
User :   she went through surgery recently and had 2 dose of chemotherapy
User :   yesterday report of bone came
Doctor :   ok
User :   lymp node report were normal
User :   but bone scan report sees cancer cell spread in bone
User :   I would like to know about criticality of this stage
Doctor :   ok
User :   Is this something serious or we can see my mother's healthy life
Doctor :   have you done the biopsy report after surgery?
User :   ye
User :   they took 17 lymp node all are -ve
Doctor :   what is that report suggesting?
Doctor :   what about breast tissue?
User :   but after chemotherapy my mother report back pain and we did bone scan
Doctor :   ok
Doctor :   I understand
User :   they report was NILL we were happy that see will be fine soon but later bone scan report is not good
Doctor :   but I want to know the
Doctor :   type of breast cancer
Doctor :   and the stage
Doctor :   as she underwent surgery on breast
Doctor :   what is pathology report saying about breast tissue
User :   one min
Doctor :   ok
User :   something like invisive ductul
Doctor :   ok
User :   and there were count of 7 and stage II
Doctor :   invasive ductile variety
User :   carcinoma
Doctor :   ok
Doctor :   whats her age?
User :   48
Doctor :   and she was operated on which side?
User :   left
Doctor :   ok
Doctor :   was there any family history of any carcinoma?
User :   Not sure but my mother's cousine sister had same cancer
Doctor :   ok
Doctor :   had she undergone radiotherapy?
User :   she is under chemotherapy not radiotherapy
Doctor :   ok
Doctor :   can you tell me which chemotherapy?
User :   that is not known to me
Doctor :   ok
Doctor :   tell me
User :   I would like to know future after this news "bone has been affected by cancer cell "
Doctor :   wait
Doctor :   let me understand first
Doctor :   after how many days she is getting chemotherapy?
User :   it has been 45 days since operation
User :   and had 2 chemotherapy dose
Doctor :   ya i got that
User :   21 days is gap between dose
Doctor :   ok
Doctor :   3 weeks
User :   yes
Doctor :   do you have bone scan report with you?
Doctor :   now
User :   not now
Doctor :   ok
User :   it is with my dad
Doctor :   can you tell me at how many places there was disease in bone scan
User :   can you explain me what is best report and what is worst
Doctor :   ok
Doctor :   in bone scan of cancer patients
Doctor :   you can find metastases (bone Spread) to various bones
Doctor :   accordingly one can say
Doctor :   if there is any bone foci
Doctor :   then according to the condition of patient
Doctor :   few more drugs can be added
User :   is it normal ?
User :   actually after chemotherapy she is not able to eat for 2 days
Doctor :   that is a common thing
Doctor :   this is the side effects
Doctor :   there can be nausea
Doctor :   weakness
Doctor :   and vomitting
User :   yes
Doctor :   ok
Doctor :   not to worry
Doctor :   about that
User :   I would like to understand one thing. In breast cancer how it can spread to bone without effecting blood and lymp
Doctor :   it spreads through lymph
Doctor :   in your biopsy report
User :   but lymp was -ve in Test
Doctor :   you stated that
User :   or it is two different cancer together ?
Doctor :   no
Doctor :   they are the same
Doctor :   it is spread from bone only
Doctor :   breast onlt
Doctor :   only
Doctor :   check
Doctor :   the biopsy
Doctor :   report
User :   how much life is there in worst case ?
Doctor :   are there any lymphnodes positive
Doctor :   not
Doctor :   to worry
Doctor :   about survival
Doctor :   there are medications to control bone disease
User :   that is the only hope
Doctor :   dont worry
Doctor :   have you undergone receptor status
User :   good thing about her is she never complain about tireness and lazzyness in her life so hope she will have good life ahead
User :   what is receptor status ?
Doctor :   it will be useful after chemotherapy finishes
Doctor :   it is
User :   i will ask doctor about it
Doctor :   ER and PR And Herceptin receptor status
Doctor :   it is useful in further management after the chemotherapy is over
User :   doctor said in bone report there are cancer cell in major of bone but in less %
User :   is it something to worry ?
Doctor :   dont worry
Doctor :   if some one gets bone disease
Doctor :   then she will need a 4 weekly injection
Doctor :   generally lifelong
Doctor :   it controls the spread of disease
User :   what if it is spread in back bone ?
Doctor :   ok
Doctor :   I will answer this
User :   actually my mother's cousine died in similar cancer so i m just upset
Doctor :   Please fill the feedback form say done when done while I type the info you need
User :   today i will ask my father complete report
Doctor :   it is the same case if it spreads in any of the bones
User :   thanks
User :   done
Doctor :   if the disease progresses in bones further then radiotherapy is given to that bone
Doctor :   are you with me?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.
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