Bone metastasis happens when the tumor cells metastasize and spread to the bone from their original site. Any cancer can result in bone metastasis. It usually occurs in all bones but is generally seen in the spine, thighs, and pelvis. It is an important marker for cancer diagnosis. In addition, it may occur few years after cancer treatment. Symptoms include pain in the bones, fractured bones, urinary and bowel incontinence, hypercalcemia, and fatigue in the hands and feet.
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Query: Hi doctor, I wondered if someone could help me interpret the following recent CAT (computerized axial tomography) scan. My husband has stage 4 unknown primary cancer in bones and lymph nodes. Is this report saying he now has cancer in the lungs, and how will this disease progress? He is not doing c... Read Full »
Answer: Hello, Welcome to icliniq.com. It is a stage 4 cancer with bone metastasis (attachment removed to protect the patient's identity). He should get a biopsy done to confirm the type of cancer and then plan chemotherapy protocol along with Zoledronic acid (zoledronate). It is stage 4 cancer, and it ca... Read Full »
Query: Hi doctor, My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference. We are taking the treatment for the disease and her physical condition was ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is l... Read Full »
Query: Hello doctor, I want to know about my dad's PSA prostate biopsy report. The report is in french language and I will translate it in English. Doctor advised him to take hormone therapy and radiation therapy. Will that work? Biopsy report shows: Adenocarcinoma of prostate Gleason score 6 (3+3) ass... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks your father has been diagnosed with prostate cancer. The good thing is that his bone scan is free of metastasis (spread). I will suggest them to do an MRI (magnetic resonance imaging) pelvis and x-ray chest plus abdominal ultrasound for staging. These investiga... Read Full »
Query: Hi doctor, I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC wit... Read Full »
Answer: Hi, Welcome to icliniq.com. I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report. Bone metastasis cannot completely disappear after treatment. They become less prominent. As I ... Read Full »
Query: Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold. Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, it is possible that you might have mild fractures of ribs due to excessive coughing. Can you please upload the images. I will look at the pictures and then give a detailed opinion. Revert with the images to a radiologist online --> https://www.icliniq.com/ask-a-do... Read Full »
Query: Hi doctor, My father has been a patient of recurrent local squamous cell carcinoma. In the last one and half years, he has been operated for cystoprostatectomy and urethrectomy with an ileal conduit for urine bypass followed by lymphonodectomy. After all these surgeries, he had a recurrence seven mo... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed the information and the biopsy report (attachment removed to protect patient identity). Please understand that this pathological report is incomplete, so it is difficult to advise you the further course of therapy. In fact, further therapy will depend on ... Read Full »
Query: Hello doctor,My father has advanced lung cancer and severe pain in his legs or back. It is suggested that he should have radiotherapy, possibly five sessions. I understand this is to reduce his pain. Is it possible to explain to me what this involves, before and after, and for how long, whether the ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. It looks like a stage 4 lung cancer (attachment removed to protect patient identity). The pain in the back and limbs is possibly due to bone metastasis (cancer spread to the bone). You have not attached any report to know the details o... Read Full »