Q. Am I undertaking the right treatment for breast cancer?

Answered by
Dr. Rakesh Mittal
and medically reviewed by iCliniq medical review team.
Published on Oct 08, 2015 and last reviewed on: Feb 01, 2019

Hi doctor,

My chief complaint is severe lower back pain and pain in upper thighs. My medical history is as follows. Carcinoma of the breast three years back, followed by surgery, chemotherapy, and radiotherapy. I am on Tamoxifen for past 3 years, and now I am taking Arimidex. I have been suffering from osteoporosis for over 7 years. Before six years, I had severe osteopenia with maximum bone loss of 21% on L3 and spine, ribs, trunk, and arms with more on the left side.

I had undergone the following investigations. Before three years, I had FNAC which showed invasive ductal carcinoma, right breast ER+, PR+, Hercep score "0." Last month, I had an x-ray and MRI, which showed focal altered marrow intensity lesions seen in B/L pelvic bone, sacrum, and left upper femoral shaft consistent with metastasis. I also had a PET scan which showed metabolically active ill-defined lytic destructive lesions in post cortex shaft of left femur, right inferior pubic ramus, B/L iliac bones, sacrum, D5, 7, 11 and L1, 4, sternum, right 3, 5, 7 post ribs with mid-right paravertebral soft tissue lesion at D7 level likely metastasis.

Dr. Rakesh Mittal

Child Health Medical Oncology Paediatrics


Welcome to icliniq.com.

I do not have full information regarding the case from your query.

  1. What was the stage of the condition at the time of diagnosis?
  2. What chemotherapy was used?
  3. When did you start Arimidex?

The conclusion I can make from the information which you have given is that the patient has bone metastasis only. The treatment for such a case is a change in hormone therapy.

Your medication has already been changed from Tamoxifen to Arimidex. I do not know since how many days or months you are taking Arimidex. Has it made any difference in intensity of your back pain?

You also need to take Zoledronic Acid injection (Zometa). This also helps in bone metastasis. You also need adequate pain medications, maybe Morphine preparation to control your pain.

Was this answer helpful?


Hi doctor,

Thank you for your opinion.

I am hereby attaching the conclusion of PET scan report done 10 days ago, the medicines provided and the old discharge summary given from the hospital where the breast cancer was treated three years back.

I am also having temperature around 100 daily and leg pain. I am pleased for your advice.

Dr. Rakesh Mittal

Child Health Medical Oncology Paediatrics


Welcome back to icliniq.com.

I saw all your reports (attachment removed to protect patient identity). You are on correct treatment.

Do not worry about fever. It will settle down as it is common after injection of Zometa (Zoledronic Acid injection). Take tablet Paracetamol three times a day. If it does not settle down in a few days, do consult your doctor for physical evaluation.

Was this answer helpful?


Related Video
Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

I have osteoporosis. Will I be able to conceive?

Query: Hi doctor, I am a 31 year old married female. I have been diagnosed with osteoporosis. I am really worried whether I would be able to conceive or not. Please suggest me some advice.  Read Full »

Do you feel that the enhancement of a rib on MRI is due to metastasis?

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 »

What is the treatment for multiple small nodules in the lungs?

Query: Hi doctor, I underwent a comprehensive health checkup recently and it revealed multiple small nodules in both my lungs from the high resolution CT scan. Presently, I have sporadic recurring breathlessness during late evenings. Now, I am taking osteopenia medication, calcium and calcinase nasal spra...  Read Full »



Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.