Common "Metastasis" queries answered by top doctors | iCliniq


When cancer cells detach from their original developed site and spread to different parts of the body through the bloodstream or lymphatics and develop a new tumor at the new site, it is known as metastasis. But some cancers tend to metastasize only to some areas. Lung cancer tends to spread to the brain, bones, and liver. Breast cancer tends to spread to the brain, liver, lungs, chest wall, and bones. Prostate cancer spreads to the bones. Colon and rectal cancers spread to the liver and lungs.

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All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

What is the guideline for treating metastatic breast cancer?

Query: Hello doctor, The patient is a 36-year-old female. She is a metastatic breast cancer patient. The diagnosis was made three years ago. Metastasis found this year through FDG PET CT scan. The primary treatment was for breast lumpectomy, followed by chemotherapy (3 FEC+3 Docetaxel), and radiation ther...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to It looks like she is having progressive metastatic breast cancer triple positive (ER +, Her 2 +ve). She received chemotherapy, hormonal, and target therapy (Trastuzumab). She also underwent BCS, oophorectomy, plus radiotherapy. Despite all this treatment. she progres...  Read Full »

Is there any alternative to chemotherapy? Please help.

Query: Hi doctor, I have metastatic breast cancer that has spread to the bone. I feel pain in my lower jaw, and my teeth feel sensitive and loose; if I do not want to undergo chemotherapy or surgery, what is the best alternative to help me manage my symptoms? I am not looking for a cure but a way to manage...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hi, Welcome to I understand your concern. Regarding your disease, metastatic breast cancer, are you taking any medicines for metastatic cancer? (Zoledronic acid, Denosumab, etc.) for your bone? If yes, your oncologist should hold these medications and refer you to a dental and maxill...  Read Full »

We are unable to find primary cancer tumors. Please help.

Query: Hello doctor,My mother-in-law has a small cancer in the epigastric abdominal wall with adenocarcinoma, metastatic. We are carrying out further tests including PET-CT scan, endoscopy, colonoscopy, CBC, and all the CA tests, but no primary cancer was found. Now, what will I do?  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to I have gone through the reports of your mother-in-law (attachment removed to protect patient identity). It looks like they have not yet completed the full work up. Biopsy from the abdominal wall nodule shows metastatic adenocarcinoma. So now, they must do upper GI en...  Read Full »

Is there any possibility for a PUNLMP to undergo metastasis?

Query: Hello doctor, My mother has been diagnosed with PUNLMP under the medical code M8130/1. She had undergone a surgical procedure in which the neoplasm had been removed, and the tissue was sent for biopsy, which confirmed the diagnosis. Can you tell me what further care steps are required for her from n...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello,Welcome to went through your query and understood your concern.It is a papillary urothelial neoplasm of low malignant potential (PUNLMP). Removal of the tumor is the only treatment for it. But there is some risk that it can recur again and in very rare cases, it can recur with in...  Read Full »

What is non-FDG avid in a PET scan of a breast cancer patient?

Query: Hi doctor, My mother had breast cancer 13 years back, and this year again she has been diagnosed with bone only metastasis as per the report. She is currently on Letrozole and Ibrance for the last five months. Initially there was bone pain near pelvic, and so did the ultrasound, in that it came mini...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hi,Welcome to can understand your concern regarding the new findings on CT PET Scan of your mother. She is having multiple bony metastases proven radiologically and pathologically. The generalized mesenteric and omental haziness with raised tumor markers Ca 125 / CEA, these findings ra...  Read Full »

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