17 Replies Last post: 12-Jul-2009 18:16 by koki   1 2 Previous Next

Secondary bone cancer

30-Jun-2009 15:45

Click to view demare's profile

Hi

My mother has just found out that after 5 years her cancer has spread from the breast to her spine. She finds it very difficult to walk and nothing seems to make the back pain any better.

Doctors have suggested a course of radiotherapy to ease the pressure on the vertebrae but not before the steroids have started to work. Generally speaking - I know, every individual is different - what are the chances of her starting to feel better after the course of radiotherapy and have a decent quality of life with this cancer. And also, do you know of any clinical trials suitable for her situation?

I am grateful for any advice ot personal experience you may have. I really need to have clearer picture and nobody is helping on this front.

Click to view StickiVicki's profile
1. 30-Jun-2009 19:33 in response to: demare
Re: Secondary bone cancer

The radiotherapy should help with the pain, though it takes a few weeks for the effect to be felt. I presume the steroids as to reduce the inflamation in the spine. Some people have had complete relief from pain after rads, so yes I think your mother has a good chance of a decent quality of life. How old is your mother? Maybe some of the pain is arthritic rather than as a result of the cancer. Try to get to see a pain specialist, or contact your local Hospice as they are experts in pain control.

I know that sounds scary, but Hospices are about maintaining a good quality of life for a long as possible, and not just about the end of life. My local Hospice has complimentary therapies and physio available, and I have had both.

I have secondary breast cancer with bone mets in various places, and I had to have a hip replacement due to a pathological fracture of my right hip caused by a 4" x 2" tumour. I had a short course of rads to the femur afterwards. I am in the ZICE trial having Zoledronic Acid every 4 weeks to strengthen my bones, and recently changed from Tamoxifen to Letrozole as my hormone treatment. In July last year the tumour above my left knee had grown slightly, and then in August I went dairy and red meat free. In February this year a bone scan showed that the tumour about the knee could not be seen, and all the others had lessened in intensity. This is without chemo. May I suggest that you and/or your mother read Jane Plant's "Your Life in Your Hands". Also try canceractive.com to find out how you can help yourself.

Is your mother's cancer hormone positive or HER2 positive, or negatives? Mine is ER+ and HER2+. You can check out clinical trials on the main Cancer Research UK website, via the patient information button at the top of the page.

Good luck, and very definately you mum can have a decent life with mets. I work 4 days a week, and often 5 days, walked in the Race For Life in Bournemouth about 10 days ago and I feel better than I have done for years!

Click to view StickiVicki's profile
3. 02-Jul-2009 19:08 in response to: demare
Re: Secondary bone cancer

I am 49 and I have arthritis starting in my lower spine and left hip, you can get it at any age. There are many women who have a good quality of life and are living with bone secondaries for many years. You do need to know about her HER2 status and also ER or PR (Oestrogen receptive or Progesterone receptive). The treatment you mother will get will be based on whether or not she is positive for any of these three, or negative to all.

I hope your mum has an onc who communicates well. I have just changed my onc after getting incredibly frustrated by the evasion and lack of communication of my original onc.

Always make sure you chase up any x-rays or tests. One x-ray I had was not reported on so it was 7 weeks before it was looked at, and then only because I asked, after looking at it I was not allowed to leave the hospital as they realised my hip was about to collapse and 5 days later I had a total hip replacement. I had CT and bone scans in February and if I had not asked for the results I would have had to wait two months for the results! That was after having to push to get repeat scans done 13 months after the hip op, having been given no indication as to how things were going. My new onc says he would have ordered repeat scans after 3 months to see how I was responding to the treatment! They just don't seem to think that communication it important.

I find that taking moderate exercise also helps. I try and walk regularly as it is good exercise to strengthen the bones but if you mum is having problems in might be worth asking to be referred to a physio. The one at my local hospice is really good and has given me exercises to help with pain in my upper back, hopefully only caused by 20 years working as a cleaner. I have repeat scans in a month, so I'm hoping they are still good.

This is a really scary time, and mention of hospices makes it seem gloomy. I think I mentioned before that they are about achieving and maintaining a good quality of life for as long as possible, and they have therapists that can help with this. They also have counsellors who may be able to help you and your mum.

Oops another load of washing is just finishing, must dash - good luck and let us know how things are going and what the onc says. Vicki

Click to view snowieriver1's profile
4. 05-Jul-2009 12:31 in response to: StickiVicki
Re: Secondary bone cancer

To StickieVickie

As someone who has supported my mother (Goldenbird) in spite of being removed from site I wanted to relate this to you.

She is a very brave and positive woman and having bone cancer arising from primary breast cancer can tell you that she was first started on Femara (letrozole) 2 years ago and then after a year it failed so then they put on Aromasin (exemestane) which then shrank the tumours again. Apparently there are other drugs if this one eventually fails. She also mentioned that if you are HER+ then you could have treatment relating to this as she knew someone in this state with a terrible condition of it all over the place and the herceptin drug removed the symptoms for 4 years.

My mother (even though having a loving husband) always prefers to go to appointments alone as she is strong, like you sound to be, and ends up having to comfort the person she takes with her!!!

We both wish you well and I'm lucky to be healthy and fit and have just got married and my sister has just produced a third nephew for me.

David

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5. 05-Jul-2009 18:13 in response to: snowieriver1
Re: Secondary bone cancer
It must really be one long celebration in the Goldenbird household at the moment! Congratualtions on your marriage and I hope you have a long and happy time together through the ups and downs of life. Never forget to take care of each others hearts.

I haven't been put on Herceptin yet although it was suggested by **** when I had a second opinion at the Royal Marsden, as it was not originally offered by my hospital. However with hind sight I am glad that they were so uncommunicative and gave me no feeling of hope as it made me get up off my posterior and go out and find hope for myself! Reading Jane Plant's 'Your Life in Your Hands' was a great boost, and since going dairy free I have been much better and scans in February 09 showed the tumour at my knee could not be seen and all others had shrunk.


That was the first set of scans for 13 months, with only indication of how things were going before that being an x-ray of my knee in July 08 which showed that the tumour at the knee had grown slightly. I have now changed oncologist to someone who communicates and at present I am happy to keep all other treatments in reserve. I have repeat scans in a month and I now have an onc who seems to be willing to do scans.


After finding out that you are Stage IV by them finally looking at an x-ray that was nearly 2 months old, and which had not been reported on, and realising that my hip was about to collapse, and I was not allowed to leave the hospital but was admitted straight away, to be left with no news for 13 months was dreadful. When I asked what the plans were I was told that they would come up with something when things got worse. I asked if there were markers and was told there were none - which I know is a lie. What really stressed me out was that they didn't listen to me about the pain in my hip when I was first dx in Sept 2007,and I told 5 doctors about it and the most interest I go was "that's interesting"! Since they obviously couldn't tell that the cancer had spread before I was dx and they were doing nothing to see how things were going, and they did not listen to me when I told them about symptoms, how the hell were they going to know when things got worse - and would it be too late by then? What is worse is that in May 2002 I had a hysterectomy and was told then that blood tests indicated I might have cancer. The marker was CA125 which is also a breast cancer marker, and I told the gynae and my GP repeatedly that my mother had breast cancer, and both recommended I take HRT! I did so reluctantly, and periodically for a year or so and gave up as I was not happy about it. I went to my GP several times over the years saying how bad my back and hip were getting and how tired I was but I think as far as she was concerned I was fat and depressed and a waste of time.


Needless to say my confidence in the medical profession is very low, and I chase up all my results. I had to ask for the scan results from Feb 09, otherwise I would not have been told for two months! Luckily they were really good. Sadly only complaining via PALS seemed to get any response, though I feel as though I am now considered to be a nuisance, bad tempered etc. But what the hell. The negligence of that hospital means I am going to die so what do I care if I hurt their feelings!


I am a bit wound up at the moment, but to the originator of this thread take note to question them and chase them about results etc until YOU are happy that everything is being done. I truly appreciate that the folks of the 'coal face' in hospitals work very hard and the problem is the massively over paid, over manned management that is destroying the NHS and needlessly costing millions that is the problem. Managers are RUBBISH but just can't see that, which in many ways is even worse, especially as they give themselves huge pay rises and expect the PEOPLE WHO DO THE WORK to get by on peanuts. If managers and politicians were really that good at their jobs we would not be in this recession. All I can say is Merchant Bankers!


Sorry about this! Vicki xx

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6. 05-Jul-2009 16:49 in response to: StickiVicki
Re: Secondary bone cancer

Hi Vickie

My mother is lucky in that she has a good communicative oncologist but she told me that many people on this site have had terrible treatment from healthcare people. It seems some on this site have to fight for medical support and I've now read a lot of stories and it is bad. It seems that some doctors are clueless or too busy. Fortunately my mum can still help some of the people here including a man called cluckie and also kim and mons (who both call her mummy) and others because she has their private emails. I hope to set up a website for her and let her help properly. One of the reasons she was removwed from this site was because she put my website address on it to help another lady and they said it was personal advertising of a family business which is rubbish because it is my own business and I only suggested she put it on to help someone who wanted to set up a bereavement website and that is my job. It seems to me that the moderators on this site do not want people to help others and are in the same category as NHS managers.

I hope you are OK and keep on trying (as mum would say). David

Click to view StickiVicki's profile
7. 05-Jul-2009 18:44 in response to: snowieriver1
Re: Secondary bone cancer

Woops just had my wrist slapped for mention the name of the Professor who is the head of the Breast Cancer Unit at the Royal Marden, because he is "my doctor". In fact he is not, I only went to him for a second opinion and did not mention the name of my doctor who caused me to become so depressed the I was contemplating suicide! I had to walk out of the house one day because when I was preparing some food as all I could think of was using the knife to slash my wrists. Luckily that Dr moved to another hospital for about 8 months, though sadly he is now back at my usual hospital.

I think I am going to ask the moderators to disable my account. This is rediculous! This site seems to be run by Nazis!

Click to view snowieriver1's profile
8. 05-Jul-2009 19:50 in response to: StickiVicki
Re: Secondary bone cancer

Hi Vickie

You have more years ahead of you i am sure. Please do not contemplate suicide. Although I have not got cancer I have seen my mother (and her mother) with it and Mum does not talk about it much. So if you ever feel like that again email her on halfrazATbtinternet.com I suppose the moderators will remove it soon so get it down quickly and she will help you.

Take care, David

Click to view tinabrina's profile
9. 06-Jul-2009 20:57 in response to: snowieriver1
Re: Secondary bone cancer

Tut tut David, you are so going to have your wrists slapped for posting that e-mail address, but thankyou, I feel really chuffed, like a naughty schoolgirl, I couldn't write it down quick enough. Regards, Tina.x

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10. 06-Jul-2009 23:11 in response to: tinabrina
Re: Secondary bone cancer

Thanks Tinabrina

Mum is coming up to Leeds tomorrow to see me, my new wife, her daughter and husband and new (third) son but if you e-mail her I'm sure she will be in touch when she gets back.

I wish you well, David

Click to view tinabrina's profile
11. 07-Jul-2009 08:01 in response to: snowieriver1
Re: Secondary bone cancer

Dear David,

That will be alovely break for Goldenbird, there's nothing nicer than a mum being with her family.

I am also off on holiday with my family this week (if I ever get organized in time), my elder daughter is just back from Uni, she has now completed & passed her first year at York, she loves it there .We are all off to Abersoch in Wales, plenty of windsurfing & canoeing & hopefully some sun, although that is looking a bit doubtful at the moment, it's pretty cloudy & dull where we are in the midlands, so I expect it will end up being waterproof, wellies & long walks on the beach, don't thinkt hat will impress my daughters too much.

Tried the e-mail address but my computer would not send the message, it was telling me that part of the address was incorrect, but now writing this I realize why you wrote the address in the manner you did, I will try replacing the 'AT' with the more usual sign, hope I've got that right, I'm not very computer minded, but hopefully that will do the trick.

Congratulations on your recent marriage, best wishes, Tina.x

Click to view snowieriver1's profile
12. 07-Jul-2009 10:33 in response to: tinabrina
Re: Secondary bone cancer

Yes, the site automatically puts AT instead of the usual sign @ to deter hackers.

Had a wonderful wedding and honeymoon but now back to work again. Hope you have a good hol and good weather???

David

Click to view koki's profile
13. 10-Jul-2009 11:33 in response to: demare
Re: Secondary bone cancer
hi im kate im 37 and recently diagnosed with sec breast cancer in my bones, specifically my spine ribs and hips. Im takin anastrozole and had radiotherapy to my ovaries to stop them producin oestrogen. im felin a bit lonely as i know no one who also has this and only have my family and friends to talk too. They r gr8 but dont really understand wot i feel. Im scared. My boyfriend left me when he suddenly decided its not worth bein with someone who has no future. And thats how it feels. . . Kate x
Click to view StickiVicki's profile
14. 10-Jul-2009 20:02 in response to: koki
Re: Secondary bone cancer

Hello Kate. I know the feeling of being alone and isolated especially when you have just been diagnosed with mets. It takes a while to be able to think straight and adjust to a new reality. You certainly DO have a future and there are things that you can do to help yourself.


The latter site is one started by ladies with secondary cancer for those with mets. Everyone there is in the same boat as you and I. Sadly the whole breast cancer 'industry' is very much geared towards primary cancer and they don't seem to want to notice us. Secondary support is a social networking site which is fairly new.

Welcome to our world, though sorry you needed to find us! Vicki XXX

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