Why do they send some people for scans and not others?

Hi Jane,

Thanks for your very informative post. I was wondering whether I should press for a scan, but the info you have provided has reassured me that I am no doubt receiving good care and that a “clear” scan would probably not put my mind at rest for any length of time. As I said earlier, at the time of my diagnosis I couldn’t have faced any more tests and scans, but as time moves on you have time to think about things and read what test/scans others have received and then wonder if you should have been offered the same. Anyway, I will now try and get on with life and stop worrying about a scan. As you say, if it has spread elsewhere I guess I will get symptoms at some point and will have to hot foot it to the Dr. I have to agree that Horace’s view seems very sound and I certainly don’t want to expose myself to any more radiation than is really necessary

Julie

I was offered a scan 1 year post dx and said no.My oncologist congratulated me on my wise and informed attitude.He said that if I wanted a scan in future I had only to ask.If I am dx with mets in future I will have every scan and treatment offeredI do think we each have to do what feels right for ourselves and for our individual circumstances.I am now backing out of this thread.Good luck to all of you whatever you decide.valxx

Hi all

This is all very interesting. And as so often with these threads, the topic twists and turns a bit, so apologies for wandering off-subject rather. Hope no-one has been upset or offended.

Jane, as ever, you have read round your subject thoroughly and considered many views and I know you are better informed about this than I am.

Horace, and others, I understand exactly why you don’t want scans (and with a good prognosis, who would?) and I agree whole heartedly that no-one should be made to feel they should have one when they wish to do otherwise. They ARE incredibly stressful and do nothing for one’s quality of life.

But…a personal experience. I was diagnosed with a second, much more aggressive primary (this time with lymph node involvment) 11 years after my first cancer. My initial scans were clear, although I was left in no doubt that there was a high risk of recurrence. For the next three years, I turned up for the usual ‘prod and grope’ and mammograms as directed, with no problems detected.

Then, in the course of being screened for a lymphoedema research trial, I had to have an MRI scan which flagged up a potential problem not apparent from mammograms and ‘feels’… Now…I was still symptomless and the scan was originally nothing to do with my oncologist (although she had given her permission for it to be carried out). If we apply the logic we were discussing here, the scan should have been ignored and nothing done - because I had no symptoms and my oncologist hadn’t actually requested a scan in the first place. Of course, it wasn’t ignored and action was taken which initially included a much earlier change of medication and closer monitoring than would have been the case. I was actually relieved to have had the scan - and the results - as I had spent much of the previous three years wondering what might be going on - and to consequently be given closer scrutiny as a patient. I was told I could have remained symptomless for some time, but that wouldn’t necessarily have meant nothing was happening. I realise that I may well be living on borrowed time anyway (without going into loads of detail, the issue for me is still up in the air), but this is where I am at last at one with Gordon Brown, happy to borrow as much as I can!

I realise mine may be a slightly unusual case, but I hope everyone will understand why I personally feel very ‘pro scan’, while realising, and accepting, that not everyone else may feel the same way. and for their own very valid reasons. We’re all different.

X

S

I am due my first check up after treatment finished in October. I presume it is a grope and feel thing. As others have said, i could mammogrammed and scanned all the time and a secondary could appear without my knowledge as small ones I understand do not scan. It is hard to get my head round it but I know as a grade 3 I have a higher risk of reoccurance than lower grades and whatever statistics show I could fall in the NED catagory or secondary catagory. It is just wait and see. The future is never certain with BC. I am on arimidex for 5 years which is something whereas the triple negatives have nothing like this.

Rachy