Hi so sorry to hear about your Mum. I have just been to the hospital for the results of the MRI last Monday I have bone cancer from the breast cancer I had 5 years ago, the results were awful the tumours have got worse and I have more in the middle of the spine, been on Paplciblib , Fulveresant and injection in my arm every month but now the treat ment isn’t working my consultant is marvelous and she held my hand and said we will put you on another treatment she said I could have Chemotheraphy but I don,’t want it so I am going with the tablet apparently it stops the cancer from getting any further give it another go I am 77 years old and feel so sorry for the young people getting this b——-d desease. Hope you Mum will be ok tell her to keep fighting.Pam.x
I’m 69 yrs and have recently been diagnosed with secondary Brest lung cancer (primary 6.5 yrs ago) HER2 positive
Had my third Phesgo injection yesterday and started third month of Exemestane pill. Scan booked for July and results August. Oncologist seems confident that if these drugs aren’t working he has other options to offer me. I’ve lost over 1.5 stone since being diagnosed. My goal is to be on planet earth for many more years! 😘🤗
That’s appalling. I had a similar experience at a small cancer unit in December 2019, but was transferred to The Christie when my gloomy consultant felt he couldn’t do any more. What a difference. By then it was Stage 4 incurable with bone mets, they could manage it, the medication would stop working at some point but there were other options when it did. I listed my previous experience with dates, appointments stretched to the absolute limit and beyond, overcrowded scruffy waiting rooms, etc. to my MP, and she took it to the Minister for Health. We need a properly funded NHS where staff have the time and energy to support us. I hope your change of hospital is as beneficial as mine has been.
Over 2 years on I am still on targeted therapy (Palbocyclib and Anastrozole). The Palbocyclib was reduced as I had a period of being utterly exhausted, Letrozole was changed to anastrazole after a bad rash, my bone strengthening injection was changed to a Zolendronic Acid infusion after a small local rash. In April this year my CT showed something near my spine, so I have had a detailed MRI and it is a small probably cancerous nodule. The other mets are still stable, so for the time being I am staying on the targeted therapy, but it will be reviewed at my next scan.
I send an e mail to the Christie MacMillian and consultants secretary a week before my consultation, asking questions and telling them how I am generally, and soreness or pain, any side effects (very very few). The consultant has my e mail to refer to, as do I, in case we miss anything. It works well for me, it’s my way of keeping some control as I have brain fog. I am still having telephone consultations at present. I was offered a single blast of radiotherapy as pain control in response to my last email/the new nodule, had a consultation on the Tuesday, a CT and check for tattoos to use to line up on the Thursday, and the radiotherapy the following Tuesday. They said it wouldn’t work, if it did, for 2 weeks - I woke the next morning and my body straightened up for the first time in months. 2 weeks later the soreness has almost all gone - almost. I feel amazing. It can last up to a year, I will just enjoy the huge improvement it has made for as long as it does.
There are options, don’t let anyone tell you and your Mum otherwise. Wishing for the best outcome for her (and you).
thank you for your message it means a lot. That’s such positive news that you are four years on from secondaries in same places as my mum .. that’s really lifted my spirits and so glad you have had good scan results.. it’s all so scary and it’s not even happening to me . I want to be strong for my mum and support her just so scared of loosing her. I have booked a weekend away every month till end of year to all the places she likes to go so she has things to look forward too .. I have made notes of the treatments your on so I can ask questions when we next see someone .. I really appreciate you responding and telling me about yourself . I saw my mum earlier today and she said we should talk about end of life care after yesterday and I just went to pieces! But tomorrow I am going to Go and see her and show her the positive messages I have got and try and get her back in fight mode xx
Hi Gina G
thank you for responding it means a lot and thank you for the name of that bone strengthening injection. I will write it down and ask about it when we next get to see somebody. I feel a bit more uplifted after reading the replies, I haven’t been able to go to work today as was so upset after yesterday! Spent most of the day crying! Xx
thank you for responding it means a lot, they said they will be in contact with a date over next few weeks for MRI scan to see best place in spine to do biopsie then week later do the biopsie then will refer her to Weston Park hospital (in Sheffield where we live) and that she probably won’t go back to The Hallamshire hospital again. Where we were yesterday .. I just felt totally down after yesterday as reading all the posts on this site , I know everyone is different and will respond differently but I read there are lots of treatments that can be tried but they just didn’t say that .. and that’s what’s been keeping me going that it’s not an immediate death sentence .. and just hoping I have my mum around for a bit longer ., I keep praying for two years! Obviously I want her around forever but that’s not realistic .. but I wan to make memories and make sure she is living her best life now while she can xx
Hi stargate totally agree your mum has been treated so badly I'm 4 years on with secondaries in both lungs pelvis and base of spine on letrosole and palbociclib plus bone strengthener zometa . You can phone bcn on this forum for support. That nurse was so wrong about bone strengthener I was told all sorts of conflicting things . I have only had ct scans for mets and all stable. As the others said ask for second opinion if you aren't happy . I'm 67 and lots of people on here living so much longer with sbc. I have been told when palbo stops working other options available orally or monthly injection. The treatment is nothing as bad as chemo was for primary in respect of side effects. Hope you get some decent support and treatment an for your mum. Sending love and positive thoughts Liz x
I cannot believe you were treated like this and yes, I believe there are treatments for you mother. I found the comments from the nurse particularly concerning and suggest she reads up on latest research and what is currently available. Please push for why they are denying your mother biphosphonate (bone strengthing injections). This will help with the pain. Yes they are given for cancers which are at risk of spreading to the bone.
So, please bang a few heads together (metaphorically). Because you and your mum have come this far in her journey and chemo/ anti cancer meds have adapted and progressed as people now live longer with their cancer.
That’s awful that the oncologist and nurse made you and your Mum feel like that . Have they given you a plan for a way forward ? There must be some treatment they can offer ?
Obviously everyone’s circumstances are very different but we have a community champion who has lived for 16 years with bone and lung mets . If you are not happy with their approach ask for a second opinion .
just looking for some advise / positivity.
My mum whose 73 has been diagnosed with secondary breast cancer, 8 years after primary. She’s been in a lot of pain since January and lost two stone .. loads of tests and finally chest X-ray which picked up tumour in lung, in the lung lining and the chest wall and rib. We went to the hospital yesterday to get results of her bone scans etc and they said there are also mets in spine and pelvis. They want to do a biopsy in her back and MRI scan to see if it’s acting the same as primary . The consultant seemed very doom and gloom and said we will do all we can but it’s widespread. We were then left with the macmillan nurse and she said you know it can’t be cured which we knew anyway. I then asked about treatment and my mums on letrozole last 8 years but obviously it’s not worked. My mum said she won’t have chemo again and I said to the nurse could she explain to my mum that the chemo wouldn’t be like the first time and aggressive treatment and it’s more about being able to keep her as well as they can for as long as they can etc and also tablet form and won’t loose hair etc. and the nurse said she didn’t think my mum would be offered chemo then I said what about the bone mets and I had read people having some kind of bone strengthening treatments and she said they don’t do that for breast cancer I said I have read all the online forums and people are on those treatments .. my mum left the room with the mindset it’s game over and no treatment is going to be offered and that she hasn’t much time left .. I am frozen with fear as I can’t bear the thought of loosing my mum .. I just wondered if there is anyone out there of the same age as my mum that can offer me any hope of my mum being round a while yet and what treatment could be offered and why chemo won’t be an option? Thank you all xx
Spoke the oncologist a week before the scan on 29April and that seemed to trigger two more appointments- one with the breast unit at the end of may and another with the oncologist on7 June-not sure if this usual or because I mentioned the pain, and I hadn’t had the radiotherapy, but until that appt I had heard nothing since Jan!
Fingers crossed for you that the bone scan is negative xx
I have been speaking to a professor at the Royal Marsden and believe bone MRI is now best practice for detecting bone mets. So if after your radionuclide bone scan you are still concerned speak to your Oncologist about having a bone MRI maybe?
Also wanted to say, if it has spread to your bones. Some Oncology centres are now offerering SABR (Radiotherapy) for oligometastases of the bone (up to 10 areas I believe) which in some studies has shown to improve overall survival.
So there are treatments out there. We just have to keep looking, keep hoping and keep sharing information xx
Mickey140 and Dragoncarine-thankyou for your prompt replies! Yes, I had the scan with the radioactive injection, just have to wait now, to find out, but been getting various pains in different areas of my body and I didn't sleep well imagining all sorts of scenarios!
Maybe if they said that so many breast cancers then went on to metastasise in the bones and other places more people would not forego their mammograms-I have always had mine, even as elective after 70 and that's when it was picked up! Deep breaths now and try to relax!
Replying to Tappin
Yes it's scary, but you will find many of us live with secondary breast cancer in the bones for many years. Yes it is very common, I believe 1 in 3 breast cancers will spread and of that most are in the bones. I was diagnosed with secondary breast cancer in bones and lungs in April 2017 (after finishing my treatment for primary on 2006).
Firstly, there are loads of reasons for pain and it may not be signs of your cancer spreading. You are so fortunate to be getting a bone scan, you will also I'm sure hear hundreds of stories of missed bone mets because pain was dismissed.
Main treatment for bones is some sort of bone strengthener, most people seem to get Denosumab which is an injection under the skin (not in a vein) - I get my husband to do mine at home which is a lot nicer than going to hospital. If pain is severe you may be offered radiotherapy to blast the particular area - I personally found that really helpful with my 2 worst areas. Then you should also investigate pain relief, word if warning here, you may find your oncologist isn't the person to talk to about pain as he/she is only interested in treating the cancer. For me it was my GP that sorted that aspect out, others have used pain clinics and/or local hospice.
Please try to be calm until your results from scan come through.
Anastrazole stops the production of oestrogen and can cause bone pain, so check with your consultant on that too. It is listed as one of the possible side effects. I have mets on my ribs and ilium,
Stage 4 sbc, incurable and inoperable, and have bone pain. I am on Palbocyclib and Anastrazole as targeted therapy, which has worked really well for me for over 2 years now. shrinking the tumours and stopping it from moving elsewhere. I do have bone pain, and have just e mailed my consultant to ask if there is an alternative, but I think the alternatives are taking the risk of stopping it or taking the risk of changing treatment. There doesn’t seem to be a lot of info around about the use of it, other than that it can cause bone pain and some suggestions to manage it.
If you are having a PET scan prepare yourself for it, it can be quite scary seeing a nurse come in fully PPEd with a little metal box to hook up to you and having to double flush the toilet for 24 hours, but it did pick my mets. Good luck, fingers crossed it is something and nothing.
Am on my 5th month of Letrozole, following lumpectomy for 2 foci (2mm and 1.2mm) stage 1 DCIS and 4 clear lymph node removal, and I have been getting pain in my collarbone above the left breast. I mentioned it to the oncologist on a followup last Friday and I have now already had a radioactive bone scan. I am terrified it is now bone cancer! I had no idea it was so common following BC! What treatment is there for this? I didn't have the 5 radiotherapy treatments as the 'window of opportunity' was closed due to the time between my last follow up with the bC team Dec. 3rd and when I spoke to the oncologist on 10th Jan. because I had asked for a second opinion before deciding.
I thought to bump up the bone mets thread! I used to find it very helpful/useful ! 😊
My mum has bone only mets and wondered whether any of you ladies (or gents) experienced high inflammation markers in the blood?
If so, was this due to an infection or disease progression?
Many thanks !!! Xxx
Thanks so much for that information xx
I'm very new to all of this and feel like I'm stumbling around in dark a lot of the time.
People like you and Daisy have been really helpful and inspiring. X
I'm glad your feeling well at the moment and your disease is stable. Long may that continue.
Hi Daisy, that sounds promising.. hopefully we will hear something by Christmas re moving to human trials.. they won't have a shortage of volunteers anyway folk will be queueing up!
I'm completely wiped out today haven't left my bed, 3rd vaccine yesterday I've taken a reaction. Sick all night long, chills and fever. The joys eh...
After I posted yesterday I did get a reply from Bayer. I think its a generic reply but it does say they are hoping to update by end of the year. See below
Thank you for your enquiry regarding the ERSO program. At Bayer, we endeavor to move our compounds through development as quickly as possible, and at the same time have to take prudent steps to ensure the compounds are safe and have the potential to provide the benefits we are striving to achieve for patients with unmet medical needs. Because of these necessary steps, the drug is not currently available for trial in humans, but we hope to be able to provide the community an update on the status of the program by the end of the year.
Thanks Jools. I have just shared again too on Macmillan. I have also emailed Bayer, no response but we have to try don't we!
Hi all, last push to get the ErSO petition to 15k signatures. I believe the creator of the petition is planning to send to Bayer at that point.. link below. Can't do any harm!
Hi there Jane
I'm so sorry to hear about your diagnosis, I'm a year in and although it's a scary ride, I try not to dwell on the negatives. I'm feeling pretty good on my current meds, which are palbociclib, letrozole and denosumab injection, which thankfully so far have kept my bone mets stable. I've noticed some new drugs emerging, including for example, Elacestrant , a type of SERD. Another new drug to become available recently is Apelisib (piqray) which is dependent on PIK3CA mutation, and is given with fulvestrant. Also I have read about Capivasertib which was in final phase trials I believe. Reading about these new emerging treatments keep me buoyant and positive, even if I might not qualify for the meds it's all a step in the right direction! There's also a very exciting new compound being developed by Bayer called ErSO, which hopefully will be moved to human trials soon. There's a petition on this forum which has attracted almost 15000 signatures asking Bayer to move forward quickly. They have already said they are not going to sit on this drug, and the scientists working on ErSO have said to use the term 'game-changer' doesn't even cover it!
I hope you settle into your treatment plan. I've found these forums invaluable for support and information.
Take care and stay strong x
I am sorry to hear about your diagnosis x
I am newly diagnosed with breast cancer that has already spread to my bones. In your post you mentioned 3 new drugs that have become available since your diagnosis in October. Would you mind telling me what they are please? As I am just starting on my journey and want to give myself the best chance possible.
As they say knowledge is power!
So, I'm trying to make sure I don't miss out on any potential active treatment.
Hi Umi I had a few issues initially when starting palbociclib mainly gastric ie with nausea and loose bowels but started taking lanzoprazole 15mgs the oncology dept recommended this and it helped now just take it occasionally. also take palbo at night with small snack find its better for nausea and take letrosole at lunch time its also recommended to drink plenty water. Never had biopsy of and secondary tumours I had all lmph nodes reved at initial diagnosis in 2004 in left axilla as i had 2 nodes affected when I had primary tumour in left breast. Hoping your Mum gets on ok I stared on 125mgs palbo but now on 75mgs due to low neutrophils and this is keeping things stable been on this dose for over 6 months. Sending love and positive vibes Liz x
Thank you for sharing your experiences and treatment info with me. My mom has couple of lesions on her spine and enlarged lymph nodes on her arm which she will be getting a biopsy for. She was prescribed the same drugs as you are taking now. She is also going to see a radiation therapist to see if she would benefit from that. I was wondering if there is anything she should know about the pills like any tips about managing the side effects? I was also wondering if they did a biopsy for your spine? They never did for my mom.
Thank you so much again. I really appreciate it.
Hi Umi Sounds like it could be target therapy like palbociclib ribociclib or abemeclib I'm on palbo and over 3 and a half years stable on palbo plus letrosole which is for hormone positive bc which is known as er or oestrogen receptive or +ve. I was never given a time scale on how many years thankfully so many new treatments and people living with sbc as a treatable condition although not curable. I look at it like that. Hopefully you get some clear info from oncologist or is there a breast cancer nurse you could speak to. I was offered radiotherapy for secondaries in pelvis if it gets worse. I have secondaries in lungs pelvis and base of spine. Sending you love and positive thoughts x. Liz
Thank you for a very informative response. I have no idea what type of cancer it is. The oncologist didn't tell me any of that. She said mom will be getting radiation therapy and a hormone pill as well as a chemo pill. We have an appointment on Monday so I will ask her. I will also look into cancer charities you mentioned. I appreciate your time and all the information you provided. Means a lot. Thank you! Best of luck to you on your journey. I am praying for a long and happy life for us all. 💖
Thank you so much for your kinds words. I'm glad I found this forum. I am thinking of changing her oncologist but I don't know if that's a good idea right now.
Thank you again for responding to me. I was feeling very overwhelmed that day but I am better today. I wish you all the good luck in the world and my prayers are with you all.
It's all very confusing in he early days. I received my secondary diagnosis in 2017 (after 11 years clear, or so I thought).
As I understand it, oncologists don't know which treatment will work until they try it, as each person appears to have their own individual cancer. When I found out my cancer was in my bones and lungs I turned to Google (very bad idea, try not to) and found very scary short life expectancies. Later I met a bunch of ladies (from this group) who encouraged me, especially as several had been living with this much longer.
If your mum's cancer is only in her spine, the likely course of treatment will be bone strengthening drugs, e.g. Denosumab injections. Any other drug will depend on what type of cancer, e.g is it hormone and/or herceptin positive or negative. In my experience oncolgists tend to be more interested in treating the cancer rather than the symptoms so it can take a while to sort out pain relief. Best person to ask about that is the GP. If the pain is really bad, she may be offered a short blast of radiotherapy, but again it will depend on the individual oncologist as some seem more keen than others. I had to push hard for radiotherapy to the bones that were causing me most pain (arm and sternum) but I have found it really helped.
Hopefully you are allowed to attend appointments with your mum as there is a lot to take in. It may help if you could find someone who speaks her language who has gone through this. For me, talking to others has been the best mental health treatment.
Lots of other things have helped with the pain. Try to find a local cancer charity, or your hospital may have a Macmillan centre or Maggies, they usually provide a whole raft of complimentary treatments that can be helpful, again you don't know what works till you try it.
Sadly the one thing that you can say is that you don't "recover" from this. Once the cancer has spread, it is with you for as long as you live. However, this does not mean life is over. I carried on working and have only recently decided to quit my job to spend more time with my husband. I don't feel ill, and now that I have my pain under control I can ignore it most of the time. In some ways my life is actually better now as life's priorities get sorted out.
Hi there, I'm sorry to read about your mum's news. However, I don't understand why some oncologists throw out these vague prognosis numbers. They have no way of guessing how well your mum may respond to treatment. There are women on these sites have been living with secondaries for years, and as one oncologist told me, new drugs are coming out all the time. There's 3 new drugs that have become available since I was diagnosed last October and I'm still on my first line of treatment. Good luck to you and your mum
I just learned that my mom's breast cancer came back in her spine. I'm devastated. She doesn't speak English. I feel like it's all my responsibility to do the research and to ensure she gets the best treatment possible. The oncologist is getting her treatment plan together. It seems like there are a lot of options which makes it all very confusing and certainly doesn't help with my anxiety. Is one drug better than the other or does it all depend on how her body reacts to the drugs she will receive. The oncologist told me that the prognosis is about 5 years is this true? I'm not even going to mention that to my mom. I'm so sorry for everyone going through this. I wish everyone a speedy recovery.
I’d like to join this thread. Struggling a wee bit navigating the thread though. I have 2 confirmed mets in skull and spine but still don’t have any treatment plan. The mets have been there since July but it has been slow getting scan and then bone biopsy. Currently on letrosole only but I’ve got new pain in cervical spine so feel things are progressing. I’m seeing oncologist on Thursday and hope they have a treatment plan established. My worry is that the CT scan I had several weeks ago is already out of date. Hoping things don’t escalate too quickly but feeling quite fearful due to new pain in cervical spine.
Hello lovely just came across bone mets bec iam diagnosed with it . How are you doing now .what medications are you now on. Hope you don’t mind me asking
Hi Loulou, Im sorry to read your post... This is such a coincidence, I remembered reading a post from Gillyflower that said she had a false start on meds similar to what you were on, then started on Cape and was doing well.. I couldn't find it , only to see it in the link Jill1998 posted!
Hoping the posts on that thread help to lift you.. take care
So sorry you didn’t get better news -have look at this thread - may be helpful x
Thank you for your wishes but unfortunately it was bad news. An extra met on spine and they noticed a very small spot on my liver and possibly very small nodules in my lungs, when Oncologist looked at the CT scan he couldn't see the lung nodules but Radiologist said there is something. I was hopeful for good news and that treatment of Faslodex and Palbiciclb (only been taking since July) would have helped but is seems it has done nothing to regain control. He is now suggesting Capecitabine chemo tablet once he has discussed at their MD meeting on Tuesday. Why did the first treatment not work they were 98% sure it would! Will the Capecitabine work. This has made me an utter wreck, my life has been taken over by this disease, I don't know what to think anymore. Does anyone have anything similar and how has Capecitabine help their regain control of cancer. Thank you
Good luck for today. I was diagnosed with spinal mets in May 2019 and have been stable on treatment since then. I have gradually learned to live with it and my anxiety levels have gone down accordingly. All the best xx
Today I have an Oncologist appointment to get the results of my first 3 monthly MRI and CT scans following my secondary diagnosis in June with spine mets. I was expecting to feel anxious however, I feel sick, tearful, scared, concerned, probabaly the normal. My last F2F appt was when I received the devestating news my cancer had return. I cant wait for today to be over. I am unsre how I will cope if this has spread further.
Thanks for reply. I’ve had bone scan and despite being promised results I have not been contacted. CT scan in 3 weeks. So it seems I will be waiting well over a month to get any sort of results. Is this a normal wait time?
Thanks so much for your reply. It has calmed my nerves a bit!
Likewise I will be tested again after my second cycle.
Fingers crossed for both of us!
Love Sharon xx
I have bone mets and am also on Palbociblib & Fulvestrant. was diagnosed in June 21 with secondaries. My tumour marker CA15-3 were elevated before treatment, after I started treatment they went higher my Oncologist said when the treatment attacks the cancer cells the cells let off an antigen which can increase tumour markers to start with before they then should hopefully start coming down. I am due a 3rd cycle at the end of this month when I will have a CA15-3 blood test and so hoping they have come down. Hopefully this helps a tiny bit.
Hope you are all doing ok on your treatments.
Maire - sorry nobody has got back to you you and not sure I can help you either but really hope since you posted that you have some answers from you hospital team.
Does anyone have experience of tumour markers? I have quite extensive bone mets and possibly liver mets too ( still to be resolved). I have completed 1 cycle of Palbocliclib and Fulverstrant and my tumour marker results are mixed. Two have gone down by 30% but the CA-15-3 has gone up quite a lot. Seeing my oncologist on the 13th when I can chat to her about this but in the meantime, has anyone else had a similar experience?
Thanks very much.
Folks, I have a lump on my forehead which is almost certainly a bone metastasis. X Ray is showing a highly suspicious lesion. It has developed into a lump from nothing in only about 5 weeks. My husband is inconsolable and I am v frightened. Can anyone give me any indication of average prognosis and any hope out there?
Hi, I am at present on a targeted therapy and oestrogen inhibitor which my oncologist at Royal Marsden has said should stave off the cancer for a few years. I have had secondary BC for two years and did take Verzenious and Letrozole. He has said there is a triple chemo tablet now on the market and you don't loose your hair. That may be an option for me later down the line. Might be worth asking about it. Good luck x