On 2/9/2007
Vicki Lynn wrote:
I had BC in 1998 and went through chemo and radiation. This past summer I started to have a lot of back pain. Most of the pain is in the thoracic area, then lower back, and neck. Nothing seems to help the pain. My family doctor gave me musle relaxants, but that didn't help. He also had me go to physical therapy. That didn't help. All the time I kept trying to tell him this was not a muscle issue but the spine itself. I had an MRI of the lumbar and a cyst/tumor is seen in the T-12 thoracic area. My family doctor said he did not know what else to do and suggested I go see a pain management doctor. He knows I had cancer in the past. Is it time to get a new family doctor or what? I decided to see my oncologist before seeing a pain doctor. The oncologist did a PET Scan and it showed no cancer. I don't know if PET Scans indicate if there is cancer in the bone or if you have to have other tests. I am constantly in pain day and night. I have had two cortisone shots in the spine area two weeks ago. No much resulted from that. I have another appointment for this coming Tuesday for cortisone shots. This doctor is not sure that the cortisone shots are going to work. I am suppose to get another MRI done the beginning of April and my oncologist has been so kind and wants to see me after I have the MRI and if the shots are unsucessful. Has anyone had cancer of the spine/tumor on spine/vertabrae? Thanks for our help!
Hello Vicky
I had BC in 1996 and the disease progressed in 2001 with bony sites. I still have only bony sites and no spread to the soft tissues. I am sorry to hear about your back pain and your concern that things may have spread to the spine.
You are being vigilant which is what we need to do.
I had a bone scan, full body and this picked up the disease in the bones wherever they were, initially in the pelvis and sternum and now in ribs, collar bone, skull, hips and spine. The pain is very distinct, a gnawing pain that seems to be worse during the night and quite different to nerve pain or from previous sciatica or general back problems.
I have been on a variety of aromatase inhibitors, unfortunately I have developed resitance to some of them but still have a number of treatment options.
I was interseted to hear about your scans and the PET and MRI should have picked up any abnormalities but my preference is the bone scan that scans the whole skeleton. You simply get a the whole bony structure scanned, this is why I prefer this type of diagnostic tool. I have had one done just about every 6 months for the last 6-7 years. Also a plain Xray will pick up a bony site if it has developed to a certain amount.
I am inclined to think your scan is OK though follow up the cyst that was found on the MRI. You could also ask for a blood test (not costly) to measure your tumour markers CA 153 and other relevant blood markers. The fact that your pain is still evident requires further investigation.
Steroid shots have worked in the past for me, then not worked, quite why, I do not know, one given into a rib junction in September worked beautifully and then the next in exactly the same place in January didn't touch me. But I had some palliative radiotherapy to a number of sites and the pain is reducing all the time, it can take up to 12 weeks for the full effect but already I am reducing the pain medication and feel a whole lot better for it.
I know it is a scary time watching and waiting but I think you are following up the best way you can. I know you are in pain but I hope the pain is something simple and maybe your best bet is to see a pain consultant. You could also ask to see an oncologist and ask to have your scan re-read (another opinion doen't hurt)
I saw a pain consultant and eventually got on the correct dose of morphine (don't take much) and live my life to the full, yes, I have bony disease but that won't stop me from doing what I want to, I just treat my disease as any other chronic disease and get on with life.
I wish you well, Velvet (UK)