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Metastatic Cancer detected
11 years ago detected with Breast cancer. Treatment done with operation, chemotherapy, and radiation. Right now for last 4 months acute pain and swelling in knee joint and can't move. We are going through a treatment with antibiotics for the infection Doctors detected in knee. But after pet scan we got confirmed for metastatic cancer
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Breast cancer metastasis to bones, lungs, brain and liver. So before starting of treatment patient should undergo whole body pet CT scan and confirm the metastatic sites. If in any organ disease is present check for ER,PR and Her 2 status and if metastatic to knee only go for palliative radiotherapy to relieve pain and prevent fractures.
Next Steps
Whole body PET CT scan
Health Tips
Avoid weight bearing, climbing steps
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Looks like signs of metastatic disease.
Next Steps
Meet your surgical and medical Oncologist.
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Metastatic breast cancer has multiple treatment options. And many patients do good in spite of this being a stage IV disease.
Next Steps
Share the PET CT Scan report
Then we can plan the treatment
Health Tips
Do not rush. A properly planned treatment is more beneficial than starting treatment in rush.
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If that's The only site of disease. You should :
1. Get radiotherapy or joint replacement surgery.
2. Inj xgeva every 3 months
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Dr. Archana Prathipati
Oncologist
14 yrs exp
Hyderabad
Have u undergone Petct scan..
As the disease free interval is high needs careful evaluation ..
Please attach petct report...
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Dr. Palaniappan Ramanathan
Surgical Oncologist
15 yrs exp
Bangalore
Please share the PET CT report. Old age is known for weak bones and fractures. Even inflammation or infection might show positive on the scan. If it multiple sites spread then she will require palliative treatment and supportive treatment. If it is single site then requires surgery.
Next Steps
Consult Medical and Radiation oncologist
Health Tips
Do not ambulate her
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Usually acute pain and swelling are features of inflammation. But if in pet scan ,SUV max is high and suggestive of metastatic disease ,then treatment should be started.
If there are no metastases anywhere in the body except for bone ,then Inj Zoledronic acid monthly or Denosumab monthly can be given ,provided the kidney function is normal.
Next Steps
Consult with oncologist with pet scan report.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.