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Topic: Bone Mets? "Shadowing Bony Structure"

Forum: Not Diagnosed With a Recurrence or Metastases but Concerned —

Meet others concerned about developing a recurrence or metastases.

Posted on: Jun 10, 2021 01:32PM - edited Jun 10, 2021 01:37PM by littlecheese

littlecheese wrote:

I had an ultrasound yesterday to check on a fold in my implant. I also had them check a small lump I found below my clavicle. The test results state "Shadowing bony structure is identified on ultrasound without soft tissue mass identified." Now I am freaking out that this is bone mets. Had my 6 week post treatment bloodwork done last week and all my numbers were fine, no swollen lymph nodes. I have had a few night sweats, which I attributed to the tamoxifen. Weight has fluctuated up and down a few pounds over the past month, but no substantial weight loss. Hoping someone else has had a similar experience that did not turn out to be bone mets?

Dx 3/2020, IDC, Left, 1cm, Stage IA, Grade 3, 0/7 nodes, ER+/PR+, HER2+ (IHC) Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Mastectomy: Left; Prophylactic mastectomy: Right Surgery Lumpectomy: Left; Lymph node removal: Sentinel
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Jun 10, 2021 05:44PM 2019whatayear wrote:

is there anything on the US results that says any sort of follow up needed? I think most of the time if there is a concern the results will say CT scan follow up recommended - or in 3 months or 6 months or it will say metatastic disease cannot be ruled out - follow up imaging recommended . If the results have nothing like that than it’s likely just technical medical speak for random weirdness or a technical term that means something super benign and typical

5/6/2019 IDC 2cm, micromet 1/9 nodes, BRCA2+, ER+, PR+, HER- BMX 6/2019, A/C & Taxol 2019, Radiation, BSO - preventative 2/2020, Letrozole 3/1/2020
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Jun 10, 2021 06:26PM littlecheese wrote:

It did state, “Clinical correlation and clinical follow-up is recommended. If clinically indicated, CT chest may be considered for better evaluation of bony structures.“

Dx 3/2020, IDC, Left, 1cm, Stage IA, Grade 3, 0/7 nodes, ER+/PR+, HER2+ (IHC) Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Mastectomy: Left; Prophylactic mastectomy: Right Surgery Lumpectomy: Left; Lymph node removal: Sentinel
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Jun 10, 2021 08:15PM 2019whatayear wrote:

okay so I wouldn’t ( though it is hard not to) stress about this , it sounds like they don’t know what it is if it is anything - but since it says a CT scan may be considered - that doesn’t sound concerning. It doesn’t even say should be considered

5/6/2019 IDC 2cm, micromet 1/9 nodes, BRCA2+, ER+, PR+, HER- BMX 6/2019, A/C & Taxol 2019, Radiation, BSO - preventative 2/2020, Letrozole 3/1/2020
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Jun 11, 2021 01:03PM LivinLife wrote:

I"m in agreement with 2019.... it really could be some kind of anomaly that is not anything at all serious.... nothing at all. Of course they want more follow-up to truly determine what it is.... I agree too it would be hard not to worry though it may or may not be anything to worry about.... hang in there as best you can... Hopefully you can get a CT soon since this was just an ultrasound finding vs. waiting 3 or 6 months.... I'd push for that.... Please let us know....

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/31/2020 Mastectomy: Left; Prophylactic mastectomy: Right
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Jun 11, 2021 01:09PM littlecheese wrote:

Thanks 2019Whatayear and LivinLife! Trying to remain calm as I wait for a call from my oncologist for next steps.

Dx 3/2020, IDC, Left, 1cm, Stage IA, Grade 3, 0/7 nodes, ER+/PR+, HER2+ (IHC) Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Mastectomy: Left; Prophylactic mastectomy: Right Surgery Lumpectomy: Left; Lymph node removal: Sentinel
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Jun 11, 2021 02:41PM SondraF wrote:

The lack of solid mass means they are ruling out a lipoma. Instead they can't tell from ultrasound what it actually is, but another modality will be able to do so.

Bone mets dont usually present with a lump, weight loss, or night sweats, so I wouldn't use those as a marker for something right or wrong. I had quite a bit of inflammatory swelling over my sacrum where one met presented as it was right in the joint, but no other inflammation at other met locations.

Try not to worry - with your stats the likelihood is pretty low.

"The closer we come to the negative, to death, the more we blossom" - Montgomery Clift Dx 9/27/2019, IDC, Right, 5cm, Stage IV, metastasized to bone, Grade 3, ER+/PR+, HER2- Hormonal Therapy 11/28/2019 Femara (letrozole) Targeted Therapy 11/28/2019 Ibrance (palbociclib) Surgery Prophylactic ovary removal
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Jun 12, 2021 09:13AM - edited Jun 12, 2021 09:13AM by littlecheese

I talked to my oncologist and he is going to order a CT to be on the safe side, but said to not be anxious about the ultrasound findings. So the waiting game begins..

Dx 3/2020, IDC, Left, 1cm, Stage IA, Grade 3, 0/7 nodes, ER+/PR+, HER2+ (IHC) Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Mastectomy: Left; Prophylactic mastectomy: Right Surgery Lumpectomy: Left; Lymph node removal: Sentinel

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