HomeAnswersMedical oncologybreast cancerCan bone metastasis disappear after chemo treatment?

Can bone metastasis disappear after chemo treatment?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 10, 2016
Reviewed AtOctober 9, 2018

Patient's Query

Hi doctor,

I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC with spread to bone metastasis? What should I be worried about most? I have been on Femara (Letrozole), but had severe reactions such as stumbling, aches, pains and I am going to switch to Tamoxifen from next week. Should I be concerned about this?

Answered by Dr. Rakesh Mittal

Hi,

Welcome to icliniq.com.

I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report.

Bone metastasis cannot completely disappear after treatment. They become less prominent. As I have mentioned, it is a very satisfying result for the treating doctor. Regarding reaction to Femara (Letrozole), normally it is very safe drug, but reactions can occur in rare cases. Tamoxifen (Nolvadex) is also a very effective drug. Your oncologist might try again Femara after one to two years or even earlier. I think your treatment is on right track. Follow the instructions of your oncologist. All the best.

For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist

Patient's Query

Hi doctor,

Thank you. Would you consider the amount of bone metastasis to be severe?

Answered by Dr. Rakesh Mittal

Hi,

Welcome back to icliniq.com.

  • In breast cancer, even if it is a single lesion, it is considered as metastatic.
  • Yes, if multiple sites of bone are involved then it is severe. But, has no impact on prognosis compared to the people who have few lesions.
  • If your chemotherapy and hormone therapy is effective, it will work on all the lesions. I think you are on right track.

For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rakesh Mittal
Dr. Rakesh Mittal

Medical oncology

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