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Doctor insights on: Bone Metastases Pain

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Is it true not all bone metastases give you pain?

Is it true not all bone metastases give you pain?

Yes. not always.: Not all bony metastases give you pain- depending on the size and the location. When it gets bigger, pain will manifest and there is significant risk for bone fracture. Therapy for bony metastases wll include- chemotherapy for that particular cancer; palliative radiation to reduce pain/symptoms, some times surgery can be done ( very selected case); and bisphosphonates such as zometa or x-geva. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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What does bone metastases cause?

What does bone metastases cause?

Pain etc: Bony mets can cause bony pain ( depending on the location), fractures, spinal cord compression resulting in significant nerve deficits on extremities/weakness/can develop paralysis etc, suppresion to the blood counts if cancer also involves the bone marrow etc. ...Read more

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What are the tests for bone metastases?

What are the tests for bone metastases?

X-ray,bone scan: Sometimes bone metastases (bone mets) are found before they have a chance to cause any symptoms. When you are found to have cancer, your doctor may order tests (like x-rays or bone scans) to see how far the cancer has spread. This may be done before, during, and after treatment. In other cases, a symptom such as bone pain may be the first sign of bone mets. ...Read more

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I'm curious. What symptoms go along with bone metastases?

I'm curious. What symptoms go along with bone metastases?

From pain to...: Increased serum calcium causing constipation, drowsiness/somnolence, . To an unexplained fracture. Certain diseases (prostate, breast, lung) very commonly develop bony metastases, . ...Read more

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How long can you live if you have multiple bone metastases?

How long can you live if you have multiple bone metastases?

Depends: It depends on the underlying cancer, progression vs. Response to therapy, age, performance status, and other issues. Bone mets can be treated with bisphosphonate (zometa) or Denosumab (xgeva). ...Read more

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I've heard different things. What exactly is bone metastases?

I've heard different things. What exactly is bone metastases?

Like termites,: Abnormal cells destroy bone integrity after traveling from the cancer by the blood stream to a new place. When they grow, they can cause bones to collapse, leading to pain and fracture, or expand causing pain. In many tumors, this is characteristic (prostate, myeloma), treatment can be chemical, radiotherapy, and surgery. ...Read more

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Are there any cases of bone metastases which are not painful?

Are there any cases of bone metastases which are not painful?

Yes: If the bone metastasis is not eating through the bone or causing fracture, it may not be painful. There are patients with painless bone metastasis. ...Read more

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What are ill-defined osteolytic lesions in bone metastases? How do you treat them?

Bone Mets = spread -: of the cancer to bones, and the shadows seen on the Xrays are the osteolytic lesions ( basically the spreading cancer lodges in the bone). Treatment depends on the location of the cancer (whether its from breast, thyroid, kidney or lung) spreading to the Bone, and extent of the bone involvement. In long bones these lesions can be bypassed using a Rod in the bone to stabilize it. See Orthopod. ...Read more

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Help please? I want to know what are illdefined osteolytic lesions in bone metastases?

Help please? I want to know what are illdefined osteolytic lesions in bone metastases?

Bone mets: Bone metastases can cause focal areas of bone loss or destruction, called "osteolytic". If they cause a focal bone response of increased density or sclerosis, they are called "osteoblastic". "Ill-defined" means that the borders of the bone met are not clearly visualized, which may imply a faster growing or more aggressive met. Slow growing or indolent lesions tend to develop well defined margin ...Read more

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Does X-ray detect bone metastases?

Does X-ray detect bone metastases?

Not great: X-RAYs are relatively insensitive in the detection of early or small metastatic lesions. Although CT scans are superior, CT scanning is relatively insensitive in showing small lesions, and it has the disadvantage of limited skeletal coverage. Bone scans are very sensitive (they'll pick up everything) but nonspecific (could be just arthritis). MRI and PET scanning are accurate but very expensive. ...Read more

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Metastasis (Definition)

A cancer begins in an organ (say the breast). If it gets into the blood stream or the lymphatic stream the cells can travel to other parts of the body where, in the right environment, they may settle and grow. This development of tumor growth far away from the original site ...Read more