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Breast Cancer (Expert Forum)
lytic lesions § Paget's Disease
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
lytic lesions § Paget's Disease
by velvetstorm, Sep 29, 2002 12:00AM
I beat left breast cancer 10 years ago(6/3/92 date of mastectomy). It was also in 2 of my lymph nodes. I had a bone scan & 20 xrays this month that shows, there are multiple lucent areas w/ poorly defined margins in the bilateral calvarium. Frontoparietal skull has 1.5 cm. lytic lesion. More posteriorly in parietal skull a similar ill-marginated 1.5 cm.lytic lesion. In the more posterial left parietal skull, there is a large, irregular 5 cm. lytic lesion. Irregular expansile mixed lytic lesions in the posterola 8th & 10th right ribs.Expansion of left pubic (is that also called pelvic)bone w/ abnormal trabecular markings highly sugesstive of Paget's disease. Also moderate osteopenia,5mm anterolisthesis of L4 over L3 & L5 w/ mild L4-5 degenerative disk disease, severe L5-S1 degenerative disk disease, & L4-5 & L5-S1 facet joint arthrosis. Can you please explain this 2 me in layman's terms, possible treatments, mortality rate (it's up 2 God, me & the doctor's, but mostly God), any medical tests groups that might be interested in my case(I live in Apple Valley, Calif.)? Don't worry about freaking me out w/ your answers, I'm a tough old broad. Hee Hee... I anxiously look forward 2 your help. Thank You So Much!!!!!
Doctor's Answer
by CCF-RN,MSN-rf, Sep 29, 2002 12:00AM
Dear velvetstorm; The lesions this report describes on your skull and ribs sound as though they could indicate bone damage from a breast cancer recurrence or other cancer (to list all possibilities). The other abnormalities describe degenerative disease and Paget's disease (both are arthritic type changes). You should discuss the full report with your doctor who can look at the films and correlate these abnormalities to your situation. You may need a biopsy.
Member Comments (2)
by velvetstorm, Oct 20, 2002 12:00AM
Here's an update. Another bone scan & it showed the 3 in the skull, rt. shoulder, ribs, spine, pelvic & femur....but I'm still laughing & that's what counts........
