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Breast Cancer  (Expert Forum)
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Bony Metastatic Breast Cancer
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.

Bony Metastatic Breast Cancer

by valpal, Aug 12, 2003 12:00AM
Prior to Sentinnel Node and Axillary Node biopsies I did have a bone scan.  The scan detected arthritis in the neck and right foot.  My neck has been painful, but not constantly. How does the radiologist determine/differentiate which increased activities in the bones are arthritis and which are bony metastatic?  Especially in the lower neck where the bones are very intricate?

FYI - All other x-rays, MRIs did not show any signs of metastatic cancer and I had 2 nodes postive with a tumor approx. 2 cm.

Clear margins on the lumpectomy and the nodes were not attached to anything else.  ER/PR+, HER2 neg, and all other results from biopsy of lymph nodes were favorable.

by CCF-RN,MSN-rf, Aug 12, 2003 12:00AM
Dear valpal:  This is oversimplified as it is more of a radiology question.  Essentially, differentiating between boney abnormalities has to do with the amount and pattern of uptake on the bone scan.
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