What's next??

[bigbossy79]

Dear Doctor,

My mother 64yrs has a breast cancer stage (II/III) plus plural effusion on her lung in 2005 and after that her doctor give her a chemotherapy and after that she get a bone metastatis and before 6 months we discoeverd liver metastatis and she has a spread cancer in her bone as the result of MRI & CT Scan said. now she has a fracture in D8 that she can't move her left leg good Plus of that today we know that she has a small broken in clavicula at left side..now i want to know what must we do??
Her doctor stop giving her any medical before 2 years and he said before 2 years she is a hopless case..

Please let me know what must I do...

[bigbossy79]

Dear Cleveland Clinic ,

what's the next???
His Doctor before 2 years didn't give her anything and he doesn't want to give her any medecation..
Now i'm thinking to go with her to USA or Japan...i sent her medical file to some Doctors & hospitals there and they told me that she must take a medecation and there is a lot to work with her and it's not a hopless case..

So,i don't know if they are alright or his doctor here is alright..

really I hate her Doctor ; he is luaghing all the time and told my mother that u will die soon..all that before two years and till now...i don't know what's the kind of this Doctor..

please advice me...

Thx

[Cleveland Clinic]

Dear bigbossy79,  When making decisions regarding the treatment for a person with advanced/metastatic breast cancer the goals of treatment need to be considered.  The goals of treatment of metastatic breast cancer are control of the disease and the symptoms of the disease for as long as possible.  Several factors would be taken into account when making decisions about treatment, such as prior therapies, overall health of the patient, symptoms being experienced etc.  Over the internet without ability to evaluate your mother’s situation specifically it is impossible to advise you specifically.  A thoughtful discussion with your mother’s oncologist regarding the risks and benefits of treatment at this time (keeping in mind the goals of therapy) would be most appropriate.    

[bigbossy79]

I don't why he's saying "Renal Failure"...her creatinin = 1.1 and urea= 44
and her kidney working very good..

"Bilateral pleural effusions" ;; her Oxygen = between 97-99

[bigbossy79]

CT scan Report:

Created on 31/01/2009   10:03

Report Clinical history:
Metastatic breast CA, Renal Failure, Suspected fracture T8 for further evaluation.

CERVICAL, DORSAL & LUMBAR SPINE CT SCAN WITH AXIAL AND SAGITAL


Bilateral pleural offusion noted in this study.
Widespread bony metastasis involving nearly the whole spine.
In particular at D8,D9 & D10 there is a large bony lytic lesion with some surrounding soft tissue component. The soft tissue component is indenting the thecal sac and its content which may need MRI for proper assessment of the spinal cord compression.


There is significant collapse of D8 with minimal anterior displacement of the spine above this level in relation to the lower lumber spine but I believe the central canal is still roomy.

The mentioned lytic lesion is more towards to the right side and likely infiltrating and compressing the right nerve root at this level.

CONCLUSION:
Widespread bony metastasis.
Collapse D8 with minimal malaligment as described above.
Bilateral pleural effusions,
Please see the sagittal reformat study.

[bigbossy79]

MRI Report


Created on 11/01/2009   08:53


Report Clinical history :MBC.
             Comparsion: 12/6/2008

WHOLE SPINE MRI:


Diffuse abnormal signal involving the whole spine appearing hypo-intense in T1 and T2W images and showing enhancement after contrast.
Pathological compressed fracture involving the D8 verteba associated with intraspinal enhancing component extending one level above and below compressing the subarachnoid space and the nerve roots but not causing spinal cord compression.It results in thoracic kyphosis.
No evidence of spinal cord compression.
The conus medullaris appears normal.
No evidence of intra medullary cord lession.

C4-C5 & C5-C6:
Posterior disc/ridge complex indents the thecal sac.

CONCLUSION:
Pathological compressed fracture of D8.
Diffuse bony metastases.
No evidence of spinal cord compression.
Disease progression.