One doctor although not on my moms file, mentioned that the bone mets she has are on the opposite side of her body than the lung that has the tumour is on, he felt this was odd..is that normal he says usually the rib that it spreads to is on the same side he felt they should actually biopsy the bone even though the radiologist wrote that what showed on her bone scan was consistant with bone mets
Yes, the involvement of bone on the ribs is usually in the same place as the primary lung cancer.
If this is the only site of bone metastasis then there may be some doubt if this area is not really an area of previous injury on bone (the bone scan may have difficulty distinguishing cancer from chronic inflammation such as in cases of arthritis… the rib is not a joint, so the inflammation is not likely due to wear and tear – but maybe a site of previous trauma). A radiograph (X-ray) may be used in conjunction with the bone scan to make a better estimate of inflammation due to cancer or otherwise.
Of course, if there is extensive involvement of bone in other sites, then the chances of metastasis would also become more likely even if the contralateral ribs seem to be more involved.
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