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Old 05-26-2010, 02:12 PM   #1
bejuce
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Pain/discomfort on radiated side (ribs?) when waking up

Hi everyone,

I've been waking up with some pain/discomfort where my right cancerous breast used to be (rib cage area). I tend to sleep on the sides and feel it the most when I sleep on my right side. I don't feel the pain at any other time, just when waking up and I'm still in bed contemplating the day ahead.

Of course I'm freaking out - especially because yesterday at my oncologist's appt she ordered a bone scan (which I'll do tomorrow, please pray and send your positive thoughts my way). I had a bone scan right when I was diagnosed and it was clear, so I'm thinking that if it was clear then, it should be clear now as I'm still on Herceptin (had a dose yesterday, two more to go). Still, I'm worried.

Has anyone experienced discomfort/pain on the post-radiated-post-mastectomy side that is due to surgical scars/inflammation/radiation? What is the likelihood of finding out I have bone mets while still on Herceptin treatment?

Thank you so much!

Marcia
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ER+ (30%)/PR-/HER-2+, stage 3

Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin


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Old 05-26-2010, 03:08 PM   #2
whatz
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Hej BJ,
I didn't have radiation but had Taxol (I assume Taxotere is in the same family). I hurt in various places all the time (also still on Herceptin). My onc ordered a CT and bone scan. Had the CT already and it was clear. Haven't had the bone scan yet but have a feeling it's clear as well and think my aches/pains are lingering issues from the chemo. Still good your onc is checking things out. I've also heard people complain about arthritic type pain that are on Tamoxifen (so that could be a culprit as well).
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4/09 suspicious lump in left breast
5/09 biopsi lead to diagnosis ER/PR -
Her2+.Grade 3,full masectomy left breast,sentinel nodes clear,Stage 1
6/09 Adriamycin + Cytoxan 4 treatments (every 3 weeks) followed by Taxol + Herceptin, 1 treatment weekly for 12 weeks, followed by Herceptin for 40 weeks
MRI Brain 4/10 clear
CT Body 4/10 clear
PET Body 2/11 clear
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Old 05-26-2010, 04:44 PM   #3
Rich66
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Re: Pain/discomfort on radiated side (ribs?) when waking up

My mom has had this type of thing on and off since surgery in '05. Consiederd scar tissue.
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Old 05-26-2010, 06:51 PM   #4
sassy
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Many of us have experienced rib pain after surgery/radiation/chemo. I'm over five years out and I still have soreness and pain. Went through the bone scans etc. My most significant period of pain did reveal cracked ribs, but I had the pain prior and since.

Good to get it checked out, but know you are not the first to experience this. Hopefully its just another "gift" from his wonderful disease and its treatment.


BTW--has anyone told you that you look like Sally Field?
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dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
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Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
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3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
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NED and no meds.......
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Old 05-26-2010, 06:57 PM   #5
Laurel
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Marsha,

When I sleep on my left side (affected side) I am often more sore there the next day or so. My node bx scar is usually tender, and especially so with certain activities. The nurses at my surgeon's office told me women 10 yrs out can still have tender areas from scar tissue tautness. She suggests for many it never abates.

I do comprehend your feelings of fear and trepidation regarding the pain. I am totally with you there. It seems we will never shake that "when will the shoe drop" monkey from our backs. I suppose that is part and parcel with trying to live on after a cancer scare.

Prayers for a clear scan coming your way. Please let us know when you know.
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Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

15 Years NED
I think I just might hang around awhile....

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Old 05-27-2010, 02:35 AM   #6
Ellie F
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Hi Marcia
I had this also. Firstly whilst on taxotere but also since being on herceptin alone. Somedays it's worse than others. I also get it if I have slept with my arm in a different position.
Best Ellie
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Old 05-27-2010, 08:20 AM   #7
Shobha
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Hi Marcia,

I too experienced pain in my ribs after radiation and in fact, still do off and on. My prayers are with you to have clean bone scan and get back your peace of mind.

hugs,
shobha
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DX: 06-30-2007 - left breast -stage IIIB, Her2/Neu 3+++, ER weakly positive, PR-
Taxol+herceptin weekly for 3 months
FEC+herceptin every 3 weeks for 3 months
BRCA 1 and 2 - Negative
Jan 2008 - Bilateral mastectomy, prophylactic Rt. side.
Radiation for 5 weeks
Completed my yr of herceptin on 07-14-2008
Brain MRI - 3/2/09 Clean
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Old 05-27-2010, 11:21 AM   #8
Hopeful
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Marcia,

I also had rib pain on my affected side during rads and for almost a year after I finished the tx. It seems to be a common long term SE. One article I read said that the rads caused an "arthritis like" inflammation around the ribs, which was responsible for the pain. Hope that helps, and best of luck to you with your scan.

Hopeful
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Old 05-27-2010, 02:15 PM   #9
bejuce
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Thank you so much for your support! Had my bone scan this morning and it was all clear, woohoo!!!! Now I'll be able to hopefully have a more worry-free summer!

As for the pain, I'll see my surgeon next week - perhaps he can offer some guidance on what to do.

Hooray for a clear scan!
__________________
ER+ (30%)/PR-/HER-2+, stage 3

Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin


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Old 05-27-2010, 07:38 PM   #10
Laurel
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Hurrah. I find if you try to be cognizant of your sleeping posture you will see that you are doing something odd, like sleeping with your arms over your head on your pillow (as I do sometimes and then notice my right hand itches constantly the next day!). I am very glad your scan was negative!!!!
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Smile On!
Laurel


Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

15 Years NED
I think I just might hang around awhile....

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Old 05-28-2010, 05:53 AM   #11
Becky
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Marcia

I am happy your scan came out good. I just wanted to comment that I am almost 6 yrs out and still get rib pain on my affected side and I am supposing that I always will. With these aches and pains, oh well... we are still here and well!

Peace
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Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 05-28-2010, 06:00 AM   #12
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Marcia,

Glad to hear the news about your bone scan. Have a wonderful summer.

Amelia
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Old 05-28-2010, 08:36 AM   #13
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Good to hear your scan was clear. I had those pains on and off. Don't seem to get them anymore though.

Hugs

Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 05-28-2010, 12:21 PM   #14
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Glad for the good news. I recalled my own episode of 'rib metastsis' suspecion. My oncologist's explanation was that because of the surgeries I've had (and without reconstruction), my chest area (muscles and bones) had shifted some to adjust for the empty space - thus the irritation and discomfort sometimes.
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Old 06-03-2010, 02:34 PM   #15
Karen Wheel
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Re: Pain/discomfort on radiated side (ribs?) when waking up

Marcia -

Great news...

As for pain .... I still have it too (we are about the same time frame for surgery and radiation --- last year) but I tend to try to sleep on my back as it tends to cut down on the pain --- but a lot of times end up waking up on my side. I even sleep with a pillow so I can't turn over (under my knees) but when I wake up in the night and can't sleep - I tend to revert to my comfort position on my side and end up hugging the pillow so I don't turn all the way over to my stomach (which really hurts later!).

So, think its the radiation. I know I just had my follow-up (8 months out) for rads and I was asking a lot of questions about pain, as I still have more than I thought was normal. But they said I could have pain for another year (at least!) ugh.... not sure why they don't tell us this up front. It seems they really almost hide the pain after effects --- at least I felt that way.

Hang in there - and enjoy your summer! I know I am going to try to do the same! My bone scan a few weeks ago was clear too!

xoxo Karen
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Facebook id: Karen Wheel
2-09 – Age 44 -Biopsy-Cancer
3-09 – Right Quadrantectomy. Clear margins.
3 lymph nodes taken - all clear
Tumor results: Stage 1, 1.5 cm, Her2 +++
Est positive 80% - Prog 10% - Ki67 postive 30%
4-09 – Became a vegan! pH balance of body - cancer can't grow in neutral pH!
4-09 Started Herceptin & Chemo (9 weeks of Navelbine *)
* FYI - when coupled with Herceptin has the same results as more toxic chemo. No brainer!
8-09 - 30 RADS
9-09 - Said NO to hormone therapy
4-10 Finished Herceptin!!!!


7-10 PET Scan & other exams .... All clear! YIPPEE!!!!
11-10 Breast, organ Ultrasounds and lung x-rays all clear no changes ... NED!

2-25-2011 --- 2 years from surgery and NED!!!!!!
7-2011 Clear bone scan and full body and head MRI! NED! NED! NED! ;-)[/SIZE]
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