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Old 05-08-2012, 08:37 PM   #6
Rich66
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Join Date: Feb 2008
Location: South East Wisconsin
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Re: 2nd try - brain mets from the start

Sounds like they must have at least a needle biopsy to warrant the attempt to shrink the tumor with endocrine therapy. might not pursue node biopsy until lump/mastectomy.
But..the differential diagnosis scanwise between mets and spine trauma is a bit challenging from what I've seen. My elderly mom had a spot on spine/neck that had various types of scans trying to make sense out of it...and I don't think they really know 100% w/o bone biopsy. If I remember, MRI might be the best scan for it. Worth delving into if it's the difference between stages. But...might be beneficial to leave it murky if it only means addition of zometa...potentially worthwhile either way.
(giving you a little nudge to politely butt in)
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