• JMS's Avatar

    Pancreatic cancer morphing to bone cancer?

    Asked by JMS on Thursday, March 7, 2013

    Pancreatic cancer morphing to bone cancer?

    1/ I had my first post-treatment body scan last Monday and on Tuesday, my oncologist gave me the results. For the most part, they were good: no sign of cancer cells in the pancreas or other organs, but the CT scan revealed a questionable lesion in my right hemisacrum bone (basically on the bone that I sit on). I'm scheduled for an MRI to examine the issue more closely and if that's not conclusive, I'll have a biopsy. Has anyone experienced or heard of pancreatic cancer spreading this way? Or has anyone heard of cancer in this bone or general area? 2/ My doctors thought I may have developed hernias in the areas where the Whipple operation covered (the symptoms were pain and protrusions in areas). But the CT scan revealed no hernias, just continued effects from both the surgery and radiation that have weakened ab muscles and these sometimes cause the affected areas to bulge (very visibly) and cause pain. Has anyone else experienced this? Ideas on how to mitigate? Thanks, JMS

    2 Answers from the Community

    • carm's Avatar

      Hello, I am an oncology nurse and without going into too much detail, let me try and answer your question. When it comes to metastases, the body is kind of like the Earth in that there is a point of division. The Earth has that equator or International Date Line and the body has the diaphragm. If your cancer is above the diaphragm, then it tends to metastasize above it (breast to lung, lung to sternum) and if below it follows the same principal (colon to liver, cervical to bladder). The more aggressive cancers will cross over sometimes (ovarian to brain). Sometimes these lesions can be scar tissue, vertebral fractures, and at the level of the tailbone, dermoid cysts. If it is a metastasis, radiation can control it rather quickly and effectively. As to the bulge, it is true that those abdominal muscles do take a hit in some therapies and although your scans may show no hernia, the wall may have been weakened to a point that cod lead to a hernia or a muscle weakened by treatments and these can be addressed by either medical management like a steroid or with hyperbaric treatments. Good luck to you, Carm RN.

      over 3 years ago
    • YQM's Avatar

      Just saw this, as my husband is now struggling with effects for bone mets. My friend a doctor (unfortunately not oncology)... stated that it is rare for Pancreatic to go to bone, but not unheard of. Sucks doesn't it. Radiation is the only thing helping my husband with the pain.

      over 3 years ago

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