Is it bone metastasis?

Portal Forums Lung/Thoracic Cancer NSCLC Stage IV NSCLC Is it bone metastasis?

This topic contains 1 reply, has 2 voices, and was last updated by catdander forum moderator catdander forum moderator 5 months, 1 week ago.

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January 11, 2018 at 7:44 am  #1293759    


My right arm from elbow down is very painful when I raise up my arm. Fingers look a little bit swelling. I only feel the pain when I move my arm.
My lung cancer changes from non small cell to small cell. Yesterday it was supposed to be my second cycle of chemo, but the nurse refused to give it to me because I have upper respiratory symptoms (coughing up mucus). X ray shows my left lung collapse more and has some infiltration. Therefore my carboplatin/etoposide got postpone 1 week. I am afraid the pain is due to bone met. But I am not sure if that is bone met. I only feel pain when I move. Also is it too early to tell if the chemo works just after one cycle?


Diagnosed in 2014 stage 4 nsclc. EGFR+ (also positive for t790m). 1 year on Tarceva, then 8 months on Rociletinib, then WBR following by 7 months on Tarcrva pulse/carboplatin/avastin/alimta, then 7 month on Tagrisso. Was diagnosed leptomeningeal metastasis Nov 2015. Now has 10cm big tumor and multiple nodules with different sizes. Most recent guardant test (Feb 2017): TP53 C277F 29.8  EGFR Exon 19 Deletion 20.1  EGFR AMP ++  MET H1112Y 0.1  MET AMP +  FGFR1 AMP ++  PIK3CA AMP +  CCNE1 AMP ++  BRAF AMP +  MYC AMP ++  Additional Alterations  BRCA1 R7C 0.3  MTOR K1197E 0.2  NF1 V1762V 0.2  MET E436K 0.1  JAK2 V617F ND  MAP2K2 E66K ND. Dec 2017 liver biopsy reports my egfr non small cell lung cancer got mutated and changed to small cell lung cancer.

January 11, 2018 at 1:23 pm  #1293763    
catdander forum moderator
catdander forum moderator

It’s impossible to say what the pain is. It could be from the lung collapse, pulled muscle, pinched nerve, or bone met. It’s very important to let your oncologist know of any new or worsening symptoms like pain.
It usually takes a 2 or 3 cycles for chemo to make much of a difference but everyone is different.

I hope you are feeling better soon.


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