lactic lesion

[Praising]

I have bone Mets. Does anyone have enlarging lyric lesion right sacrum?

[awesome4ever]

Hi Praising. Metastatic bone lesions have two classifications.....sclerotic (increased bone density) or lytic (reduced bone density). Typically most cancer patients will have a mixture of both.

Of course your oncology team should always be your true source of information so please check with them. What I will say is that the wording .... "enlarging lytic lesion right sacrum" means you have an active lesion in the sacrum that they have deemed has increased in size since the last scan. Typically the Radiologist will compare scans to the last one done. Occasionally they will go back to original diagnosis scans and compare but that is less common unless the oncologist has requested it.

Are you experiencing any pain in that area? If so your oncologist could put in a consultation with a radiology oncologist who could potentially radiate the area to help with pain. However radiation to the sacral area comes with risks and there is a limit to how much radiation a person can receive to areas so best reserved for when pain is affecting your quality of life.

I have extensive bone mets and a mixture of lytic and sclerotic lesions since diagnosis in 2018. Bone mets remain constant....they are always there despite people saying the lesions disappear. In general it is considered better to have sclerotic(healing) lesions rather than lytic which are considered active. Take care.

[NPmary in reply to awesome4ever]

So very well explained. Thank you. 🌺

[Dragonfly2 in reply to awesome4ever]

Yes Great explanation..!

[Onedayatatime60 in reply to awesome4ever]

Thanks for that explanation.I really didn't know and was never explained by Onc

[love2golfwell]

I had a small lytic sacral lesion early on in my diagnosis. It was radiated even though it was not causing pain and I would not have known it was there except that it showed up on a PET scan. I had already had some radiation to a lesion on my ischium/acetabelum. Although I questioned the need to radiate it at that point, they said they wanted to get rid of it before it caused pain or got any larger. It was an easy procedure and I did not have issues. I don't know what the correct solution is for you but the sacral lesion no longer shows up on scans and the ischium lesion is sclerotic with decreasing uptake levels which is good. Your doctor should provide you with advice and give you options on what is the best solution. Sending you hugs and prayers.

[Praising in reply to love2golfwell]

Thank you so much. No pain. I have had radiation to my cercivical spine. In place of surgery which they said I could become paralyzed if I didn’t. Had a C6c7 fracture w lesions. That’s when I was dx w Mets 3 yrs ago. Very helpful. God bless you.

[Praising in reply to love2golfwell]

have long have you had bone Mets?

[love2golfwell in reply to Praising]

I was diagnosed in October of 2020 with bone mets. Only one was found at the time on my left ischium and was confirmed to be MBC of invasive lobular cancer. I moved right after that to another state and started on Ibrance and Letrzole. I had SBRT to that spot. On my next PET scan a very tiny lesion was found on the sacrum. My doctor felt it might have been there initially but was too small to be seen on other scans. I had that spot radiated a few months afterward in March of 2021. Since then my scans have been stable and I am still on Ibrance and Letrozole. I have a scan in November and am hopeful I will still be stable. Best wishes to you. I know this is a tough journey we are on and it is difficult to always know the best protocols to follow. I did not care for my oncologist at the start, but have learned to get along better with her and trust her decisions. I loved my radiation oncologist. She was awesome, but I hope I never have to see her again at least not in a medical capacity! Sending you hugs and prayers.