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Diagnosed with DCIS: How do I decide on treatment?
Breast Cancer | Last Active: Mar 20 10:00am | Replies (345)Comment receiving replies
@lcr2017 I read your link and for me, the most important sentence was the last one: "The suggestion that estrogen deprivation with AIs can favour a ‘bone-related’ risk conditions for developing bone metastases must be considered with caution and surely needs further validations; our next multicenter confirmatory study will try to shed light on this topic."
The idea that aromatase inhibitors encourage metastasis both by creating an environment that encourages it, and by causing osteoporosis that also encourages it, is pretty darn alarming- and will affirm those who decline these meds.
I am going to ask my doctor about this. These issues are a far cry from my original question about whether Prolia and biphosphonates have preventative effects regarding metastasis, as well as having protective effects for bones.
Replies to "@lcr2017 I read your link and for me, the most important sentence was the last one:..."
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This article explains how the different medications help bones.
https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-finding-the-right-osteoporosis-medication/
After reading it, I am glad that I chose the Prolia during my treatment and not the Reclast. I just don’t know what to do when the Prolia is up in January. I mean, when my oncologist and I were discussing what to do about my bones all I did was mention the six months that I wasn’t on anything and innocently said that maybe we could do another 6 months to make up for it and he said he thought it would be a good idea. But every doctor is different and some patients also have no bone issues. You and I have both been reading posts about how some doctors are flexible and are willing to experiment and work with their patients so that they take this important medication. (and you understand the language better than I do). I try to be careful when I post and try to stick to my own experience. The only reason that I heard this from 2 doctors is because my breast surgeon told me to get my thyroid levels checked. So I did. My number was 6 and as much as my PCP was my rock through this, he told me that he starts treating at 10. My surgeon and oncologist told me that they start treatment between 3 and 4. As a result, I ended up with an endocrinologist who also knew all about bones and she also mentioned the metastasis.
I never asked why it would help, but you did. I just assumed it was just a good call because they both told me that patients who have cancer in their bones are treated with Prolia and breast cancer can go to the bones. That’s really just what happened.