CommunitiesHER2+Should I have spine surgery despite potential MRI restrictions after breast cancer treatment?

Should I have spine surgery despite potential MRI restrictions after breast canc...

KS

Community Member

2 years ago

Dx grade 3b breast and lymph node positive. One year out from treatments(chemo, surgery, radiation). Stopped Verzenio because of side effects. Also on Exemastane for 10 years. My quandary is have been told by neurosurgeon I need surgery on my neck or I will lose the use of my arms. This will include metal being permanently put in my neck which means no more MRIs. I’m on the fence about having spine surgery. Don’t know if I can go the rest of my life without getting another MRI especially if cancer comes back which statistics say it’s likely to return between 2 and 5 years into remission. Any suggestions?

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11 comments
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accepted answer

Accepted Answer

This sounds like an incredibly difficult decision to navigate, especially when weighing the immediate risk to your mobility against future cancer monitoring needs. Many patients face similar challenging choices between different medical priorities. It might be helpful to ask your oncologist and neurosurgeon to discuss your case together, as they may know about alternative imaging options or newer surgical techniques that could work for your specific situation. The community here understands how overwhelming these crossroads can feel, and whatever decision feels right for your circumstances will have support here.

3+ patients found this helpful

JK

Community Member

6 months ago

Is there a titanium/nonmetallic option for you?

2
KS

Community Member

6 months ago

I will ask my oncologist thanks

RE

Community Member

6 months ago

I have multiple hardware in my spine and am able to get an MRI. Mine is titanium. ❤️

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KS

Community Member

6 months ago

Thanks I will talk to neurosurgeon about this option

RE

Community Member

6 months ago

I had cervical spine surgery and titanium is used as it is nonreactive with this metal.

1
KL

Community Member

6 months ago

Get a 2nd neurosurgeon opinion without hesitation. Never have spine surgery on 1s opinion, especially if they are talking about hardware. There also might be hardware that is not metal. New stuff comes out all the time for spine surgery. Good luck

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MS

Community Member

6 months ago

I have a titanium pain pump implanted... I still get scans every 6 months. Without any hesitation... Do your research, and advocate for yourself. 😊

KL

Community Member

6 months ago

I worked for 4 neurosurgeons and they used titanium. If your doc says no, go find another doc immediately. You should have a second opinion anyway because this is your spine. Good luck

DD

Community Member

6 months ago

Hi! My husband had cervical spine surgery (fusion 2 levels). The hardware used in his surgery was titanium. He has been able to have MRI’s, after the surgery sometimes the hardware can cause artifacts on MRI (which can make that portion of his spine a bit more difficult to read on MRI.) He was having symptoms in his arms before surgery and they resolved with surgery. I would definitely recommend speaking with the neurosurgeon to clarify what material the hardware is made of. I hope you can get some relief.

VN

Community Member

6 months ago

Can you monitor recurrence with a blood biopsy such as a ctDNA blood draw by Signatera? I don’t know think it monitors crossing the blood brain barrier though. You can look at the EBLIS study results for monitoring ctDNA for recurrence and how it detects recurrence much earlier than radiologic scans. If you are stage 2B or higher, Medicare covers the costs for Signatera. There are even more blood biopsies that are being developed but the FDA has not finished investigating them.

CA

Community Member

2 months ago

This sounds like an incredibly difficult decision to navigate, especially when weighing the immediate risk to your mobility against future cancer monitoring needs. Many patients face similar challenging choices between different medical priorities. It might be helpful to ask your oncologist and neurosurgeon to discuss your case together, as they may know about alternative imaging options or newer surgical techniques that could work for your specific situation. The community here understands how overwhelming these crossroads can feel, and whatever decision feels right for your circumstances will have support here.

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