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Symptoms of spread

Everyone develops aches and pains. It will be hard for you not to worry if you do experience pain or other symptoms. In most cases these will not mean the cancer has returned.

You should follow up any new symptoms

The table below summarises the possible symptoms, the likely cause and the preferred treatment to alleviate the symptoms. The most common sites for spread are the skin, bone, liver and lungs. Note you should refer to the Guide for women with metastatic breast cancer for more comprehensive information on treatments. Further you should refer to a specialist for advice on your particular circumstances. The notes below are for information only.

Symptom(s) Likely cause Treatment
Pain in the back or pelvis Spread to the bone Radiotherapy
Excessive thirst, frequent urination, nausea and drowsiness Increased calcium in the blood from spread to the bone Biophosphonates
Shortness of breath, coughing,, wheezing and fluid on the lungs Spread to the lungs Draining of fluid with treatment to prevent the fluid accumulating again.
Pain and discomfort in the upper abdomen. Indigestion, loss of appetite and nausea Liver secondaries Chemotherapy and other tablets and medications
Headaches, sickness and nausea. Progressing to weakness in arms or legs and/or loss of coordination Spread to the brain

Radiotherapy
Course of steroids

Skin breakouts and deposits Spread to skin. These can break down and become infected but are not usually painful. Creams and dressings will help heal these and fight infection
Numbness in the legs, difficulties with bowel or bladder Tumour in the back presses against the spinal cord. This should be investigated immediately. Surgery and/or radiotherapy

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