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Can a local tumor in the lung spread to develop bone metases without affecting the rest of the lungs?

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Can a local tumor in the lung spread to develop bone metases without affecting the rest of the lungs?

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My father has been diagnosed with non-small carcinoma in the right lung. The doctors also found a lesion in the back bone L4 which is reported as neoplastic. A biopsy on the lung tumor was performed and confirme malignancy. On that basis they are presuming that the bone lesion is also a malignant cancer tumor. However, what seems to be strange is that the CT scan results for the rest of the right lung, the left lung, abdomin, intestines, bladder, prostate, pancreas are totally clear. His oncology blood markers are also clear. The bone scan apart from the suspected lesion at L4 is totally clean, and his blood test results are acceptable. His general health conditions are good. He was on a diet, stopped it and gained 3KGS within a span of 10 days. He simply does not show any of the symptoms of a stage IV cancer patient. The doctors said they cannot operate because of the bone lesion. Had it been only in the lungs they would.

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