Conversation: The conversation between human and AI assistant.
[|Human|] My mom 60 years old obese women had a car accident and she was in severe back pain. The back CT revealed there is nodule in the lung. So she had chest CT and the report says there is 8 mm nodule in each lower zone along with D12 compression fracture indicating lung and dorsal metastases. The question, the fracture is a result of cancer or oestoporosis or the accident. Is chemotherapy the treatment for her cancer?
[|AI|]  Thanks for your question on Chat Doctor. Lung cancer is very notorious in spread. It can spread by both, blood and lymph nodes. Bone involvement is very common especially thoracic vertebrae.  And bone metastases from lung cancer are usually osteophytic in nature. So they produce demineralization and osteoporosis both. So these bones are highly prone to fracture even by slightest force. So your mother had osteophytic bone metastases in thoracic vertebrae and fracture after accident. Bone metastases made lung cancer stage 4 disease (inoperable). Only treatment option is palliative chemotherapy and nutritional support in the form of multivitamins, calcium and vitamin D.