Metastatic bone illness from breast most cancers: a evaluation of minimally invasive strategies for prognosis and therapy.
Eur J Orthop Surg Traumatol. 2017 Aug;27(6):729-736
Authors: Filippiadis D, Mavrogenis AF, Mazioti A, Palialexis Ok, Megaloikonomos PD, Papagelopoulos PJ, Kelekis A
Skeletal-related occasions in sufferers with metastatic bone illness embody intractable extreme ache, pathologic fracture, spinal twine and nerve compression, hypercalcemia and bone marrow aplasia. In sufferers with breast most cancers, the skeleton is essentially the most frequent website for metastases. Therapy choices for metastatic bone illness in these sufferers embody bisphosphonates, chemotherapeutic brokers, opioids, hormonal remedy, minimally invasive/interventional and surgical strategies. Interventional oncology strategies for breast most cancers sufferers with bone metastases embody diagnostic (biopsy) and therapeutic (palliative and healing) approaches. Within the latter, percutaneous ablation, augmentation and stabilization are included. The aim of this text is to explain the fundamental ideas of biopsy, ablation, embolization and peripheral skeleton augmentation strategies in sufferers with metastatic bone illness from breast carcinoma. The need for a tailor-made method making use of totally different strategies for various instances and areas will probably be addressed.
PMID: 28597402 [PubMed – indexed for MEDLINE]