A Multimodal Clinical Approach for the Treatment of Bone Metastases in Solid Tumors

AuthorGiuliano Lo Biancoen
AuthorEzio Lanzaen
AuthorSalvatore Provenzanoen
AuthorManuela Federicoen
AuthorAlfonso Papaen
AuthorFarnad Imanien
AuthorGholamhosein Shirkhanyen
AuthorRiccardo Laudicellaen
AuthorNatale Quartuccioen
OrcidGiuliano Lo Bianco [0000-0003-2705-1548]en
OrcidEzio Lanza [0000-0003-1889-8798]en
OrcidSalvatore Provenzano [0000-0003-0425-4692]en
OrcidAlfonso Papa [0000-0003-4489-714X]en
OrcidFarnad Imani [0000-0003-0814-0772]en
OrcidGholamhosein Shirkhany [0000-0001-7990-2979]en
OrcidRiccardo Laudicella [0000-0002-2842-0301]en
OrcidNatale Quartuccio [0000-0001-9845-1384]en
Issued Date2022-06-30en
AbstractContext: Bone metastasis (BM) is a frequent complication of cancer, representing the third most common site of secondary spread in solid cancers behind the lung and liver. Bone metastasis is found in up to 90% of prostate and breast cancer patients. They can cause significant complications, such as pathological fractures and paralysis of the spine, which decrease daily functioning and quality of life (QoL) and worsen prognosis. The growing life expectancy of cancer patients due to improvements in systemic therapies may further increase BM's eventuality and clinical burden in cancer patients. Evidence Acquisition: Four physicians from five different specialties were interviewed and resumed the most relevant literature of the last 20 years focusing on pain treatment in BM patients. Results: Treatment for BM ideally involves various types of specialists and assessments. The disease status and patient background should be considered, requiring holistic care and expertise from various medical specialties. Conclusions: Interventional, nuclear medicine, radiotherapy, and mini-invasive techniques can be safe and effective for relieving pain and modifying health-related QoL in BM patients.en
DOIhttps://doi.org/10.5812/aapm-126333en
KeywordCancer Painen
KeywordPain Managementen
KeywordSkeletal Metastasisen
KeywordRadiation Therapyen
KeywordRadiometabolic Therapyen
PublisherBrieflandsen
TitleA Multimodal Clinical Approach for the Treatment of Bone Metastases in Solid Tumorsen
TypeReview Articleen

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