Surgical Approach to Bone Metastases

Autor: Geoffrey Siegel, Nicholas J. Szerlip, Daniel E. Spratt, J. Sybil Biermann, Anda Alexandra Calinescu
Rok vydání: 2018
Předmět:
Zdroj: Current Osteoporosis Reports. 16:512-518
ISSN: 1544-2241
1544-1873
DOI: 10.1007/s11914-018-0463-7
Popis: The purpose of this review was to examine the recent changes in the surgical treatment of bone metastases and how the treatment paradigm has shifted with the improvement of adjuvant therapies. How surgery fits into the local and systemic treatment was reviewed for bone metastases in different areas. The more common use of targeted chemotherapies and focused high-dose radiation have altered the treatment paradigm of bone metastases. Overall changes in the surgical treatment of bone metastases have been driven by an increased multidisciplinary approach to metastatic cancer and the awareness that one type of surgery does not work for all patients. The individual patient treatment goals dictate the surgical procedures used to achieve these goals. Advancements in adjuvant therapy-like radiation and more targeted chemotherapies have allowed for less invasive surgical approaches and therefore faster recoveries and reduced surgical morbidity for patients.
Databáze: OpenAIRE