4.3 Review

Orthopedic surgery implications of breast cancer

Journal

EXPERT REVIEW OF ANTICANCER THERAPY
Volume 8, Issue 6, Pages 949-956

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1586/14737140.8.6.949

Keywords

bone metastasis; breast cancer; multidisciplinary care; orthopedic procedure; palliation

Categories

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Breast cancer is the most common malignancy and the second leading cause of death in women. The metastatic involvement of bone denotes disease progression and decreased survival. Controversy exists regarding the exact pathophysiologic mechanism of metastasis and the different pathways that determine an osteoblastic versus osteoclastic bone compromise. Several breakthrough advances in imaging techniques aid in the detection, staging and follow-up of bone metastases. Although usually responsive to hormonal therapy and pharmacologic interventions, skeletal metastases often require some type of surgical intervention. Orthopedic surgeons should establish an active role in the multidisciplinary treatment of patients with breast cancer.

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