Management of Metastatic Lesions of Bone

Abstract

The prognosis in osseous metastasis is poor; however, appropriate therapy may relieve pain and prolong life. Radiotherapy usually produces good palliative results. Treatment depends on the size of the lesion, the presence or imminence of fracture, and the degree of pain. Internal fixation is preferred for pathologic fractures of the humerus and femur; a brace or support and limitation of activity may be necessary in lesions of the pelvis, spine or ribs. Part 2 of this discussion, on the chemotherapeutic aspects of managing osseous metastatic lesions, will be published next month.