Ikeda Takeshi, Nakanishi Hirotaka, Hayata Atsushi
Dept. of Respiratory Medicine, Naga Municipal Hospital.
Gan To Kagaku Ryoho. 2013 Jul;40(7):871-5.
Lung cancer often induces osteolytic bone metastases, and skeletal-related events(SRE)such as bone pain or fracture decrease the quality of life and survival of the patient. Zoledronic acid(ZDA)suppresses osteoclastic changes and reduces the risk of SRE. Over the last 6 years, 84 lung cancer patients who had osteolytic bone metastases were medicated with ZDA in our hospital. Effective reossification was observed in 25%of them, and they obtained longer survival term and better performance status than did patients without effective reossification. ZDA enabled enforcement of aggressive anticancer therapy(radiation± chemotherapy)by reduction of SRE following reossification of osteolytic bone metastases, and contributed to better prognoses for lung cancer patients.
肺癌常引发溶骨性骨转移,而骨痛或骨折等骨相关事件(SRE)会降低患者的生活质量和生存率。唑来膦酸(ZDA)可抑制破骨细胞变化并降低SRE风险。在过去6年里,我院对84例发生溶骨性骨转移的肺癌患者使用了ZDA进行治疗。其中25%的患者观察到有效的骨再矿化,与未发生有效骨再矿化的患者相比,他们的生存期更长,身体状况更好。ZDA通过减少溶骨性骨转移再矿化后的SRE,使积极的抗癌治疗(放疗±化疗)得以强化,有助于改善肺癌患者的预后。