Ibrahim Toni, Mercatali Laura, Amadori Dino
Osteoncology and Rare Tumors Center, IRCCS Meldola, Italy.
Clin Cases Miner Bone Metab. 2013 May;10(2):121-3.
In recent years clinicians have witnessed a radical change in the relationship between bone and cancer, with in particular an increase in bone metastases incidence due to an improvement of patients survival. Bone metastases are responsible for the high morbidity in cancer patients with a strong clinical impact. For all these reasons, efforts have been directed to this important field with the foundation of the osteoncology, a new scientific and clinical branch involved in the management of patients with bone cancer disease, including primary bone tumors and bone metastases. Another innovative and important osteoncology topic is the Cancer Treatment Induced Bone Loss (CTIBL) that is mainly caused by antitumoral treatment with bone resorption induction. The diagnostic and therapeutic options are described briefly in order to highlight the importance of the multidisciplinary approach in this new field.
近年来,临床医生见证了骨骼与癌症之间关系的彻底改变,尤其是由于患者生存率的提高,骨转移的发生率有所增加。骨转移是癌症患者高发病率的原因,具有很强的临床影响。出于所有这些原因,人们通过建立骨肿瘤学,将努力方向指向了这一重要领域。骨肿瘤学是一个新的科学和临床分支,涉及骨癌疾病患者的管理,包括原发性骨肿瘤和骨转移。另一个创新且重要的骨肿瘤学主题是癌症治疗引起的骨丢失(CTIBL),其主要由诱导骨吸收的抗肿瘤治疗引起。简要描述了诊断和治疗选择,以突出这一新领域中多学科方法的重要性。