Gupta Srinath, Gulia Ashish, Kurisunkal Vineet, Parikh Mishil, Gupta Sanjay
Department of Bone and Soft Tissue, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Department of Orthopaedics, DY Patil School of Medicine, Navi Mumbai, Maharashtra, India.
Indian J Palliat Care. 2019 Oct-Dec;25(4):580-586. doi: 10.4103/IJPC.IJPC_90_19.
Understanding the epidemiology of extremity skeletal metastasis and the factors deciding the treatment decision-making are essential in developing a diagnostic and treatment strategy. This leads to optimum care and reduces disease-related burden. With the evolution of medical, radiation therapy, and surgical methods, cancer care has improved the quality of life for patients with improved survival and functional status in patients with skeletal metastasis. Based on the currently available literature, we have described a step-wise evaluation and management strategy of metastatic extremity bone disease. The present review article addresses various aspects and related controversies related to evaluation, staging, and treatment options in the management of extremity bone metastasis. This article also highlights the role of multidisciplinary involvement in management of extremity skeletal metastasis.
了解四肢骨骼转移瘤的流行病学以及决定治疗决策的因素对于制定诊断和治疗策略至关重要。这有助于实现最佳治疗并减轻疾病相关负担。随着医学、放射治疗和手术方法的发展，癌症治疗提高了骨骼转移瘤患者的生活质量，改善了患者的生存和功能状态。基于现有文献，我们描述了转移性四肢骨病的逐步评估和管理策略。本综述文章探讨了四肢骨转移瘤管理中评估、分期和治疗选择的各个方面及相关争议。本文还强调了多学科参与在四肢骨骼转移瘤管理中的作用。
