Kuttig H
Rontgenblatter. 1983 Jul;36(7):209-15.
Bone metastases represent an advanced stage of tumour disease. The incidence rate and the affiction of the individual segments of the skeleton is different for the individual organ tumours; likewise, the metastases may be of an osteolytic, osteoblastic or mixed nature. In most of the cases, multiple metastasising has occurred. Radiotherapy occupies a position of central importance. It is the aim of the treatment to prevent or (by remineralisation) relieve fracture-conditioned immobilisation; the first consideration, however, is the alleviation of pain caused by the metastases. Attention is drawn to the possibilities of surgical orthopaedic measures and of hormonal and chemotherapy.
骨转移代表肿瘤疾病的晚期阶段。不同器官肿瘤在骨骼各部位的发病率和受累情况不同;同样,转移瘤可能具有溶骨性、成骨性或混合性。在大多数情况下,已经发生了多处转移。放射治疗具有核心重要地位。治疗的目的是预防或(通过再矿化)缓解骨折导致的固定;然而,首要考虑的是减轻转移瘤引起的疼痛。需关注外科矫形措施以及激素和化疗的可能性。