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However, there is no consensus in the guidelines or literature as to which types of long bone metastasis benefit from preoperative embolization in order to reduce blood loss. The primary aim of this systematic review was to identify long bone metastases
Department of Emergency Medicine, Emergency University Hospital, Bucharest, Romania
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Department of Emergency Medicine, Emergency University Hospital, Bucharest, Romania
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Department of Orthopaedics and Traumatology, Emergency University Hospital Bucharest, Romania
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intervention. These interventions aim to alleviate symptoms, especially since RCC bone metastases tend to be osteolytic ( 11 ). Even with advancements like T cell checkpoint and tyrosine kinase inhibitors, managing bone metastasis remains challenging ( 12 , 13
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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bone metastases are in the breast, prostate, lung, kidney, and thyroid. The evolution of a bone metastasis depends on the affected bone type and its location. The most common sites of bone metastases are the spine, proximal femur, pelvis, ribs, and
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study, 19 age, gender, method of surgical fixation and location in different long bones did not play a significant role. The highest ratio of solitary metastases, 38.8%, was observed in the Scandinavian Skeletal Metastasis Registry (n = 1195
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of cancer, infection, cardiovascular disease, delayed fracture healing, hypocalcaemia, or osteonecrosis of the jaw. In addition to its anti-osteoporotic function, denosumab prevents skeletal-related events in patients with bone metastasis from solid
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for an impending fracture, and an intramedullary nail with cement in the lesion or a DF-MTP should be considered. Fig. 6 Patient with solitary bone metastasis from non small cell lung carcinoma (diagnosed and treated 4.5 years ago). Metastasis of
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the lesion turns out to be malignant, the tumour should be classified with the Enneking Classification, regarding the location, histologic grade, and the presence of metastasis. Bone tumours are classified as Enneking stage I or II for a low and high
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Introduction Bone tumours around the elbow are rare and their incidence is approximately 1%. 1 The literature regarding primary bone tumours of the elbow is sparse, with only two case series consisting of 75 patients and 25 patients
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parameters to consider when approaching a patient with bone metastasis, such as age, performance status, number and site of metastases, the free interval of disease, histotypes of the primary tumor, and expected survival ( 2 , 3 ). The treatment of long bone
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: Does the lesion have its origin in the bone (primary bone tumour) or is it a metastasis? Could the lesion be an expression of an underlying metabolic disease (Brown tumour caused by hyperparathyroidism) or could the process itself be causing a
