Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(02): 200-206
DOI: 10.1055/s-0041-1729597
Artigo de Atualização
Oncologia

Tratamento das metástases no esqueleto apendicular

Article in several languages: português | English
Marcio Moura 
1   Departamento de Ortopedia, Universidade Federal do Paraná, Curitiba, PR, Brasil
› Author Affiliations
› Further Information
   Permissions and Reprints

Resumo

As metástases ósseas podem evoluir com eventos (dor, fraturas e compressão) com os quais o cirurgião ortopédico irá se depararar independentemente da sua subespecialidade. Os conhecimentos cirúrgicos acumulados são predicativos para a prevenção de fraturas iminentes, assim como de fraturas patológicas. Apresentaremos um guia para avaliar e conduzir de forma adequada um paciente com implante ósseo para cirurgiões que não sejam especialistas na área.

Palavras-chave

neoplasias ósseas - metástases - fraturas patológicas/cirurgia - carcinoma


Publication History

Received: 16 December 2019

Accepted: 17 December 2020

Article published online:
27 May 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Laitinen M, Ratasvuori M, Pakarinen TK. The multi-modal approach to metastatic diseases. In: Bentley G. editor. European Intructional Lectures. Berlin, Heidelberg: Springer; 2012: 35-44
    Google Scholar
  • 2 Kelly M, Lee M, Clarkson P, O'Brien PJ. Metastatic disease of the long bones: a review of the health care burden in a major trauma centre. Can J Surg 2012; 55 (02) 95-98
    CrossrefPubMedGoogle Scholar
  • 3 Yong C, Onukwugha E, Mullins CD. Clinical and economic burden of bone metastasis and skeletal-related events in prostate cancer. Curr Opin Oncol 2014; 26 (03) 274-283
    CrossrefPubMedGoogle Scholar
  • 4 Brodowicz T, Hadji P, Niepel D, Diel I. Early identification and intervention matters: A comprehensive review of current evidence and recommendations for the monitoring of bone health in patients with cancer. Cancer Treat Rev 2017; 61: 23-34
    CrossrefPubMedGoogle Scholar
  • 5 Bochtler T, Krämer A. Does Cancer of Unknown Primary (CUP) Truly Exist as a Distinct Cancer Entity?. Front Oncol 2019; 9: 402
    CrossrefPubMedGoogle Scholar
  • 6 Jesus-Garcia R, Moura M, Granata Junior GS. et al. Metástase de Origem Primária desconhecida: primeira manifestação no tecido ósseo. Rev Bras Ortop 1996; 31 (11) 641-646
    Google Scholar
  • 7 Morley N, Omar I. Imaging evaluation of musculoskeletal tumors. New York: Springer; 2014: 9-29
    Google Scholar
  • 8 Avedian RS. Principles of musculoskeletal biopsy. Cancer Treat Res 2014; 162: 1-7
    CrossrefPubMedGoogle Scholar
  • 9 Lutz S, Berk L, Chang E. et al; American Society for Radiation Oncology (ASTRO). Palliative radiotherapy for bone metastases: an ASTRO evidence-based guideline. Int J Radiat Oncol Biol Phys 2011; 79 (04) 965-976
    CrossrefPubMedGoogle Scholar
  • 10 Teixeira S, Branco L, Fernandes MH, Costa-Rodrigues J. Bisphosphonates and Cancer: A Relationship Beyond the Antiresorptive Effects. Mini Rev Med Chem 2019; 19 (12) 988-998
    CrossrefPubMedGoogle Scholar
  • 11 Mirels H. Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res 1989; (249) 256-264
    PubMedGoogle Scholar
  • 12 Simmons CPL, McMillan DC, McWilliams K. et al. Prognostic Tools in Patients With Advanced Cancer: A Systematic Review. J Pain Symptom Manage 2017; 53 (05) 962-970.e10
    CrossrefPubMedGoogle Scholar
  • 13 Soeharno H, Povegliano L, Choong PF. Multimodal Treatment of Bone Metastasis-A Surgical Perspective. Front Endocrinol (Lausanne) 2018; 9: 518
    CrossrefPubMedGoogle Scholar
  • 14 Jehn CF, Diel IJ, Overkamp F. et al. Management of Metastatic Bone Disease Algorithms for Diagnostics and Treatment. Anticancer Res 2016; 36 (06) 2631-2637
    Google Scholar
  • 15 Narazaki DK, de Alverga Neto CC, Baptista AM, Caiero MT, de Camargo OP. Prognostic factors in pathologic fractures secondary to metastatic tumors. Clinics (São Paulo) 2006; 61 (04) 313-320
    CrossrefPubMedGoogle Scholar
  • 16 Moura M, Camargo OP. Iliotibial Tract Flap for Proximal Femur Tumor Replacemented by Megaprosthesis - Walking Without Claudication or Supports. In: 20th ISOLS General Meeting of the International Society of Limb Salvage, Athens, Greece. 2019
    Google Scholar
  • 17 Errani C, Mavrogenis AF, Cevolani L. et al. Treatment for long bone metastases based on a systematic literature review. Eur J Orthop Surg Traumatol 2017; 27 (02) 205-211
    CrossrefPubMedGoogle Scholar