Surgical treatment of long bone metastases, complicated by a pathological fracture, as a stage of cancerous tumors combined treatment (Literature review)
Abstract
Pathological fracture is a severe complication of metastatic lesions of the long bones. The development of this complication leads to a significant reduction of the quality of life, as well as the risk of progression of the oncological process, due to the impossibility of carrying out specific antitumor treatment. The surgical stage of treatment improves both functional and oncological results of treatment, apart from pain relief and mobilization. It also allows doctors to start antitumor treatment at the earliest possible date after surgery.
About the Authors
R. Sh. Hasanov
SAHI «Republican Clinical Oncologic Dispensary MH RT» Kazan; Volga Branch of the FSBI «Russian Cancer Research Center» n. a. N.N. Blokhin RAMS; Kazan State Medical Academy is a branch of the Federal State Budgetary Educational Institution of Continuing Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
A. Yu. Rodionova
SAHI «Republican Clinical Oncologic Dispensary MH RT» Kazan
Russian Federation
Russian Federation
I. R. Safin
SAHI «Republican Clinical Oncologic Dispensary MH RT» Kazan; Volga Branch of the FSBI «Russian Cancer Research Center» n. a. N.N. Blokhin RAMS; Kazan State Medical Academy is a branch of the Federal State Budgetary Educational Institution of Continuing Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
I. R. Aglullin
SAHI «Republican Clinical Oncologic Dispensary MH RT» Kazan; Volga Branch of the FSBI «Russian Cancer Research Center» n. a. N.N. Blokhin RAMS; Kazan State Medical Academy is a branch of the Federal State Budgetary Educational Institution of Continuing Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
D. V. Rukavishnikov
SAHI «Republican Clinical Oncologic Dispensary MH RT» Kazan
Russian Federation
Russian Federation
I. O. Pankov
Kazan State Medical Academy is a branch of the Federal State Budgetary Educational Institution of Continuing Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
References
1. Алиев МД, Сушенцов ЕА. Современная онкоортопедия. Саркомы костей, мягких тканей и опухоли кожи. 2012;(4):3-10.
2. Алиев МД, Тепляков ВВ, Каллистов ВЕ, Валиев АК, Трапезников НН. Современные подходы к хирургическому лечению метастазов злокачественных опухолей в кости. Практическая онкология. 2001;1(5):39-41.
3. Вырва ОЕ, Головина ЯА, Малык РВ. Выбор оптимальной хирургической тактики при лечении пациентов с метастатическими поражениями длинных костей. Саркомы костей, мягких тканей и опухоли кожи. 2013;(2):23.
4. Жукова ЛГ. Современные подходы к терапии осложнений костных метастазов при раке молочной железы. Опухоли женской репродуктивной системы. 2014;(1):36-41.
5. Жуковец АГ, Овчинников ДВ, Богдаев ЮМ, Вечер ЛЛ, Радченко АИ. Алгоритм хирургического лечения пациентов с метастатическим поражением длинных трубчатых костей. Инструкция по применению. Минск, 2011:7.
6. Ломтатидзе ЕШ, Иванов ПВ, Ломтатидзе ВЕ, Ким НИ. Хирургическое лечение метастазов первичных злокачественных опухолей в кости. VII съезд травматологов-ортопедов России: Тез. докл. Новосибирск, 2002;2:246.
7. Махсон АН. Концепция адекватной операции применительно к метастазам злокачественных опухолей кости. В кн.: Первый интернациональный симпозиум пластической и реконструктивной хирургии в онкологии. М., 1997:77-78.
8. Махсон АН, Махсон НЕ. Хирургия при метастатических опухолях костей. М., 2002:54-79.
9. Тепляков ВВ, Карпенко ВЮ, Бухаров АВ, Державин ВА, Урлова АН, Рубцова НА. Результаты хирургического лечения пациентов с метастазами в длинные трубчатые кости. Саркомы костей, мягких тканей и опухоли кожи. 2010;(3):10-15.
10. Alt AL, Boorjian SA, Lohse CM, Costello BA, Leibovich BC, Blute ML. Survival after complete surgical resection of multiple metastases from renal cell carcinoma. Cancer. 2011;117(13):2873-2882.
11. Bauer HC. Controversies in the surgical management of skeletal metastases. J Bone Joint Surg. 2005;87-B:608-617.
12. Bickels J, Kollender X Wittig JC et al. Function after resection of humeral metastases. Analysis of 59 consecutive patients. Clin Orthop Relat Res. 2005;137:201-208.
13. Cheung FH. The practicing orthopedic surgeon’s guide to managing long bone metastases. Orthop Clin North Am. 2014;45(1):109-119.
14. Coleman RE. Clinical features of metastatic bone disease and risk of skeletal morbidity. Clin Cancer Res. 2006;12:6243s-6249s.
15. Damron TA, Morga H, Prakash D et al. Metastatic disease of long bones, critical evaluation of mirels’s rating system for impending pathologic fractures. Clin Orthop Relat Res. 2003;415(Suppl):S201-7.
16. Dijkstra, Pieter Durk Sander. Pathological fractures of long bones due to bone metastases. Thesis, Rotterdam. With ref.-With Summary in Dutch. 1997:11-21.
17. Gregory JJ, Cool P Skeletal Metastases and Pathological Fractures. In: Sivananthan S, Sherry E, Warnke P, Miller M, eds. Mercer’s Textbook of Orthopaedics and Trauma, 10th Edition, Hodder Arnold, London. 2012:925-939.
18. Harrington KD. Impending pathologic fractures from metastatic malignancy: evaluation and management. Instr Course Lect. 1986;35:357-381.
19. Ingle JN, Sim FH, Schray MF, Wold LE, Beabout JW. Breast cancer. In: Sim FH, ed. Diagnosis and management of metastatic bone disease: a multidisciplinary approach. New York: Raven Press. 1988:251-263.
20. Katagiri H, Okada R, Takagi T, Takahashi M, Murata H, Harada H, Nishimura T, Asakura H, Ogawa H. New prognostic factors and scoring system for patients with skeletal metastasis. Cancer Med. 2014;3(5):1359-1367.
21. Laitinen M, Parry M, Ratasvuori M, Wedin R, Albergo JI, Jeys L, Abudu A, Carter S, Gaston L, Tillman R, Grimer R. Survival and complications of skeletal reconstructions after surgical treatment of bony metastatic renal cell carcinoma. Eur J Surg Oncol. 2015;41(7):886-892.
22. Ratasvuori M. Surgically Treated Non-Spinal Skeletal Metastases Survival and complications. Academic dissertation. Tampere University Press, Tampere. 2016:33-40.
23. Shemesh S, Kosashvili Y, Sidon E, Yaari L, Cohen N, Vel-kes S. Intramedullary nailing without curettage and cement augmentation for the treatment of impending and complete pathological fractures of the proximal or midshaft femur. Acta Orthop. Belg. 2014;80:144-150.
24. Wedin R. Surgical treatment for pathologic fracture. Acta Orthop Scand. 2001;72:1-29.
Review
For citations:
Hasanov R.Sh., Rodionova A.Yu., Safin I.R., Aglullin I.R., Rukavishnikov D.V., Pankov I.O. Surgical treatment of long bone metastases, complicated by a pathological fracture, as a stage of cancerous tumors combined treatment (Literature review). Bone and soft tissue sarcomas, tumors of the skin. 2019;11(1):22-27. (In Russ.)
Views:
93
Email this article 
