Metastatic Disease
A 62-year-old woman with known breast carcinoma presents with progressive thigh pain. Radiographs show a 4cm lytic lesion in the femoral subtrochanteric region with 60% cortical destruction. She has no other symptoms and her ECOG performance status is 1. The oncology team reports she has well-controlled metastatic disease with an expected survival of more than 12 months. Regarding surgical management of bone metastases:
Mark each as TRUE or FALSE
The most common primary tumours to metastasize to bone are breast, prostate, lung, kidney, and thyro...
The Mirels scoring system predicts pathological fracture risk based on four criteria: site (upper li...
Lung metastases are typically blastic; prostate causes purely lytic lesions; Mirels score greater th...
Surgical goals are pain relief, restoration of function, and durable fixation outlasting expected su...
Expected survival influences surgical approach: greater than 12 months favours durable reconstructio...
Answer the questions to see explanations
Click T (True) or F (False) for each option