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OrthoVellum

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Oncology
intermediate
X-Type

Bone Metastasis Management

Metastatic Disease

A 68-year-old man with known prostate cancer presents with 2 months of progressive left proximal femur pain. He has no history of trauma. Radiographs show a lytic lesion in the proximal femoral diaphysis with 50% cortical involvement. Bone scan shows multiple skeletal lesions. His pain is worse with weight-bearing and at night. He can still walk with a stick. Regarding bone metastases:

Mark each as TRUE or FALSE

A

Bone is the third most common site of metastasis after lung and liver; common primaries include brea...

B

Assessment includes primary cancer staging and prognosis, skeletal survey or bone scan, CT for bone ...

C

Bone is the most common metastatic site; lung and kidney cancers cause blastic lesions; prostate can...

D

Surgical indications include pathological fracture, impending fracture (Mirels 9 or greater), intrac...

E

Radiation therapy is used post-operatively for local control, or as primary treatment for painful le...

Answer the questions to see explanations

Click T (True) or F (False) for each option