Metastatic Disease
A 68-year-old woman with known metastatic breast cancer presents with progressive thigh pain. Radiographs show a 4cm lytic lesion in the proximal femur involving 65% of the cortex. She has significant pain with weight-bearing. Her oncology team reports stable systemic disease with expected survival greater than 3 months. She is ambulatory with a walker. Regarding surgical management of metastatic bone disease:
Mark each as TRUE or FALSE
The most common primary tumors causing bone metastases are breast (most common in women), prostate (...
Mirels scoring system predicts pathological fracture risk using four parameters (each scored 1-3): s...
All bone metastases are lytic on radiographs; patients with expected survival less than 1 month are ...
Surgical principles include: construct must allow immediate weight-bearing, bypass lesion by 2 corti...
Goals of surgery are pain relief, restored function, and maintained independence (palliation, not cu...
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Click T (True) or F (False) for each option