Metastatic Disease
A 68-year-old woman with known breast cancer presents with progressive thigh pain. Radiographs show a 4cm lytic lesion in the proximal femur with 75% cortical destruction. She has pain with weight-bearing. Her oncology team confirms metastatic disease and estimates her survival at 12 months. Regarding pathological and impending pathological fractures:
Mark each as TRUE or FALSE
The Mirels scoring system predicts fracture risk based on site (upper limb 1, lower limb 2, peritroc...
Surgical goals are pain relief, restoration of function, and durable fixation outlasting patient sur...
All pathological fractures require biopsy before fixation; radiation therapy is contraindicated afte...
Adjuvant treatments include postoperative radiotherapy (improves pain control and local control), bi...
Biopsy is required when the primary is unknown or if the lesion appearance is atypical; needle biops...
Answer the questions to see explanations
Click T (True) or F (False) for each option