Orthopedic surgery implications of breast cancer.
Breast cancer is the most common malignancy and the second leading cause of death in women. The metastatic involvement of bone denotes disease progression and decreased survival. Controversy exists regarding the exact pathophysiologic mechanism of metastasis and the different pathways that determine an osteoblastic versus osteoclastic bone compromise. Several breakthrough advances in imaging techniques aid in the detection, staging and follow-up of bone metastases. Although usually responsive to hormonal therapy and pharmacologic interventions, skeletal metastases often require some type of surgical intervention. Orthopedic surgeons should establish an active role in the multidisciplinary treatment of patients with breast cancer.
Marulanda
German A
GA
Department of Orthopedics & Sports Medicine, University of South Florida, 3500 E. Fletcher Avenue, Suite 511, MDC106. Tampa, FL 33613, USA. gmarulan@health.usf.edu
Mont
Michael A
MA
Lucci
Anthony
A
Letson
G Douglas
GD
Khakpour
Nazanin
N
D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology*; D018450:Disease Progression; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures; D010006:Osteoblasts / Q000378:metabolism; D010010:Osteoclasts / Q000378:metabolism; D010348:Patient Care Team; D015996:Survival Rate