Presentation
Updated content presents the latest coding information so you can practice with the most current information available. [books.google.de]
They present between 30-60 years of age and men are more frequently affected than women. They are usually found in the metaphysis of long bones, present with pain and have a high incidence of fracture at presentation. [patient.info]
Increase in hydroxyproline excretion may also be present 3. [radiopaedia.org]
Figure 1 presents an algorithm for the evaluation of adults with unexplained musculoskeletal pain. View/Print Figure Evaluation of Patients with unexplained Musculoskeletal Pain Figure 1. [aafp.org]
Entire Body System
- Fatigue
Fatigue and generalized weakness is the most stressful symptom of which patients complain, said Shore. These symptoms are often underreported and are not identified as being linked to bone metastases. [curetoday.com]
Some of the most common general symptoms include: Fatigue Pain Swelling Unexplained weight loss Unexplained fractures (and limping) Numbness and tingling (when tumors are present on the spine) Hypercalcemia (osteo tumors can cause an excess of calcium [drallison.org]
Other less common side effects include poor appetite, constipation or diarrhea, fatigue, muscle or joint pain, nausea and vomiting. Tell your healthcare team if you have these side effects or others you think might be from denosumab. [cancer.ca]
Adverse events that occurred more frequently in patients treated with zoledronic acid included nausea, fatigue, pyrexia, rigors, and lower-limb edema (19). [clincancerres.aacrjournals.org]
Gastrointestinal
- Nausea
In patients with bone metastases from solid tumors using XGEVA ®, the most common side effects were tiredness/weakness, low phosphate levels in your blood, and nausea. The most common serious side effect of XGEVA ® was shortness of breath. [xgeva.com]
Side effects of radiation therapy include skin burns, rashes, weakness, nausea, loss of hair etc. [news-medical.net]
Common side effects of bisphosphonates are flu-like symptoms, diarrhea, nausea and heartburn. Find out more about bisphosphonates. [cancer.ca]
Loss of appetite, nausea, extreme thirst, confusion, or tiredness. These symptoms may be due to high levels of calcium in the blood. As metastasis develops in the bone, there is release of calcium into the bloodstream. [webmd.com]
Unexplained weight loss Unexplained fractures (and limping) Numbness and tingling (when tumors are present on the spine) Hypercalcemia (osteo tumors can cause an excess of calcium in the bloodstream, which can cause symptoms like exhaustion, confusion, nausea [drallison.org]
- Abdominal Pain
High calcium can cause constipation, which can result in abdominal pain, and with very high calcium levels, confusion and mental status changes can occur. [oncolink.org]
[…] dependent on the availability of an infusion service. 17 However, given the heterogeneity of trials to date and the potential differences in bisphosphonates, more research is needed to determine the optimal treatment and duration. 18 Adverse effects include abdominal [aafp.org]
Treatment
Clinical trials can involve the use of new medications or new methods of treatment. Developments in existing treatments or a combination of treatments can also be studied. [rogelcancercenter.org]
A wide array of treatments can ease pain and slow its progression. Read on to learn what is going on inside your body and what you can expect with treatment. [webmd.com]
Treatment The best treatment for bone metastasis is the treatment of the primary cancer. Therapies may include chemotherapy, hormone therapy, radiation therapy, immunotherapy, or treatment with monoclonal antibodies. [oncolink.org]
[ edit ] The goals of the treatment for bone metastases include pain control, prevention and treatment of fractures, maintenance of patient function, and local tumor control. [6] Treatment options are determined by multiple factors, including performance [en.wikipedia.org]
Prognosis
with neoadjuvant and adjuvant polychemotherapy (e.g., combination of methotrexate, doxorubicin, cisplatin, and ifosfamide ) Histological examination of the resected bone to evaluate the effect of neoadjuvant chemotherapy (major prognostic factor) Prognosis [amboss.com]
Treatment typically depends on a number of facts such as the location, stage, and prognosis of the tumors. [drallison.org]
Treatment and prognosis In general treatment can be thought of as systemic (e.g. chemotherapy or hormonal therapy) or local (e.g. radiotherapy or surgery). [radiopaedia.org]
Staging of the tumour is undertaken to determine the treatment and also give some indication of the likely prognosis: [ 9 ] Stage IA - low-grade tumour found only within the hard coating of the bone. [patient.info]
Evaluation, prognosis, and medical treatment considerations of metastatic bone tumors. Orthopedics. 1992;15:589–96. 22. Chow E, Harris K, Fan G, Tsao M, Sze WM. Palliative radiotherapy trials for bone metastases: a systematic review. [aafp.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
] [19] Differential diagnosis of primary malignant bone tumors Secondary malignancies of the bone (bone metastasis) Description Definition : secondary bone tumors due to metastasis (predominantly hematogenous) of primary malignancies of other organs Etiology [amboss.com]
A clinical etiologic approach illustrated by three patients. Cancer 1977; 40: 1867–71 PubMed CrossRef Google Scholar Oberlin O, Bernard A, Flamant O, et al. Les secondes tumeurs malignes de l’enfant. Etude de 38 cas. [link.springer.com]
Epidemiology
Ewing sarcoma Description : : highly malignant bone tumor arising from neuroectodermal cells ; ; associated with various chromosomal translocations of the EWSR1 gene ( chromosome 22 ) Epidemiology Incidence : peak at 10–15 years Sex: ♂ > ♀ Ethnicity: [amboss.com]
licensee BioMed Central Ltd. 2014 Received: 17 May 2013 Accepted: 20 December 2013 Published: 2 January 2014 Abstract Background To assess concordance between Medicare claims and Surveillance, Epidemiology, and End Results (SEER) reports of incident [bmcmedresmethodol.biomedcentral.com]
Eyre R, Feltbower RG, James PW, et al ; The epidemiology of bone cancer in 0 - 39 year olds in northern England, 1981 - BMC Cancer. 2010 Jul 610:357. [patient.info]
Pathophysiology
What is the best pathophysiology of colorectal cancer. The pathophysiology just has to be brief and concise. It also has to include nursing considerations for the patient. [medical-dictionary.thefreedictionary.com]
"Malignant bone pain: pathophysiology and treatment". Pain. 69 (1–2): 1–18. doi : 10.1016/S0304-3959(96)03267-8. PMID 9060007. ^ Zeppetella G (March 2009). "Impact and management of breakthrough pain in cancer". [en.wikipedia.org]
↵ Coleman RE Metastatic bone disease: clinical features, pathophysiology and treatment strategies. [clincancerres.aacrjournals.org]
Tumor Bone Diseases and Osteoporosis in Cancer Patients: Pathophysiology, Diagnosis, and Therapy. New York, N.Y.: Marcel Dekker, 2000:305–56. ... 2. Aaron AD. Treatment of metastatic adenocarcinoma of the pelvis and the extremities. [aafp.org]
Pathophysiology and management of inherited bone marrow failure syndromes. Blood Rev. 2010, 24, 101–122. [ Google Scholar ] © 2015 by the authors; licensee MDPI, Basel, Switzerland. [mdpi.com]
Prevention
Bisphosphonate drugs such as Aredia and Zometa help prevent the breakdown of bone, which can ease pain and reduce your risk of fractures. [webmd.com]
Bisphosphonates are a man-made version of a naturally occurring compound called pyrophosphate that prevents bone breakdown. [oncolink.org]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
“A bone-metastatic event is really a seminal event,” said Shore, who discussed the prevalence of bone metastases and possible preventative solutions. [curetoday.com]
Surgery to stabilize the bone is often done to treat fractures and sometimes even to prevent fractures. [msdmanuals.com]