There are numerous cancers may cause bony metastasis. Treatment is depending on the tumor location, bone destruction and patient's outcome and symptom. Currently, due to improving survival rate of cancer, the surgical treatment of bony metastasis becomes more important.
Many cancers, such as lung cancer, breast cancer, thyroid cancer, kidney cancer and prostate cancer, could cause bony metastasis. According to some researches, there were 20% to 30% of lung and breast cancer whereas 10% to 40% of prostate cancer developing bony metastasis. Bony metastasis could cause the so-called SRE (skeletal related events), such as hypercalcemia, pathologic fracture and spinal cord compression. Currently, due to the improvement of the patients overall survival rate, in order to cure the disease and prevent from SRE, the surgical intervention for bony metastasis is more aggressive.
The surgical treatment for bone metastasis depends on patient's demanding and prognosis. If the demanding is high and the prognosis of the disease is better, then wide resection of the tumor and reconstruction of the skeletal structure is indicated. By the wide resection, patients could achieve better local tumor control and long-term functional recovery. On the contrary, if the patient’s demanding is low and the prognosis of the disease is poor, intralesional curettage following cryotherapy and bone grafting wound be a better choice. By intralesional curettage, there is lower surgical risk, lesser surgical time and patient could regain functional recovery earlier.
There are possible risks and complications associated with the surgery, including:
1. infection requiring antibiotics or surgical debridement.
2. Nerve, vessel injury during tumor resection.
The procedure cost is about 150,000 to 300,000 NTD, prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.