This title is an introductory text to bone metastases for orthopaedic surgeons. . It covers the basic principles of surgery in bone cancer; classification; medical treatment; radiotherapy; surgical treatment, incidence and pain relief. Bone metastases are a common cause of morbidity in cancer patients. The debilitating pain that occurs in many patients with advanced malignancies is primarily produced by bone metastases. While almost every malignancy can cause bone metastases, breast cancer, lung cancer, and prostate cancer account for more than 80% of bone metastases. Some hematologic malignancies that involve bone may be cured with systemic chemotherapy or radiotherapy, but for most patients with bone metastases, pain relief is the goal of therapy.
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