Abstract

INTRODUCTION

Bone is one of the most common metastasis sites for cancers. Metastasis of cancer to the bone rarely results in complete recovery. Bone metastasis; It is associated with various morbidities such as pain, fracture risk and hypercalcemia. As an oncology center, we aimed to present the demographic characteristics of the patients we operated for bone metastasis.

METHODS

We retrospectively scanned the archives of patients who were operated for bone metastasis between January 2010 and December 2018 in our clinic. The origin of the metastases, demographic information of the patients, metastasis locations and the surgical procedure performed were recorded.

RESULTS

A total of 477 patients with a diagnosis of metastatic bone tumors, 56% male, mean age 56.7 ± 13.6 (11-85) years and 68.1% under 65 years were included in this study. 183 (38.4%) of the patients were pathologic fractured and 13.4% were diagnosed incidentally. 70.4% of tumor metastases involve the lower extremity, and the lower extremity is mostly located in the femur (50.1%). The first three places where metastases originate are lung (27.5%), breast (24.1%) and prostate (14.5%), respectively. Wide resection and megaprosthesis was applied to the treated patients the most (50%).

DISCUSSION AND CONCLUSION

As a result, the most common cancers that metastasize to the bone are lung, breast and prostate cancer, which are also the most common cancers. Although metastatic bone tumors are preterminal findings, we recommend surgical treatment for these tumors to improve the patient's quality of life, relieve pain and relieve dependency on bed.