eISSN: 2081-2833
ISSN: 2081-0016
Medycyna Paliatywna/Palliative Medicine
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1/2011
vol. 3
 
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abstract:
Case report

Bone metastases from breast cancer – analysis of 63 cases

Leszek Gottwald
,
Sylwia Kaźmierczak-Łukaszewicz
,
Andrzej Dukowicz
,
Piotr Misiewicz
,
Aleksandra Ciałkowska-Rysz

Medycyna Paliatywna 2011; 1: 39–43
Online publish date: 2011/04/07
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Objectives: Breast cancer is the most common malignant neoplasm in women. In metastatic disease bones are often involved.

The aim of the study: was to investigate the clinical feature in patients with breast cancer metastasized to bones.

Material and methods: Sixty-three patients were studied retrospectively. Clinical and pathologic data were analyzed. The time from primary diagnosis until the relapse in bones was evaluated. Metastatic tumors in bones were characterized.

Results: At the diagnosis of primary cancer the patients aged 34-70 years old (54.0 ±8.7). The histology of the cancer was ductal adenocarcinoma (85.7%) and lobular adenocarcinoma (14.3%). The interval from diagnosis of primary cancer until the relapse in bones was 0-216 months (52.1 ±60.5). Bone metastases were less often solitary (25.4%) than multifocal (74.6%). In 47.6% metastatic tumors were diagnosed only in bones, and 52.4% of patients had additional metastases. The synchronous metastases were located most commonly in central nervous system, liver and lungs. The treatment of relapse in bones was in 6.4% surgery followed by radiotherapy, in 73% of patients radiotherapy alone and in 20.6% only palliative care.

Conclusions: The development of brain metastases occurs commonly in patients aged over 60 years old. Bone metastases are in most cases multifocal, and in near 50% of patients synchronous extra­osseous metastases develop. The oncologic treatment of choice in bone metastases from breast cancer remain palliative radiotherapy.
keywords:

breast cancer, metastatic, bones, characteristics

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