TY  - JOUR
TT  - Current Diagnosis and Treatment of Metastatic Diseases in the Extremity: Review of the  Literature
AU  - Balta, Orhan
AU  - Eren, Mehmet Burtaç
AU  - Aytekin, Kürşad
AU  - Zengin, E. Çağatay
AU  - Kurnaz, Recep
AU  - Aşçı, Murat
AU  - Bostan, Bora
PY  - 2016
DA  - December
JF  - Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi
JO  - Gaziosmanpaşa Tıp Dergisi
PB  - Tokat Gaziosmanpaşa Üniversitesi
WT  - DergiPark
SN  - 1309-3320
SP  - 201
EP  - 231
VL  - 8
IS  - 4
KW  - Ekstremite
KW  - metastaz
KW  - tedavi
N2  - The goal of treatment in extremity metastasis is to prevent the progression of local disease and related morbidity. Treatment of choice should enable the patients to reach previous functional state. There are a large number of algorithms and scoring systems that help guide the decision making in terms of fracture probability and surgical stabilization. The Mirels scoring system is often used for long bones. When surgical decision is made, it should be planned on indivdual basis. The treatment option depends on the affected bone, the anatomical location, the extent of the disease, and the involment of soft  tissue. Since treatment of  complications in cancer patients is even more problematic, surgical complications should be minimized. The type of reconstruction chosen should be durable and revision should be avoided throughout the life whenever possible. Radiotherapy and embolization are often used as a local adjuvant after surgery or for palliation. Following oncologic principles in  treatment is crucial. Type of fixation or prosthetc reconstruction should be chosen according tolocation of the lesion, grade of bone destruction, and life expectancy. In this article, diagnostic and therapeutic guidelines during systematic evaluation of patients with extremity metastasis were reviewed
UR  - https://dergipark.org.tr/tr/pub/gutfd/article/378321
L1  - https://dergipark.org.tr/tr/download/article-file/403686
ER  -