Bone metastases are a frequent complication of cancer, occurringin up to 70 percent of patients with advanced breast or prostatecancer1 and in approximately 15 to 30 percent of patients withcarcinoma of the lung, colon, stomach, bladder, uterus, rectum,thyroid, or kidney. The exact incidence of bone metastasis isunknown, but it is estimated that 350,000 people die with bonemetastases annually in the United States.2 Furthermore, oncetumors metastasize to bone, they are usually incurable: only20 percent of patients with breast cancer are still alive fiveyears after the discovery of bone metastasis.3 The consequencesof . . . [Full Text of this Article]
Types of Bone Metastasis
Bone as a Preferred Site of Metastasis
Control of Normal Bone Remodeling
Osteoclasts
Osteoblasts
Osteolytic Metastasis
Osteoblast Dysfunction in Myeloma
Osteolytic Metastasis from Breast Cancer The Vicious Circle
Therapeutic Implications of Resorption and Tumor Growth
Osteoblastic Metastasis Another Vicious Circle?
Osteoblastic Metastasis in Prostate Cancer
Biochemical Markers of Bone Turnover for the Detection of Bone Metastasis
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From the Department of Medicine, Division of HematologyOncology, University of Pittsburgh, the University of Pittsburgh Cancer Institute, and the Department of Veterans Affairs Medical Center all in Pittsburgh.
Address reprint requests to Dr. Roodman at the University of Pittsburgh, School of Medicine/Hematology, Kaufmann Medical Bldg., Suite 601, 3471 5th Ave., Pittsburgh, PA 15213, or at roodmangd@msx.upmc.edu.
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