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Correspondence
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Volume 351:195-196 July 8, 2004 Number 2
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Bone Metastasis

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 by Roodman, G. D.
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To the Editor: Roodman (April 15 issue)1 stated that in osteolytic metastases, the destruction of bone is mediated by osteoclasts rather than tumor cells, whereas the mechanisms of osteoblastic metastases and the factors involved are unknown. It would be helpful if he would put these new concepts into perspective in relation to traditional observations.

Is there no place for the conventional view that metastases can cause osseous destruction simply because of tumor replacement of bone, as appears to happen in metastases to other tissues, such as the liver, or at the primary tumor site? This view is in keeping with . . . [Full Text of this Article]


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