Zusammenfassung
Bis zu 80% der Mammakarzinomonpatientinnen entwickeln im Laufe ihrer Erkrankung ossäre Metastasen. Die Therapie von Knochenmetastasen erfolgt in Abhängigkeit von Ausdehnung, Lokalisation und Klinik. Bisphosphonate bzw. Denosumab sind mittlerweile essenzieller Bestandteil in der Therapie des ossär metastasierten Mammakarzinoms. Sie sollten bei Erstdiagnose einer ossären Metastase begonnen werden und lebenslang fortgeführt werden. Sowohl Bisphosphonate als auch Denosumab reduzieren das Auftreten neuer ossärer Metastasen sowie skelettassoziierter Komplikationen und führen somit zu einer signifikanten Verbesserung der Lebensqualität. Neben gezielt-medikamentöser Therapie sind individuell auch strahlentherapeutische oder operative Interventionen indiziert, um die Lebensqualität und Mobilität der Tumorpatientin möglichst lange zu erhalten.
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Fehm, T., Solomayer, E. (2014). Knochenmetastasen bei gynäkologischen Malignomen. In: Stenzl, A., Fehm, T., Hofbauer, L., Jakob, F. (eds) Knochenmetastasen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43471-0_13
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