By Belinda S. Parker, Bedrich L. Eckhardt (auth.), Gurmit Singh, William Orr (eds.)
Patients with complex breast or prostate cancers often advance bone metastases. The important issues because of metastatic bone disorder are discomfort, spinal wire compression, pathologic fractures and bone marrow suppression. enhancing the administration of bone metastases is important to caliber of existence for sufferers with breast and prostate melanoma.
Advances in knowing of the molecular mechanisms underlying the pathophysiology of bone metastasis are using the improvement of recent healing suggestions.
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Additional info for Bone Metastasis and Molecular Mechanisms: Pathophysiology
Osteolytic and osteoblastic) (1, 2, 3). In malignant osteolysis, a response often seen in breast cancer, the coupling process is dysregulated showing dramatic increases in bone resorption, impaired secondary osteoblast responses, and a net bone deficit 31 G. ), Bone Metastasis and Molecular Mechanisms, 31-48. © 2004 Kluwer Academic Publishers. (1, 4, 5). In prostate cancer, the presence of tumor cells in the bone often changes osteoblastic activity, resulting in reduced formation of normal lamellar bone, increased formation of abnormal woven bone, and net bone overproduction (6).
Neoplasia, 1: 303-310,1999. Yang M, Baranov E, Jiang P, Sun FX, Li XM, Li L, Hasegawa S, Bouvet M, AITuwaijri M, Chishima T, Shimada H, Moossa AR, Penman S, Hoffinan RM. Wholebody optical imaging of green fluorescent protein-expressing tumors and metastases. Proc Nat! Acad Sci USA, 97: 1206-1211,2000. Braun S, Pantel K. Micrometastatic bone marrow involvement: detection and prognostic significance. Med Oncol, 16: 154-165, 1999. 29 17. Hirsch-Ginsberg C. Detection of minimal residual disease: relevance for diagnosis and treatment of human malignancies.
Wetterwald et al. (20) have demonstrated that whole-body bioluminescent reporter imaging (BRI) effectively allows sensitive localization and growth monitoring of minimal 26 metastatic deposits in the bone marrow at a stage largely preceding tumorinduced osteolysis. 3 Prostate Cancer Models Prostate cancer metastasis has two defining clinical characteristics: a tendency to involve bone and a marked osteosclerotic response of the bone to the presence of metastatic cells. Prostate cancer bone metastasis causes tremendous morbidity, including pain, impaired mobility, pathologic fractures, spinal cord compression, and other problems.