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One hundred and eighty-nine patients of cancers with bony metastases were examined in our clinic from 1965 to 1981. The average age of the patients was fifty-seven years. Following metastatic tumor types were encountered: breast cancer, 37: lung cancer, 19: gastric cancer, 17: renal cancer 13: uteric cancer, 9: thyroid cancer, 8: and unknown, 41 (21.6%). Only sixteen patients of them had received surgical treatment for the purpose of relieving the preoperative pain and improving activities of daily living (A. D. L.). According to these points, we consider that active surgical treatment was effective. Of the 16 patients, 3 cases with breast cancer, one case with thyroid cancer and one case with gastric cancer had survived longer than other eleven cases. Only one patient (breast cancer) with a metastatic sixth cervical spine who had been treated by preoperative radiation and followed by autografting replacement, has been survived 3 years 9 months after operation.
西日本整形・災害外科学会の論文