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We encountered 31 cases of metastatic bone tumors from Sep, 1979 to Aug. 1982. In many of our cases, ESR, CRP, LDH, Al-p and CEA-Z indicated abnormal ranges. Bone scintigraphy was a sensitive diagnostic aid available for detection bony metastases. Our management of metastatic bone tumors were to reduce intractable pain and to get better ADL of the patients, but these were found very difficult. And we reported 6 cases of bone metastases.: Case 1. A. I. A 48 years old male, who was operated with removal of the clavicle which had bone metastasis from hepato-cellular carcinoma. Case 2. S. M. A 74 years old femal, who had pathological fracture of the femoral shaft, was treated using an intramedullar device and bone cement. Case 3. J. M. A 80 years old male, who had compression fracture of the thoracic vertebrae, was suffered from metastasis of malignant melanoma. Case 4. Y. Y. A 53 years old female had leiomyosarcoma of the left knee and metastatic bone tumors. She was medicated HuINF-β. Case 5. T. I. A 41 years old male, who died 46 days after entering, with stomach cancer and bony metastases. Case 6. M. Y. A 63 years old male, who was diagnosed by computed tomography on the extent of spinal metastatic tumor. These clinical findings and management were reported and discussed.
西日本整形・災害外科学会の論文