Most Common Type of Bone Cancer

most common type of bone cancer via lifequeries.com

When prostate cancer has spread outside of the prostate we use a term in medicine that is that describes that we call it metastasis we say that the disease has metastasized sometimes we call

it a mitt so all of those M words really refer to prostate cancer that's moved outside of the

prostate into some other place places that it can go include lymph nodes oftentimes in the

 the pelvic area near the prostate but the most common place for prostate cancer to spread is

 actually to the bone and so when someone says that you have bone Mets or if you're

describing to someone that you have bone Mets you're saying that you have prostate cancer

 tumor cells in your bones that actually look like prostate cancer under the microscope and

are from the prostate but they now are living in the bones when one thinks about metastases

particularly bone metastases because they are the most common type of spread of the

 prostate cancer outside of the prostate it's really it's really reasonable to think can we

prevent that can we stop the spread of prostate cancer to the bones in order to diagnose bone

 Mets or bone metastases we use specific studies and it's interesting that these studies are

actually different than the studies that we use to measure the density of your bone or to see if

 your bones are thinning to determine if someone has bone metastases we use a specific scan

 called a bone scan it's actually a nuclear medicine scan similar to a PET scan if anyone has

had one of those where there's a die that lights up in areas where the bone is turning over or

 where there's activity with cells eating food and growing in a particular area when cancer

metastasizes or spreads to the bone it becomes a hotspot it really eats a lot of food and fuel it

grows causes a lot of activity in that area and so a bone scan will light up in an area where

there's a bone metastasis it's a very sensitive test and and one of the best for detecting bone

 metastasis the other test that we sometimes use is a cat scan particularly of the abdomen

pelvis because it shows the area most likely to be involved if one has prostate cancer that it

tests not nearly as sensitive and part of that is because a cat-scan is actually imaging sections

of a person it's taking slices through a person and may miss an area where prostate cancer has

 spread to the bone if it's between slices and it also just does an image bone as clearly as a bone

 scan will light up it's just not as sensitive so again the tests that we use are different than the

tests for testing the density of your bone and there are usually a bone scan number one and

possibly a cat scan when an individual is diagnosed with bone metastases we continue to use

prostate cancer directed therapy so we just consider that this is progression of disease and we

make sure that whatever treatment we're using for the prostate cancer is the right one if we

need to change therapies in order to redress this continued growth than we will that's the most

 important thing that we want to make sure that someone's on an effective therapy and

sometimes if one develops new bone Mets that would be indicating that the therapy is no

longer effective and we need to change treatments specifically to address the bone metastasis

and reduce the risk of complications from the spread of prostate cancer into the bone we use

 medicines that strengthen the bone like bisphosphonates or zoledronic acid or Zometa most

commonly or Dena Sam AB also called X Jeeva and these medicines strengthen the bone but

they also do a very important thing they prevent something called skeletal related events

when a man has prostate cancer in his bones he's at much higher risk of developing something

 called a skeletal related event these include things as you would expect like fracture but they

also include cord compression which is when the prostate cancer pushes on the spinal nerves

and makes men have weakness in their legs or in their arms numbness and tingling and

eventually if we don't address it it can cause paralysis and incontinence or the loss of the

ability to control your bowels or to control your bladder and that's a it's a side effect or a

complication of prostate cancer that we never want to have happen so that this meant these

medications prevent that or reduce the risk of that they also reduce the need for surgery to

 stabilize bone or the need for radiation to treat pain in the bone from the areas of prostate

cancer in the bone so they address four things these skeletal related events fracture cord

compression and the need for surgery and radiation to bone in addition to the drugs that we

 have to strengthen bones and prevent skeletal related events we also have reduced

pharmaceuticals radio pharmaceuticals are a way to reduce pain from bone metastasis and

 these are particularly important when men have pain in multiple spots when men have pain in one spot they can undergo external beam radiation that's that's firing radiation at one

particular spot in one particular bone and that can be exceedingly effective in reducing pain

 but when the pain is from metastasis or spread of prostate cancer two bones that are all over

the place and this certainly happens with men with advanced prostate cancer it would be

almost impossible to aim radiation at the left rib and then the right shoulder and the left

pelvis and all of these different places at once it's just not possible when we use radio

pharmaceuticals which are medicines that are infused through a vein that are radioactive they

 go into areas of the bone where bone Mets are hiding and harboring and so they go to every

single place where there is cancer in the bone and once there they release radioactive particles

 by undergoing radioactive decay we say but it's basically a little smart bomb that's given off

right in the area where the bone isn't is being plagued by the prostate cancer when this

happens it can reduce pain in all of these different areas of the body which is really really

 wonderful for men who are suffering from diffuse pain or pain all over from their prostate

cancer options for this include strontium Maryam and newly radium 223 also called Sophie go

 the benefit of radium 223 or Sophie go is that it not only reduces pain but it also prolongs life

 which is incredibly important obviously particularly in men with fans prostate cancer so Figo

 is really really well tolerated it doesn't have a lot of side effects it's given once a month and

men who are too frail or too sick to get things like chemotherapy can even can still get

treatment with Sophie ko and so it's very valuable to that population particularly and like I

said it does prolong life and so we are really excited to have this treatment option available

for men so the the radiopharmaceutical options are predominantly to reduce pain and Sophie

 go can also prolong life and it does stipulate that it should be men with only metastatic symptomatic disease in their bones you. See also about What are The Types of Blood Cancer

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