علاج سرطان قشر الكظر مع النقائل العظمية

References

• We recommend therapy with anti-resorptive treatment in patients with bone metastasis.
• The administration of denosumab or bisphosphonates in ‘oncological doses’ in association with calcium intake and vitamin D supplementation are therefore advisable in ACC patients with metastatic bone disease, with the aim to prevent adverse SREs and improve control of bone pain.
• We recommend palliative radiation for symptom palliation in advanced/metastatic ACC patients.
• Two schedules of irradiation are commonly used, which include 8 Gy in a single fraction or 30 Gy in ten fractions.