علاج الألم الموضعي في العظام في النقائل العظمية

References

• Radiation therapy is the treatment of choice for palliation of localized bone pain.
• Multiple prospective randomized trials have shown pain relief equivalency for dosing schema including 30 Gy in ten fractions, 24 Gy in six fractions, 20 Gy in five fractions, and a single 8 Gy fraction for patients with previously un-irradiated painful bone metastases.
• Dexamethasone may reduce the frequency of pain flare.
• It is effective in a majority of patients, although a transient worsening of pain may occur in some cases (30–40%), typically in the first few days after RT, but this flare generally lasts 1 or 2 days.

DOI: 10.1007/s12094-016-1590-1