Preoperative evaluation and orthopedic surgical strategies for tumor-induced osteomalacia

IF 3.4 2区 医学 Q2 Medicine Journal of Bone Oncology Pub Date : 2024-04-01 DOI:10.1016/j.jbo.2024.100600
Shuzhong Liu , Xi Zhou , Yong Liu , Jianguo Zhang , Weibo Xia
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Abstract

Tumor-induced osteomalacia (TIO), also known as oncogenic osteomalacia, is very rare, with about 1000 reported cases globally. Removing most TIO culprit tumors requires the evaluation and intervention of orthopedic doctors. However, orthopedic doctors often have a poor understanding of the optical treatment of TIO due to its rarity. In addition, most TIO patients lack specific clinical manifestations. Also, the clinical localization and qualitative diagnosis of TIO are difficult and thus can easily be misdiagnosed and mistreated. Furthermore, the true incidence rate of TIO may be underestimated. Although many breakthroughs have been made in exploring the pathogenesis, clinical diagnosis, and treatment of TIO, rational and standardized orthopedic surgical treatment experience summary and sorting for TIO patients are lacking. In this article, the recent experience and progress in the field of orthopedic surgical treatment for TIO globally have been summarized, providing a theoretical basis and new clinical practice guidance for the rational treatment of TIO patients.

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肿瘤诱发骨软化症的术前评估和矫形手术策略
肿瘤诱发的骨软化症(TIO),又称肿瘤性骨软化症,非常罕见,全球约有1000例报道。切除大多数 TIO 罪魁祸首肿瘤需要骨科医生的评估和干预。然而,由于 TIO 的罕见性,骨科医生往往对 TIO 的光学治疗缺乏了解。此外,大多数 TIO 患者缺乏特殊的临床表现。而且,TIO 的临床定位和定性诊断比较困难,因此很容易被误诊误治。此外,TIO 的真实发病率可能被低估。虽然在探索 TIO 的发病机制、临床诊断和治疗方面取得了很多突破性进展,但对 TIO 患者缺乏合理、规范的骨科手术治疗经验总结和梳理。本文总结了近年来全球骨科手术治疗 TIO 领域的经验和进展,为合理治疗 TIO 患者提供了理论依据和新的临床实践指导。
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来源期刊
CiteScore
7.20
自引率
2.90%
发文量
50
审稿时长
34 days
期刊介绍: The Journal of Bone Oncology is a peer-reviewed international journal aimed at presenting basic, translational and clinical high-quality research related to bone and cancer. As the first journal dedicated to cancer induced bone diseases, JBO welcomes original research articles, review articles, editorials and opinion pieces. Case reports will only be considered in exceptional circumstances and only when accompanied by a comprehensive review of the subject. The areas covered by the journal include: Bone metastases (pathophysiology, epidemiology, diagnostics, clinical features, prevention, treatment) Preclinical models of metastasis Bone microenvironment in cancer (stem cell, bone cell and cancer interactions) Bone targeted therapy (pharmacology, therapeutic targets, drug development, clinical trials, side-effects, outcome research, health economics) Cancer treatment induced bone loss (epidemiology, pathophysiology, prevention and management) Bone imaging (clinical and animal, skeletal interventional radiology) Bone biomarkers (clinical and translational applications) Radiotherapy and radio-isotopes Skeletal complications Bone pain (mechanisms and management) Orthopaedic cancer surgery Primary bone tumours Clinical guidelines Multidisciplinary care Keywords: bisphosphonate, bone, breast cancer, cancer, CTIBL, denosumab, metastasis, myeloma, osteoblast, osteoclast, osteooncology, osteo-oncology, prostate cancer, skeleton, tumour.
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