This chapter discusses metastasis of the bones. Bone metastases arise in any bone of the skeleton but they are most prevalent in the vertebrae, pelvis, ribs, and the long bones, particularly the femur and humerus. Metastases of the bones are the result of the direct invasion of malignant tumours within the bones. Prognosis for a patient with bone metastases is generally poor. Although bone metastases do not pose great threat to the survival of the patient, they account for the blood-borne metastatic spread of primary tumours. And whilst bone metastasis does not pose severe complications, it contributes to the patient's decline. Bone metastases are common in patients with breast, prostrate, and lung cancer, as well as in rare cases of kidney and thyroid cancers.
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