ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES

Distant metastasis of thyroid cancer are founded in 10% of all metastases. Bone metastases are founded in 23% of distant metastasis. Complications associated with metastatic skeletal involvement often lead to a deterioration in the overall condition and a decrease in the quality of life of patients....

Full description

Bibliographic Details
Main Authors: A. D. Kaprin, A. P. Polyakov, P. O. Rumiantsev, K. S. Nizegorodova, M. V. Degtiarev, P. A. Nikiforovich, M. V. Ratushnyy, O. V. Matorin, M. M. Filushin, I. V. Rebrikova, A. L. Sugaipov, A. V. Mordovskiy
Format: Article
Language:Russian
Published: QUASAR, LLC 2017-09-01
Series:Issledovaniâ i Praktika v Medicine
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/204
_version_ 1797874135391535104
author A. D. Kaprin
A. P. Polyakov
P. O. Rumiantsev
K. S. Nizegorodova
M. V. Degtiarev
P. A. Nikiforovich
M. V. Ratushnyy
O. V. Matorin
M. M. Filushin
I. V. Rebrikova
A. L. Sugaipov
A. V. Mordovskiy
author_facet A. D. Kaprin
A. P. Polyakov
P. O. Rumiantsev
K. S. Nizegorodova
M. V. Degtiarev
P. A. Nikiforovich
M. V. Ratushnyy
O. V. Matorin
M. M. Filushin
I. V. Rebrikova
A. L. Sugaipov
A. V. Mordovskiy
author_sort A. D. Kaprin
collection DOAJ
description Distant metastasis of thyroid cancer are founded in 10% of all metastases. Bone metastases are founded in 23% of distant metastasis. Complications associated with metastatic skeletal involvement often lead to a deterioration in the overall condition and a decrease in the quality of life of patients. Surgical treatment, chemotherapy are less effective, provide a higher injury rate and toxicity. This is a reason of increasing of cost of treatment. Bisphosphonates are a class of drugs that prevent the loss of bone mass, which can prolong the time to releasing bone complications: bone fracture, spine column fracture with spinal medulla compression, which decrease the QoL. Surgical treatment and chemotherapy have worse outcomes, higher injury rate, toxicity and increase cost of treatment. Bisphosphonates decrease the level of pain syndrome. Bisphosphonates are used in treatment of oncological patients since 1990. First medication was Fosamax (Aledronat). Later more medications with better efficacy and more useful were synthesised. The last one was Zoledronic acid. Rezorba (zoledronic acid) was synthesised in 2006 in Russia. Rezorba has a same efficacy with other bisphosphonates, it was shown in clinical studies with groups of breast cancer and prostatic cancer. Clinical case of 67 y.o. male patient with diagnosis: Thyroid cancer IV c st pT1bN1bM1, right neck, paratraсheal, bone and lung metastasis. Complex treatment (surgery + radioiodine therapy + 5 courses of Rezorba) was presented. After 3 courses the level of pain was decreased from 3 to 1,5. After 5 courses the ECOQ score was decreased from 2 to 1 point. Inclusion of Resorba in complex treatment of patients with bone metastasis after thyroid cancer at all stages of treatment decreases the score of pain syndrome and bone tissue reparation.
first_indexed 2024-04-10T01:25:59Z
format Article
id doaj.art-64180425671344609b491c0776de3faf
institution Directory Open Access Journal
issn 2410-1893
language Russian
last_indexed 2024-04-10T01:25:59Z
publishDate 2017-09-01
publisher QUASAR, LLC
record_format Article
series Issledovaniâ i Praktika v Medicine
spelling doaj.art-64180425671344609b491c0776de3faf2023-03-13T09:34:59ZrusQUASAR, LLCIssledovaniâ i Praktika v Medicine2410-18932017-09-0143939910.17709/2409-2231-2017-4-3-9159ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASESA. D. Kaprin0A. P. Polyakov1P. O. Rumiantsev2K. S. Nizegorodova3M. V. Degtiarev4P. A. Nikiforovich5M. V. Ratushnyy6O. V. Matorin7M. M. Filushin8I. V. Rebrikova9A. L. Sugaipov10A. V. Mordovskiy11Московский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииФГБУ «Эндокринологический научный центр» Минздрава РоссииФГБУ «Эндокринологический научный центр» Минздрава РоссииФГБУ «Эндокринологический научный центр» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииМосковский научно-исследовательский онкологический институт имени П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава РоссииDistant metastasis of thyroid cancer are founded in 10% of all metastases. Bone metastases are founded in 23% of distant metastasis. Complications associated with metastatic skeletal involvement often lead to a deterioration in the overall condition and a decrease in the quality of life of patients. Surgical treatment, chemotherapy are less effective, provide a higher injury rate and toxicity. This is a reason of increasing of cost of treatment. Bisphosphonates are a class of drugs that prevent the loss of bone mass, which can prolong the time to releasing bone complications: bone fracture, spine column fracture with spinal medulla compression, which decrease the QoL. Surgical treatment and chemotherapy have worse outcomes, higher injury rate, toxicity and increase cost of treatment. Bisphosphonates decrease the level of pain syndrome. Bisphosphonates are used in treatment of oncological patients since 1990. First medication was Fosamax (Aledronat). Later more medications with better efficacy and more useful were synthesised. The last one was Zoledronic acid. Rezorba (zoledronic acid) was synthesised in 2006 in Russia. Rezorba has a same efficacy with other bisphosphonates, it was shown in clinical studies with groups of breast cancer and prostatic cancer. Clinical case of 67 y.o. male patient with diagnosis: Thyroid cancer IV c st pT1bN1bM1, right neck, paratraсheal, bone and lung metastasis. Complex treatment (surgery + radioiodine therapy + 5 courses of Rezorba) was presented. After 3 courses the level of pain was decreased from 3 to 1,5. After 5 courses the ECOQ score was decreased from 2 to 1 point. Inclusion of Resorba in complex treatment of patients with bone metastasis after thyroid cancer at all stages of treatment decreases the score of pain syndrome and bone tissue reparation.https://www.rpmj.ru/rpmj/article/view/204болевой синдромзоледроновая кислотарак щитовидной железыкостная резорбциякостные метастазыкачество жизни
spellingShingle A. D. Kaprin
A. P. Polyakov
P. O. Rumiantsev
K. S. Nizegorodova
M. V. Degtiarev
P. A. Nikiforovich
M. V. Ratushnyy
O. V. Matorin
M. M. Filushin
I. V. Rebrikova
A. L. Sugaipov
A. V. Mordovskiy
ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
Issledovaniâ i Praktika v Medicine
болевой синдром
золедроновая кислота
рак щитовидной железы
костная резорбция
костные метастазы
качество жизни
title ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
title_full ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
title_fullStr ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
title_full_unstemmed ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
title_short ADJUVANT TREATMENT WITH BIPHOSPONATES IN COMPLEX THERAPY OF PAPILLARY THYROID CANCER BONE METASTASES
title_sort adjuvant treatment with biphosponates in complex therapy of papillary thyroid cancer bone metastases
topic болевой синдром
золедроновая кислота
рак щитовидной железы
костная резорбция
костные метастазы
качество жизни
url https://www.rpmj.ru/rpmj/article/view/204
work_keys_str_mv AT adkaprin adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT appolyakov adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT porumiantsev adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT ksnizegorodova adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT mvdegtiarev adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT panikiforovich adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT mvratushnyy adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT ovmatorin adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT mmfilushin adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT ivrebrikova adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT alsugaipov adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases
AT avmordovskiy adjuvanttreatmentwithbiphosponatesincomplextherapyofpapillarythyroidcancerbonemetastases