[Management of symptomatic bone metastases in urologic malignancies]. / Behandlung von symptomatischen Knochenmetastasen bei urologischen Tumoren.

ABSTRACT

Bone metastases and related skeletal events are frequent complications of genitourinary malignancies. Hypercalcemia, chronic pain, pathologic bone fractures, transverse spinal cord syndromes, and myelosuppression are possible clinical signs. Treatment is usually multimodal and multidisciplinary, and covers oncologic and medical therapy, pain therapy as well as radiation therapy. In case of pathologic bone fractures or instabilities surgery might be indicated.