Secondary osteoporosis in patients with malignancies

Czech version

Authors: Špániková Beata
Authors‘ workplace: Osteocentrum pre onkologické diagnózy, interná a praktická ambulancia, Onkologický ústav sv.
Published in: Clinical Osteology 2018; 23(1): 9-17
Category:

Overview

Continual improvement of antineoplastic therapy and early diagnosis of malignancies – especially in breast and prostate cancer cause better survival but it can caused late toxicity. Estrogens have a dominant position in bone turnover. Using inhibitors of aromatase cause blockade of extragonadal synthesis of estrogens. Also androgen deprivation therapy block production of androgens in men with prostate cancer. Chemotherapy and cancer cells by themselves can caused lowering of BMD (bone mineral density) also and low BMD correlate with low traumatic fractures. These fractures, especially those of hip and spine not only reduce the quality of life, but can reduce survival as well. That is the reason why we need to think about osteoporosis, malignancy, breast cancer, prostate cancer, prevention and treatment of secondary osteoporosis it, we need to make some preventive measures, we need to try to make the diagnosis as soon as possible, and we need to treat osteoporosis when it appears.

Key words:

breast cancer – malignancy – osteoporosis – prevention and treatment of secondary osteoporosis – prostate cancer

Received 6. 8. 2018

Accepted 28. 8. 2018

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Labels

Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology

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Article was published in

Clinical Osteology

2018 Issue 1