Palliative care 2016
Painful metastasis in the femur
Multidirectional X-rays
Axial cortical destruction
Axial cortical destruction
> 30 mm
< 30 mm
Condition acceptable
Bad condition
SF radiotherapy
Pain response
Pain worse or recurrent
Profylactic surgery
Follow-up
Postoperative MF radiotherapy
MF radiotherapy
Van der Linden, R&O 2003, JBJS 2004
Made with FlippingBook