Journal of Case Reports in Medicine,2021,10,2,28-31.
The occurrence of skeletal metastases in an urothel cancer because of a hematogenic dissemination of cancer cells is a prognostic disadvantageous incidence [1-7]. Beside specific, treatment options in relation to the primary tumor and local or systemic measures to reduce the disseminated tumor mass the surgical treatment of the affected bone aims in pain release in the first place but also in retaining or regaining skeleton stability. The latter serves to avoid or delay immobility and the ensuing severe deterioration of quality in the remaining period of life. In men, it occurs 3 times more frequent than in woman. 65% of the metastases are located in the pelvic girdle . Osteolytic metastases in this area with a subsequent fracture are followed by severe pain and the disability to walk forcing the patient to be bed-ridden.
Surgical means are unsatisfactory or completely absent to regain enough stability in pathological pelvic fractures.