Palliative care 2017

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