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Oncology (General Cancer)/Secondary bone cancer and femur breakage

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Question
My 100 year old dad's Prostate Cancer has spread to the femur causing thinning and breakage of the femur. Surgery is not an option to repair the breakage because the bone is too fragile and he also has some problem with his heart.  What can be done because the leg is so swollen and hurts tremendously when he is moved.

Answer
Someone his age with other problems would probably scare off any orthopedic surgeons, and indeed the procedure would be hard on someone younger.  There are a few options.  First, has the area been irradiated?  Sometimes the pain is more due to tumor invasion than fracture and radiation can help somewhat.  Second, has an orthotist been consulted?  These specialists can make braces that keep movement to a minimum.  Finally, some people are experimenting with direct injection of bone cement into the area.  That's actually been used in fractures of the spine.  You might want to have him seen by an interventional radiologist regarding this.  
Hope this helps.  

Oncology (General Cancer)

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Donald Higby, M.D.

Expertise

I can answer almost all questions related to the treatment and natural course of most kinds of cancer, especially cancers of prostate, colon, lung and breast.

Experience

I have been a practicing medical oncologist for 36 years, and have been chief of service at a major medical center for 25 years. I've also done research in cancer treatments.

Organizations
American Society of Clinical Oncology

Publications
New England Journal of Medicine American Journal of Medicine Journal of the American Society of Clinical Oncology Hematology Transfusion Medicine

Education/Credentials
MD, Stanford University Internal Medicine residency, St. Louis University School of Medicine, St. Louis, MO Medical Oncology Fellowship, Roswell Park Cancer Institute, Buffalo, NY

Awards and Honors
America's Best Physicians, last 14 years

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