Abstract
Malignant tumour osteolysis is a frequent complication of cancers and multiple myeloma. It can cause skeletal related-events including pathological fractures, spinal cord compression, bone pain or hypercalcemia, with a significant alteration of quality of life and survival. Bisphosphonates (BP) play an important role in the management of this malignant osteolysis, via an inhibition of osteoclastmediated bone resorption, and a potential direct anti-tumour activity. Novel therapeutic targets such as specific RANKL antibodies are being investigated currently and are promising.
Résumé
L’ostéolyse tumorale maligne est une complication fréquente de nombreux cancers et du myélome multiple. Elle peut être à l’origine d’événements osseux tels que fractures pathologiques, compression médullaire, douleurs osseuses ou hypercalcémie maligne, affectant la qualitéde vie et la survie. Les bisphosphonates (BP) ont un rôle important dans le traitement de cette ostéolyse maligne en bloquant l’activité ostéoclastique et peut-être également en raison d’une action antitumorale directe. De nouvelles molécules ayant des propriétés antirésorptives telles que les anticorps anti-RANKL s’avè rent également prometteuses.
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Debiais, F., Martin, C. Médicaments de l’ostéolyse tumorale. Oncologie 11, 16–21 (2009). https://doi.org/10.1007/s10269-008-0992-2
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DOI: https://doi.org/10.1007/s10269-008-0992-2