Metastatic bone disease is one of the important problems of modern oncology. In most patients with metastatic lesions of the skeleton, surgical interventions are aimed at palliative treatment, however, in some cases, with solitary metastatic lesions, radical resections with a reconstructive-plastic component can be considered, while the prognosis of the expected life expectancy associated with the histological structure of the malignant tumor, is the main and decisive factor in determining the appropriate type of surgical treatment.

OBJECTIVE

To evaluate the results of surgical treatment of patients with oropharyngeal cancer metastases in the bone.

MATERIAL AND METHODS

An analysis of the treatment of 8 patients with oropharyngeal squamous cell carcinoma, who underwent surgical treatment for metastatic bone lesions, is presented. Most often, surgical intervention was performed on the spine — 50%, with metastases to the long bones — 25%, and the pelvic bone — 25%.

RESULTS AND DISCUSSION

The median survival was 16 months. An improvement in the quality of life according to the Karnofski and EGOG scale and a decrease in pain syndrome after surgery were noted in all patients. One late surgical complication was revealed (aseptic instability of the endoprosthesis).

CONCLUSIONS

Active surgical tactics in case of metastatic lesions of various parts of the skeleton and a favorable oncological prognosis can improve the patient’s quality of life and prolong his life with solitary lesions.