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01.Systematic Review of Data from Randomized Controlled Trials on the Efficacy, Safety and Tolerability of Drugs Used to Treat Painful Diabetic Neuropathy
02.Total Pain Concept: Multisensory Stimulation, Exercise Therapy and Coping Skill Training for Community-dwelling Older Persons with Chronic Pain
03.Oxycodone or Oxycodone Plus Paracetamol for Acute Postoperative Pain in Adults
04.Parental Experiences of Pediatric Chronic Pain Managemnent Services
05.Oral Paracetamol (Acetaminophen) with Codeine for Postoperative Pain in Adults
06.Pathological Fracture of the Tibia in a Patient with Invasive Ductal Carcinoma of the Breast: A Case Report of a Rare Finding
07.Transcutaneous Electrostimulation for Osteoarthritis of the Knee
08.What is the Role of Decision Making and Patient Choice on Chronic Pain Patientsí Psychological Well-being During a Residential Chronic Pain Management Programme?
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Pathological Fracture of the Tibia in a Patient with Invasive Ductal Carcinoma of the Breast: A Case Report of a Rare Finding $43.00
Authors:  Esther Chan, Florencia Jon, Lori Holden, Kristopher Dennis and Edward Chow
Abstract:
While bone metastases are common among patients with cancer, metastases to the tibia are rare. The present report describes the case of a 57-year-old woman with invasive ductal carcinoma of the breast who presented with a pathological tibial fracture. She had just recently complained of bone pain and been diagnosed with diffuse metastatic disease despite a 7-year disease-free interval following her primary treatment. Bone metastases cause significant morbidity and negatively impact overall quality of life. This report highlights the importance of a thorough work-up using clinical skills which have been shown to be the most successful tools for identifying bone metastases during follow-up visits in patients with known malignancy. Early diagnosis allows physicians to employ proven prophylactic treatments which help to prevent pathological fractures and other complications of bone metastases, ultimately preventing further declines in overall quality of life. 


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Pathological Fracture of the Tibia in a Patient with Invasive Ductal Carcinoma of the Breast: A Case Report of a Rare Finding