Τόμος 23 (2009) – Τεύχος 2 – Άρθρο 6 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 23 (2009) – Issue 2 – Article 6 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title Palliation therapy for painful skeletal metastasis with Sm-153
Authors Athanasios Zisimopoulos1, Dimitrios Psyllas1, Fotoula Babatsikou2, Grigorios Kyriatzis3, Evangelos Karathanos1 and Charilaos Koutis2

1.      Department of Nuclear Medicine, University General Hospital of Alexandroupolis Medical School, Democritus University, Alexandroupolis, Greece

2.     Laboratory of Epidemiology, Technological Educational Institution of Athens (TEI),Athens, Greece

3.      Unit of Molecular biology, Democritus University, Molecular Biology and Genetics, Alexandroupoli, Greece

Citation Zisimopoulos, A., Psyllas, D., Babatsikou, F., Kyriatzis, G., Karathanos, E. et al.: Palliation therapy for painful skeletal metastasis with Sm-153, Epitheorese Klin. Farmakol. Farmakokinet. 23(2): 85-88 (2009)
Publication Date Accepted for publication (Final Version): July 1, 2009
Full Text Language English
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Keywords Sm-153, Palliation therapy, skeletal metastasis, breast cancer, prostate cancer.
Other Terms review article
Summary Carcinoma of the breast is the most common cancer affecting women over the age of 40 years. And carcinoma of the prostate is the second most common carcinoma in men. Both commonly metastasize to bone and often present with multiple bone metastases as the primary clinical problem. Several treatment approaches have been tried for metastatic carcinoma with multiple skeletal metastases. 153Sm-EDTMP is a very good palliative performing radiopharmaceutical for painful skeletal metastases. It emits therapeutic medium – energy particles and gamma rays useful for gamma camera imaging. It has excellent pharmacokinetics with bone lesion uptake of up to 65% of the injected dose in the first couple of hours while up to 90% of the activity will be eliminated form the blood in the first half hour. The treatment appears to offer significant pain palliation with minimal myelotoxicity, preserving the quality of life of patients with multiple skeletal metastases.
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