From: Current concepts in bone metastasis, contemporary therapeutic strategies and ongoing clinical trials
 | Prostate | Breast | Renal | Lung | Thyroid | Multiple Myeloma |
---|---|---|---|---|---|---|
Systemic Therapy | Yes | Yes | Yes | Yes | Yes | Yes |
Bone- Targeted | Denosumab | Denosumab | Denosumab | Consider: Denosumab | Denosumab | Pamidronate |
Zoledronic Acid | Zoledronic Acid | Zoledronic Acid | Zoledronic Acid | Pamidronate | Zoledronic Acid | |
Radium-223 | Pamidronate | Â | Zoledronic Acid | Â | ||
Radiation Therapy | Yes | Yes | Yes | Yes | Yes | Yes |
Vitamins | Calcium Vitamin D | Calcium Vitamin D | Calcium Vitamin D | Not Mentioned | Not mentioned | Not mentioned |
Notes | Possible use of Sr-89 or Sm-153 | Â | Â | Â | Consider embolization prior to surgical resection to reduce hemorrhage | Â |