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Abstract After the liver and lung, bone is the third most common site of metastases. Eighty percent of all bone metastases are secondary to breast, prostate, and lung carcinomas. Cancer cells metastasize to bone almost exclusively via hematogenous spread, although this may also result via direct extension of tumor. Bone metastases are generally classified into two types. Osteoblastic metastases are characterized by the deposition of new bone via increased osteoblastic activity, whereas osteolytic metastases are characterized by the destruction of normal bone via increased osteoclastic activity. Metastatic lesions can contain both components. |