A 73 year old woman with a twelve year history of breast carcinoma

Question Number 0628

Question:
A 73 year old woman with a twelve year history of breast carcinoma complains of right lower limb pain in the region of her proximal femur. Bone radiography of the femur is normal but a bone scan reveals increased uptake suggestive of metastases, together with multiple other bony metastases. The most appropriate treatment for her pain would be:

a) mechanical ventilation
b) Amitriptyline
c) ibuprofen
d) metallic stent
e) paracetemol


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