What to do when breast cancer develops bone metastases

Survival period of breast cancer single bone metastasis is long, after bone metastasis occurs, systemic systemic therapy should be the main treatment, and categorized according to breast cancer typing: for hormone receptor-positive and HER2-negative patients, priority is given to endocrine therapy (commonly known as anastrozole, letrozole, exemestane, fulvestrant, etc.); for triple-negative patients, if there is no metastasis to other organs, priority is given to single-agent chemotherapy (e.g., paclitaxel , vincristine, capecitabine, etc.), and if there are other organ metastases at the same time and rapid remission is needed, priority will be given to combination chemotherapy; for HER2-positive patients, consider anti-HER2 treatment regimens (e.g. chemotherapy combined with trastuzumab, etc.). Also give bisphosphonate therapy (e.g. zoledronic acid, etc.). If bone destruction is severe and weight-bearing bone stability is poor, consider orthopedic surgery or local radiation therapy. Bone metastases require long-term treatment, and long-term maintenance therapy is still needed after first-line treatment is effective.