当院の骨転移キャンサーボード運用について

Risk management for patients with bone metastases by multidisciplinary tumor board at Nara Medical University

がん骨転移は病的骨折や麻痺などの骨関連事象（SRE）を伴うが，早期診断と適切な治療介入はSRE発症を減少しうる。また骨転移診療ではSRE予防だけでなく，患者のADL・QOL評価も重要である。さらに骨転移診療には，様々な観点からの評価や治療介入方法とそのタイミングの判断が求められ，複数診療科・多職種の連携診療を要する。本稿では，骨転移に対する複数診療科・多職種連携での治療介入の現状について，当院の運用状況を紹介しながら，その有用性について意見を述べる。

The multidisciplinary tumor board is key factor to avoid skeletal related event. Our current system consist of three routes to grasp the patients with bone metastases as soon as possible. One is tumor board called cancer board, second is detective system which is based on the interpretation for CT or MRI by radiologist, and third is outpatient clinic for bone metastasis. Although these systems are useful, we believe that each hospital have their own fit style to grasp and discuss regarding the patients with bone metastases. We would appreciate if you could refer to our system.