Annals of Oncology 15:700-701, 2004
© 2004 European Society for Medical Oncology
Bisphosphonates and reduction of skeletal events in patients with bone metastatic breast cancer
Service of bone diseases, WHO Collaborating Center for Osteoporosis prevention, Department of Rehabilitation and Geriatrics, University Hospital, Geneva, Switzerland (E-mail: Rene.Rizzoli@medecine.unige.ch)
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Formerly called diphosphonates, bisphosphonates have been used as water softeners since the second half of the nineteenth century. Their role in bone and mineral metabolism was recognized about 35 years ago with the pioneering research of Herbert Fleisch in Switzerland [1, 2]. More recently, bisphosphonates have become the first choice for standard care in the management of bone diseases associated with hyper-resorption, such as Pagets bone disease, hypercalcemia of malignancies, osteoporosis (both idiopathic and secondary), disuse, and prosthesis or implant loosening. Their consistent and large efficacy in preventing skeletal events associated with bone metastases is a