10th January 2024

A patient with metastatic prostate cancer has widespread painful bone metastasis

A patient with metastatic prostate cancer has widespread painful bone metastasis. He has had multiple previous rounds of radiotherapy, but they have not been effective. His last bone scan revealed further metastatic deposits in the spine, shoulder, and hip. His pain is not well controlled despite progressive increase in his morphine dose.

Which of the following is the best next option for his bone pain?

Select the SINGLE most appropriate option from the list below. Select ONE option only.