A 60-year-old woman with a history of breast cancer, treated with surgery and radiation 5 years ago, presents with new-onset back pain. Imaging reveals lytic lesions in the spine. What is the most likely diagnosis?
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A 55-year-old man with prostate cancer and bony metastases is experiencing severe pain and is not responding to strong analgesia. He is reluctant to use NSAIDs. What is the next step?
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