Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency (90oC and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle
Abstract
A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency (90oC and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle
참고문헌 (20)
- Rajkumar SV, "Goldman's cecil medicine", pp.1237~1240 (2012), Elsevier Saunders
- Munshi NC, "Plasma cell disorders. In: Harrison's principle of internal medicine", pp.941~942 (2012), McGraw-Hill
- Janjan NA, "Radiation for bone metastases: conventional techniques and the role of systemic radiopharmaceuticals", Cancer, 80(8 Suppl), pp.1628~1645 (1997)
- Tharmalingam S, "Quality of life measurement in bone metastases : a literature review", J Pain Res, 1, pp.49~58 (2008)
- Schaefer O, "Combined radiofrequency thermal ablation and percutaneous cementoplasty treatment of a pathologic fracture", J Vasc Interv Radiol, 13, pp.1047~1050 (2002)
- Jeremic B, "A randomized trial of three single-dose radiation therapy regimens in the treatment of metastatic bone pain", Int J Radiat Oncol Biol Phys, 42, pp.161~167 (1998)
- Helmberger TK, "Radiofrequency ablation. In: Percutaneous tumor ablation in medical radiology", pp.7~11 (2008), Springer
- de Baere T, "Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year", AJR Am J Roentgenol, 175, pp.1619~1625 (2000)
- Oprée A, "Involvement of the proinflammatory cytokines tumor necrosis factor-alpha, IL-1 beta, and IL-6but not IL-8 in the development of heat hyperalgesia: effects on heat-evoked calcitonin gene-related peptide release from rat skin", J Neurosci, 20, pp.6289~6293 (2000)
- Mantyh PW, "Molecular mechanisms of cancer pain", Nat Rev Cancer, 2, pp.201~209 (2002)
- Caraceni A, "Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey", Palliat Med, 18, pp.177~183 (2004)
- Delaney A, "Translational medicine : cancer pain mechanisms and management", Br J Anaesth, 101, pp.87~94 (2008)
- Colvin L, "Challenges in cancer pain management--bone pain", Eur J Cancer, 44, pp.1083~1090 (2008)
- Howard S. Smith, "Painful Boney Metastases", The Korean Journal of Pain, 26(3), pp.223~241 (2013), 대한통증학회
- Callstrom MR, "Image-guided palliation of painful metastases using percutaneous ablation", Tech Vasc Interv Radiol, 10, pp.120~131 (2007)
- Dupuy DE, "Percutaneous radiofrequency ablation of painful osseous metastases: a multicenter American College of Radiology Imaging Network trial", Cancer, 116, pp.989~997 (2010)
- Simon CJ, "Percutaneous minimally invasive therapies in the treatment of bone tumors : thermal ablation", Semin Musculoskelet Radiol, 10, pp.137~144 (2006)
- Goetz MP, "Percutaneous image-guided radiofrequency ablation of painful metastases involving bone : a multicenter study", J Clin Oncol, 22, pp.300~306 (2004)
- Santiago FR, "Treatment of bone tumours by radiofrequency thermal ablation", Curr Rev Musculoskelet Med, 2, pp.43~50 (2009)
- Carrafiello G, "Radiofrequency thermal ablation for pain control in patients with single painful bone metastasis from hepatocellular carcinoma", Eur J Radiol, 71, pp.363~368 (2009)