Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Endomedullary radiofrequency ablation of metastatic lesion of the right femur 5 years after primary breast carcinoma: a case report

Majerović, Mate and Augustin, Goran and Jelinčić, Željko and Buković, Damir and Burcar, Ivan and Smuđ, Dubravko and Kekez, Tihomir and Kinda, Emil and Matošević, Petar and Turčić, Josip (2008) Endomedullary radiofrequency ablation of metastatic lesion of the right femur 5 years after primary breast carcinoma: a case report. Collegium antropologicum, 32 (4). pp. 1267-1269. ISSN 0350-6134 (Print)

[img]
Preview
PDF
Download (104Kb) | Preview

    Croatian abstract

    Metastatski tumori dugih kostiju obično se prezentiraju jakom boli refrakternom na analgetsku terapiju. Patološke frakture kostiju dovode do značajnog smanjenja kvalitete života tih bolesnika i zahtijevaju daljnju kiruršku terapiju. U ovom radu prikazujemo 66-godišnju bolesnicu sa metastatskim karcinomom primarnog tumora lijeve dojke (T2N0M0) dijagnosticiranim 5 godina prije prezentacije metastatske lezije dijafize desnog femura koja je uzrokovala izrazitu bol u srednjem dijelu natkoljenice. Bol je perzistirala i nakon palijativne iradijacijske terapije. Nakon neuspjele iradijacije učinjena je radiofrekvencijska ablacija metastatske lezije dijafize desnog femura pomoću uređaja R.I.T.A.Medical System. Procedura je rezultirala potpunom nekrozom tumorske mase uz minimalnu osteolizu okolnog korteksa femura. Prva tri mjeseca nakon procedure bol i bolnost bili su odsutni uz mogućnost izvršavanja svih dnevnih aktivnosti bez ikakvih ograničenja.

    English abstract

    Metastatic tumors of the long bones usually present with severe pain refractory to analgesic therapy. Pathologic fractures of the bone may lead to the significant decrease of patient's quality of life and necessitate further surgical therapy. We present 66 year old female with metastatic left breast carcinoma (T2N0M0) diagnosed 5 years before presentation of the metastatic lesion of the right femur causing severe pain in the middle of the right upper leg. Pain persisted after palliative irradiation therapy. We performed radiofrequency ablation of the metastatic lesion of the right femur using R.I.TA. Medical System Generator. This resulted in total necrosis of the tumor mass that caused osteolysis of the internal part of the femoral cortex. First three months after RFA procedure, the pain and tenderness were absent and normal daily activities were performed without restrictions.

    Item Type: Article
    MeSH: Catheter Ablation ; Femur ; Bone Neoplasms - complications - secondary - surgery ; Breast Neoplasms - pathology ; Aged ; Fatal Outcome ; Female ; Humans ; Osteolysis - etiology - surgery ; Pain - etiology - surgery
    Divisions: Katedra za ginekologiju i opstetriciju
    Katedra za kirurgiju
    Depositing User: Boris Čičovački
    Status: Published
    Creators:
    CreatorsEmail
    Majerović, Mate
    Augustin, Goran
    Jelinčić, Željko
    Buković, Damir
    Burcar, Ivan
    Smuđ, Dubravko
    Kekez, Tihomir
    Kinda, Emil
    Matošević, Petar
    Turčić, Josip
    Date: December 2008
    Date Deposited: 25 Feb 2009
    Last Modified: 23 Sep 2011 18:10
    Subjects: /
    Related URLs:
      URI: http://medlib.mef.hr/id/eprint/583

      Actions (login required)

      View Item

      Document Downloads

      More statistics for this item...