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

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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.

Abstract in Croatian

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.

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