Cementoplasty in the management of painful extraspinal bone metastases: Our experience

被引：53

作者：

Basile A. ^{[1
,8
]}

Giuliano G. ^{[2
]}

Scuderi V. ^{[2
]}

Motta S. ^{[3
]}

Crisafi R. ^{[3
]}

Coppolino F. ^{[4
]}

Mundo E. ^{[5
]}

Banna G. ^{[6
]}

Di Raimondo F. ^{[7
]}

Patti M.T. ^{[1
]}

机构：

[1] Department of Diagnostic and Interventional Radiology, Ospedale Ferrarotto

[2] Intensive Care Unit, Ospedale Ferrarotto

[3] Department of Surgery V, Ospedale Ferrarotto, Catania 95124

[4] Department of Radiology, Policlinico Paolo Giaccone, Palermo

[5] Department of Radiology, Ospedale Garibaldi Centro, Catania

[6] Unit of Oncology, Ospedale Vittorio Emanuele, Catania 95124

[7] Department of Haematology, Ospedale Ferrarotto, Catania 95124

[8] Catania 95124

来源：

La radiologia medica | 2008年 / 113卷 / 7期

关键词：

Bone metastasis; Cementoplasty; Radiofrequency ablation;

D O I：

10.1007/s11547-008-0314-1

中图分类号：

学科分类号：

摘要：

Purpose. The aim of this study was to demonstrate the effectiveness of interventional techniques in the palliative management of painful extraspinal bone metastases. Materials and methods. Cementoplasty alone or in combination with radiofrequency (RF) ablation was performed in 14 skeletal extravertebral segments in 13 patients with ages ranging from 50 to 74 (average 67) years. The primary tumours were myeloma (n=5), renal carcinoma (n=5), hepatocellular carcinoma (n=2) and bladder carcinoma (n=2). Metastases were located at the acetabulum (n=4), femur (n=5), humerus (n=1), scapula (n=2) and iliac bone (n=2). The clinical indication was a pain intensity score >4 on the visual analogue scale (VAS) partially or totally refractory to analgesic medication. Clinical evaluation was based on clinical and neurological conditions before and immediately after the procedure and during the follow-up. Results. Technical success was achieved in all cases. Ten patients were treated by cementoplasty alone and four cases by cementoplasty combined with RF ablation. After treatment, all patients experienced improved symptoms, as demonstrated by the VAS score, which remained constant during follow-up. All patients were followed for between 2 and 14 (average 6.1) months. We had one major complication in a patient who developed an abscess, which was treated by percutaneous drainage. Conclusions. In our experience, cementoplasty alone for small lesions or combined with RF ablation in larger lesions is an effective and safe therapy in the palliative management of painful extraspinal bone metastases. © 2008 Springer-Verlag.

引用

页码：1018 / 1028

页数：10

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