Masala Salvatore, Manenti Guglielmo, Roselli Mario, Mammucari Matteo, Bartolucci Dario Alberto, Formica Vincenzo, Massari Francesco, Simonetti Giovanni
University Hospital, Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, Viale Oxford 81, 00133 Rome, Italy.
Anticancer Res. 2007 Nov-Dec;27(6C):4259-62.
Radiofrequency thermal ablation (RFTA) has recently been introduced for the treatment of painful bone metastases. We report the outcome of one combined protocol session of percutaneous RFTA and cementoplasty on a painful sternal breast cancer metastasis of a 66-year-old patient.
A sternal lesion was identified at a repeated CT scan during the oncological follow-up. Due to severe chest pain, the patient was treated percutaneously to obtain pain relief and bone stabilization. Percutaneous RFTA was performed using a 15-gauge needle electrode (MIRAS TX-120) coaxially introduced through a 13-gauge bone biopsy needle. The lesion was heated up to 80 degrees C for 3 minutes. A percutaneous injection of 1 cc polymethylmethacrylate in the central part of the lesion was performed immediately after the RFTA procedure.
Immediate symptomatic improvement was documented.
Combined percutaneous therapy showed feasibility and effectiveness and can be considered as an alternative for the treatment of painful bone metastases.
射频热消融（RFTA）最近已被用于治疗疼痛性骨转移瘤。我们报告了对一名66岁患者的胸骨乳腺癌转移灶进行经皮射频热消融和骨水泥成形术联合治疗方案的结果。
在肿瘤随访期间的重复CT扫描中发现了胸骨病变。由于严重胸痛，对患者进行了经皮治疗以缓解疼痛并稳定骨骼。使用15号针电极（MIRAS TX - 120）通过13号骨活检针同轴引入进行经皮射频热消融。将病变加热至80摄氏度持续3分钟。射频热消融术后立即在病变中央经皮注射1 cc聚甲基丙烯酸甲酯。
记录到症状立即改善。
经皮联合治疗显示出可行性和有效性，可被视为治疗疼痛性骨转移瘤的一种替代方法。
