title: Endomedullary radiofrequency ablation of metastatic lesion of the right femur 5 years after primary breast carcinoma: a case report.
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.
authors.affiliation: Department of Surgery, Division of Abdominal Surgery, University Hospital Center "Zagreb", Zagreb, Croatia.
authors.forename: Mate
authors.initials: M
authors.lastname: Majerović
authors.forename: Goran
authors.initials: G
authors.lastname: Augustin
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Jelincić
authors.forename: Damir
authors.initials: D
authors.lastname: Buković
authors.forename: Ivan
authors.initials: I
authors.lastname: Burcar
authors.forename: Dubravko
authors.initials: D
authors.lastname: Smud
authors.forename: Tihomir
authors.initials: T
authors.lastname: Kekez
authors.forename: Emil
authors.initials: E
authors.lastname: Kinda
authors.forename: Petar
authors.initials: P
authors.lastname: Matosević
authors.forename: Josip
authors.initials: J
authors.lastname: Turcić
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D001943:Breast Neoplasms / Q000473:pathology*; D017115:Catheter Ablation; D017809:Fatal Outcome; D005260:Female; D005269:Femur; D006801:Humans; D010014:Osteolysis / Q000209:etiology / Q000601:surgery; D010146:Pain / Q000209:etiology / Q000601:surgery