Endomedullary radiofrequency ablation of metastatic lesion of the right femur 5 years after primary breast carcinoma: a case report.
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.
Majerović
Mate
M
Department of Surgery, Division of Abdominal Surgery, University Hospital Center "Zagreb", Zagreb, Croatia.
Augustin
Goran
G
Jelincić
Zeljko
Z
Buković
Damir
D
Burcar
Ivan
I
Smud
Dubravko
D
Kekez
Tihomir
T
Kinda
Emil
E
Matosević
Petar
P
Turcić
Josip
J
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