title: [The effect of strontium-89 therapy in a patient with cholangiocellular carcinoma].
abstract: A 77-year-old man was diagnosed as having cholangiocellular carcinoma. The patient underwent partial right hepatectomy in June 2008, and multiple bone metastases occurred approximately 9 months after surgery. He refused salvage chemotherapy and radiation therapy. Although he had been treated with opiate analgesics, he was unable to sit up owing to severe pain in the left ilium. He was hospitalized because of buttock pain and left leg numbness. Even a combination of fentanyl patch, gabapentin, and subarachnoid block was ineffective in controlling pain. Strontium-89 (89Sr) therapy was successful in eliminating the intractable pain, and there were no serious side effects during therapy. The patient was discharged from the hospital, and he received palliative care at home for a short period.
authors.affiliation: Dept. of Radiology, Konan Kakogawa Hospital.
authors.forename: Eiro
authors.initials: E
authors.lastname: Sakai
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Masuda
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Sato
authors.forename: Shoji
authors.initials: S
authors.lastname: Matsui
authors.forename: Kyosuke
authors.initials: K
authors.lastname: Ota
authors.forename: Ryohei
authors.initials: R
authors.lastname: Sasaki
authors.forename: Miyawaki
authors.initials: M
authors.lastname: Daisuke
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D001653:Bile Ducts, Intrahepatic / Q000473:pathology*; D001859:Bone Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D018281:Cholangiocarcinoma / Q000532:radiotherapy* / Q000556:secondary; D006801:Humans; D008297:Male; D010148:Intractable Pain / Q000209:etiology / Q000532:radiotherapy; D010166:Palliative Care; D013326:Strontium Radioisotopes / Q000627:therapeutic use*
chemical_list: D013326:Strontium Radioisotopes