title: [Breast Cancer Patient with Bone Metastases Who Was Able to Return Home without Using Opioids after Administration of Strontium-89 Chloride].
abstract: A 46-year-old woman underwent mastectomy for right inflammatory breast cancer.Three years later, she was diagnosed with multiple bone metastases and was treated with systemic chemotherapy and zoledronic acid.Six years after the mastectomy, she complained of severe sacral pain, and 40 Gy external radiotherapy was applied to the sacral metastases.Oxycodone was also administered, but dose escalation was difficult because of severe nausea and fatigue.A bone scan showed increased uptake of Tc99m in an area consistent with the painful regions, and an injection of 89SrCl2 was administered.Five weeks after the injection, her severe pain was relieved and she was able to discontinue the use of opioids completely.She successfully lived at home for 100 days without using opioids.In this case, radionuclide therapy with 89SrCl2 led to remarkable pain relief with an improvement in the quality of life of the patient.
authors.affiliation: Dept. of Surgery, Tottori Red Cross Hospital.
authors.forename: Yumi
authors.initials: Y
authors.lastname: Yamaguchi
authors.forename: Chihiro
authors.initials: C
authors.lastname: Uejima
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Tada
authors.forename: Seigo
authors.initials: S
authors.lastname: Takaya
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yamashiro
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Shibata
authors.forename: Minoru
authors.initials: M
authors.lastname: Ishiguro
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nishidoi
authors.forename: Masami
authors.initials: M
authors.lastname: Kobayashi
mesh_terms: D001859:Bone Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D001943:Breast Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D011788:Quality of Life; D013324:Strontium / Q000627:therapeutic use*
chemical_list: C025700:strontium chloride; D013324:Strontium