Keywords:
Bones, Interventional non-vascular, Musculoskeletal system, CT, Ablation procedures, Biopsy, Metastases
Authors:
V. Costanzo1, F. Verderame2, M. R. VACCARO NOTTE1, R. Lagalla1, T. Angileri3; 1Palermo/IT, 2BAGHERIA (PA)/IT, 3BAGHERIA (PA)/IT
DOI:
10.1594/ecr2018/C-2424
Aims and objectives
Cancer commonly metastasizes to bone and up to 80% of breast,
prostate,
and lung cancer patients will have bone metastases.
The site and distribution of bone metastases,
and the presence of skeletal complications such as pathologic fracture and spinal cord compression affect the patient's prognosis.
The treatment purpose is to palliate pain and prevent complications by reducing the length of hospital stay and by improving performance status.
Standard treatments include systemic therapies,
such as hormonal therapy,
analgesics and bisphosphonates,
and local,
focused on the lesion,
such as radiotherapy (RT) and surgery.
Currently,
bone pain is not adequately treated by many physicians and up to 79% of patients experience severe pain in the period before palliative therapy.
Cancer pain can be complicated by the psychological distress inherent in the experience of cancer pain itself,
with its associated fear and helplessness,
often precipitating mood and anxiety disturbances.
[1-3].
Because of the short life expectancy and poor quality of life in these patients,
a minimally invasive approach is desirable.
Aim of this study was to evaluate the results and complications of combined percutaneous biopsy,
microwave thermoablation and cementoplasty,
performed at the same time using a CT-guided approach,
to obtain pain resolution.