Computed tomography‑guided radiofrequency ablation for palliation of a painful supraclavicular soft‑tissue metastasis invading the brachial plexus
- Authors:
- Aristotelis Kechagias
- Spiros Delis
- Christos Dervenis
- Petros Maniatis
- John Papailiou
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Affiliations: First Department of Surgery, Konstantopouleion‑Agia Olga General Hospital, Athens 142‑33, Greece, Department of Computed Tomography and Invasive Radiology, Konstantopouleion‑Agia Olga General Hospital, Athens 142‑33, Greece
- Published online on: September 12, 2013 https://doi.org/10.3892/ol.2013.1577
-
Pages:
1521-1523
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Abstract
The present study describes a case of a painful supraclavicular soft‑tissue metastasis of a skin melanoma invading the brachial plexus in a 38‑year‑old male. The patient was treated twice with radiofrequency ablation (RFA) under computed tomography (CT) guidance, which caused tumoral necrosis. The patient was originally referred with a 7‑cm metastasis in the right supraclavicular fossa, which caused intractable pain and a degree of numbness. These symptoms were unresponsive to chemotherapy and radiotherapy and the pain was not controlled using narcotic analgesics. The lesion was treated with CT‑guided RFA causing necrosis, relieving the pain and sparing the patient from using analgesics. The pain recurred 19 months thereafter and a CT scan revealed an 8‑cm mass in the right supraclavicular space. The patient underwent repeat CT‑guided RFA, which reduced the pain to a level that was controlled with minor oral analgesics. In conclusion, in this case of a painful supraclavicular soft‑tissue metastasis invading the brachial plexus, which was intractable to chemotherapy and radiotherapy, RFA was feasible and offered substantial palliation of the symptoms, freedom from the use of narcotic analgesics and improvements to the quality of life.
View References
|
1
|
Dupuy DE, Liu D, Hartfeil D, et al:
Percutaneous radiofrequency ablation of painful osseous metastases:
a multicenter American College of Radiology Imaging Network trial.
Cancer. 116:989–997. 2010. View Article : Google Scholar
|
|
2
|
Thanos L, Mylona S, Kalioras V, Pomoni M
and Batakis N: Palliation of painful perineal metastasis treated
with radiofrequency thermal ablation. Cardiovasc Intervent Radiol.
28:381–383. 2005. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Locklin JK, Mannes A, Berger A and Wood
BJ: Palliation of soft tissue cancer pain with radiofrequency
ablation. J Support Oncol. 2:439–445. 2004.PubMed/NCBI
|
|
4
|
Nair RT, van Sonnenberg E, Shankar S,
Morrison PR, Gill RR, Tuncali K and Silverman SG: Visceral and
soft-tissue tumors: radiofrequency and alcohol ablation for pain
relief - initial experience. Radiology. 248:1067–1076. 2008.
View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Sanou R, Bazin C, Krakowski I, et al:
Radiofrequency ablation for palliation of soft tissue tumor pain. J
Radiol. 91:281–286. 2010.(In French).
|
|
6
|
Lam L, Krementz E, McGinness C and Godfrey
R: Melanoma of the clavicular region: multimodal treatment. Arch
Surg. 136:1054–1058. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Hanks GW, Conno F, Cherny N, et al; Expert
Working Group of the Research Network of the European Association
for Palliative Care. Morphine and alternative opioids in cancer
pain: the EAPC recommendations. Br J Cancer. 84:587–593. 2001.
View Article : Google Scholar : PubMed/NCBI
|
