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Thyroid skeletal metastasis: pain management with verteblation
Gianluigi Orgera1, Miltiadis Krokidis2, Alberto Rebonato3
1Department of Radiology, Sant'Andrea University Hospital La Sapienza, Rome, Italy.
BMJ Supportive & Palliative Care
|April 21, 2017
Summary
Vertebral augmentation combining radiofrequency ablation and vertebroplasty (verteblation) effectively managed severe pain from thyroid cancer spine metastasis. This case expands the palliative treatment options for spinal metastases.
Area of Science:
- Oncology
- Interventional Radiology
- Pain Management
Background:
- Percutaneous vertebroplasty combined with radiofrequency ablation (verteblation) is a novel technique for spinal lesion treatment.
- Its efficacy in managing pain from metastatic spinal lesions is under investigation.
- Previous studies have not described its use in metastatic thyroid cancer.
Observation:
- A patient with thyroid carcinoma presented with an osteolytic spine metastasis causing life-limiting pain.
- The patient underwent a combined vertebroplasty and radiofrequency ablation procedure.
Findings:
- The verteblation procedure provided successful pain relief for the patient.
- This indicates a positive outcome in managing metastatic disease from thyroid cancer.
Implications:
- The findings suggest that verteblation may be a viable palliative treatment option for spinal metastases from thyroid cancer.
- This expands the potential indications for verteblation in managing cancer pain.
- Further research is warranted to confirm its efficacy in a broader patient population.