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Embolization of renal tumor bone metastasis: case report
Felipe Soares Ribeiro1, Salim Abdon Haber Jeha2, José Victor Figueiredo Dos Santos3
1Hospital Porto Dias, Belém, PA, Brasil.
Jornal Vascular Brasileiro
|July 2, 2021
Summary
Preoperative embolization effectively reduces bleeding during bone tumor surgery. This minimally invasive procedure offers satisfactory outcomes for patients with hypervascularized bone tumors, including metastatic renal cell carcinoma.
Area of Science:
- Oncology
- Interventional Radiology
- Orthopedic Surgery
Background:
- Bone tumors, particularly hypervascular ones, pose surgical risks including significant blood loss.
- Preoperative embolization is a technique used to reduce vascularity before tumor excision.
- Metastatic bone disease requires effective management strategies to improve patient outcomes.
Observation:
- A 43-year-old male presented with a metastatic renal cell tumor in the left proximal femur.
- Computed tomography confirmed the metastatic lesion.
- The patient underwent selective preoperative embolization of the tumor.
Findings:
- The preoperative embolization procedure resulted in a notable absence of bleeding during surgery.
- The embolization facilitated a successful onco-orthopedic surgical excision of the tumor.
- The patient experienced a satisfactory outcome following the combined treatment approach.
Implications:
- Preoperative embolization is a safe and effective adjunct for managing hypervascular bone tumors.
- This technique can significantly decrease intraoperative blood loss, improving surgical safety.
- Embolization enhances the success of subsequent tumor resection and patient recovery in metastatic bone disease.
