Preoperative cryoablation of a hypervascular bone metastasis: A case of effective devascularization before preoperative embolization.


Journal

Clinical imaging
ISSN: 1873-4499
Titre abrégé: Clin Imaging
Pays: United States
ID NLM: 8911831

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 16 12 2020
revised: 25 03 2021
accepted: 25 04 2021
pubmed: 6 5 2021
medline: 28 9 2021
entrez: 5 5 2021
Statut: ppublish

Résumé

Image-guided cryoablation has become a common approach for the palliative treatment of painful metastatic bone lesions, and indications for this procedure have expanded to include local control of bone metastases. We report a case in which cryoablation was performed on a large hypervascular renal cell carcinoma bone metastasis before surgical fixation of an impending fracture. In this case, cryoablation reduced the patient's pain but also appeared to result in devascularization of the tumor, thus obviating the need for preoperative embolization. This case raises the possibility that image-guided cryoablation may represent an alternative to preoperative embolization for vascular tumors while also serving a palliative function.

Identifiants

pubmed: 33951570
pii: S0899-7071(21)00192-3
doi: 10.1016/j.clinimag.2021.04.018
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

148-153

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Ceylan Colak (C)

Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH 44195, USA. Electronic address: colakc@ccf.org.

Michael C Forney (MC)

Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH 44195, USA. Electronic address: forneym@ccf.org.

Claus S Simpfendorfer (CS)

Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH 44195, USA. Electronic address: simpfec2@ccf.org.

Nathan W Mesko (NW)

Department of Orthopaedic Surgery, Cleveland Clinic, 9500 Euclid Ave, A41, Cleveland, OH 44195, USA. Electronic address: meskon@ccf.org.

Hakan Ilaslan (H)

Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH 44195, USA. Electronic address: ilaslah@ccf.org.

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Classifications MeSH