Case Report : Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle

A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass...

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Bibliographic Details
Published in:The Korean journal of pain 2014-01, Vol.27 (1), p.72
Main Authors: Helen Gharaei, Farnad Imani, Masoud Vakily
Format: Article
Language:Korean
Subjects:
clavicle
myeloma
radiofrequency thermal ablation
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Summary:A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency (90oC and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle (Korean J Pain 2014; 27: 72-76)
ISSN:2005-9159
2093-0569