Transcatheter Arterial Embolization Using Microspheres for Palliating Pain from Bone Metastasis in a Patient with Cholangiocellular Carcinoma

A 72-year-old man with intractable left shoulder pain due to bone metastasis from cholangiocellular carcinoma was admitted to our hospital. Computed tomography showed an osteoblastic metastatic lesion of the left scapula. Since the pain persisted even after the administration of opioids and external...

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Bibliographic Details
Published in:Internal Medicine 2021/01/15, Vol.60(2), pp.241-246
Main Authors: Morita, Shinichi, Sugawara, Shunsuke, Suda, Takeshi, Prasetyo, Didik, Hoshi, Takahiro, Abe, Satoshi, Yagi, Kazuyoshi, Terai, Shuji
Format: Article
Language:English
Subjects:
Aged
Arteries
Bile Duct Neoplasms - complications
Bile Duct Neoplasms - therapy
Bile Ducts, Intrahepatic
bone metastasis
Carcinoma, Hepatocellular - therapy
Case Report
Catheters
Cholangiocarcinoma - complications
Cholangiocarcinoma - therapy
cholangiocellular carcinoma
Computed tomography
Embolization
Embolization, Therapeutic
Humans
Internal medicine
Liver Neoplasms - therapy
Male
Metastases
Metastasis
microsphere
Microspheres
Opioids
Osteoblasts
Pain
Radiation
Scapula
Shoulder
transcatheter arterial embolization
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Summary:A 72-year-old man with intractable left shoulder pain due to bone metastasis from cholangiocellular carcinoma was admitted to our hospital. Computed tomography showed an osteoblastic metastatic lesion of the left scapula. Since the pain persisted even after the administration of opioids and external irradiation, microspheres were injected through a catheter; the catheter tip was placed at the arteries feeding the metastatic lesion. After the intervention, the shoulder pain was alleviated without any procedure-related complications, leading to a reduction in the opioid dose. This case suggests the efficacy of transcatheter arterial embolization using microspheres for palliating pain from bone metastasis.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.5351-20