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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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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container_end_page 246
container_issue 2
container_start_page 241
container_title Internal Medicine
container_volume 60
creator Morita, Shinichi
Sugawara, Shunsuke
Suda, Takeshi
Prasetyo, Didik
Hoshi, Takahiro
Abe, Satoshi
Yagi, Kazuyoshi
Terai, Shuji
description 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.
doi_str_mv 10.2169/internalmedicine.5351-20
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1349-7235
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7872818
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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
title Transcatheter Arterial Embolization Using Microspheres for Palliating Pain from Bone Metastasis in a Patient with Cholangiocellular Carcinoma
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