The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle

  • Gharaei, Helen (Department of Anesthesiology and Pain Medicine, Amirmomenin Hospital, Tehran Azad Islamic University of Medical Science) ;
  • Imani, Farnad (Anesthesiology and Pain Department, Rasoul-Akram Hospital, Tehran University of Medical Sciences) ;
  • Vakily, Masoud (Hematology and Oncology Department, Rasoul-Akram Hospital, Tehran University of Medical Sciences)
  • Received : 2013.09.13
  • Accepted : 2013.11.18
  • Published : 2014.01.01
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Abstract

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 ($90^{\circ}C$ 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

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