Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle.
- Author:
Helen GHARAEI
1
;
Farnad IMANI
;
Masoud VAKILY
Author Information
- Publication Type:Case Report
- Keywords: clavicle; myeloma; radiofrequency thermal ablation
- MeSH: Clavicle*; Follow-Up Studies; Humans; Male; Middle Aged; Needles; Pain Management; Radiotherapy; Triamcinolone
- From:The Korean Journal of Pain 2014;27(1):72-76
- CountryRepublic of Korea
- Language:English
- 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 (90degrees 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.
