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KMID : 0363120140270010072
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Korean Journal of Pain
2014 Volume.27 No. 1 p.72 ~ p.76
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Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle
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Gharaei Helen
Imani Farnad
Vakily Masoud
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Abstract
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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.
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KEYWORD
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clavicle, myeloma, radiofrequency thermal ablation
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