Colak C, Forney MC, Simpfendorfer CS, Mesko NW, Ilaslan H. Preoperative cryoablation of a hypervascular bone metastasis: A case of effective devascularization before preoperative embolization.
Clin Imaging 2021;
79:148-153. [PMID:
33951570 DOI:
10.1016/j.clinimag.2021.04.018]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 03/25/2021] [Accepted: 04/25/2021] [Indexed: 10/21/2022]
Abstract
Image-guided cryoablation has become a common approach for the palliative treatment of painful metastatic bone lesions, and indications for this procedure have expanded to include local control of bone metastases. We report a case in which cryoablation was performed on a large hypervascular renal cell carcinoma bone metastasis before surgical fixation of an impending fracture. In this case, cryoablation reduced the patient's pain but also appeared to result in devascularization of the tumor, thus obviating the need for preoperative embolization. This case raises the possibility that image-guided cryoablation may represent an alternative to preoperative embolization for vascular tumors while also serving a palliative function.
Collapse