Clinical Case Database / Category: Patient Management
A painful acetabular metastasis treated with CT guided coblation & cementoplasty
Publication details
Vishnusai Chauhan, Winston Rennie
Foundation Years Journal, volume 7, issue 9, p.6 (123Doc Education, London, October 2013)
Abstract
A 66 year old man was referred by the GP, to the dermatology clinic under the two week wait with a suspicious dysplastic mole on his upper chest. This was excised in August 2011 and histology demonstrated a superficial spreading malignant melanoma. The histology was discussed at the skin cancer MDT and it was decided that he required a staging CT, and wide local excision with a sentinel lymph node biopsy.
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Authors
Vishnusai Chauhan
Foundation Year Two Doctor
University Hospitals of Leicester
vishnusai86@gmail.com
Winston Rennie
Consultant Musculoskeletal Radiologist
University Hospitals of Leicester
winston.rennie@uhl-tr.nhs.uk
References
1. Harrington KD. The management of acetabular insufficiency secondary to metastatic malignant disease. JBJS Am 1981, 63A:653-664
2. Wunder JS, Ferguson PC, Griffin AM, Pressman A, Bell RS. Acetabular metastases: Planning for reconstruction and review of results. Clinical orthopaedics and related research 2003, 415S:187-197
3. Maccauro G, Liuzza F, Scaramuzzo L, Milani A, Muratori F, Rossi B, Waide V, Logroscino G, Logroscino CA, Maffulli N. Percutaneous Acetabuloplasty for metastatic acetabular lesions BMC MusculoskeletDisord. 2008 May 5;9:66
4. Toyota N, Naito A, Kakizawa H, Hieda M, Hirai N, Tachikake T, Kimura T, Fukuda H, Ito K. Radiofrequency ablation therapy combined with cementoplasty for painful bone metastases: initial experience. CardiovascInterventRadiol 2005, 28(5):578-83
5. Schaefer O, Lohrmann C, Herling M, Uhrmeister P, Langer M. Combined radiofrequency thermal ablation and percutaneous cementoplasty treatment of a pathologic fracture. J Vasc Inter Radiol 2002, 13(10):1047-50
6. Jakanani GC, Jaiveer S, Ashford R, Rennie W. J Palliat Med. Computed tomography-guided coblation and cementoplasty of a painful acetabular metastasis: an effective palliative treatment. 2010 Jan;13(1):83-5.
7. Weill A, Kobaiter H, Chiras J. Acetabulum malignancies: technique and impact on pain of percutaneous injection of acrylic surgical cement. EurRadiol 1998, 8(1):123-9
8. Franc J, Lehmann P, Saliou G, Monet P, Kocheida EM, Daguet E, Laurent A, Legars D, Deramond H.J Neuroradiol. Vertebroplasty: 10 years clinical and radiological follow-up. 2010 Oct;37(4):211-9
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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