Radiofrequency thermal ablation in painful myeloma of the clavicle.
Gharaei H, Imani F, Vakily M.
Korean J Pain. 2014 Jan;27(1):72-6. doi: 10.3344/kjp.2014.27.1.72. Epub 2013 Dec 31.
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 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.
KEYWORDS: clavicle, myeloma, radiofrequency thermal ablation