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MULTIPLE FOOT BONE RENAL CELL CARCINOMA METASTASES: FEASIBILITY OF SIMULTANEOUS CT-GUIDED MICROWAVE ABLATION

Daniele Maiettini, Michele Bisaccia, Auro Caraffa, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marta Rossi, Luigi Piscitelli, Giulio Metro, Alberto Rebonato.

Abstract
Renal tumor has a high incidence of bone metastasis (BM). BM are burdened by a considerable morbidity and are the most common cause of cancer-related pain. Local treatment of metastases remains controversial despite showing promising results for pain control.
We would like to report our experience with a patient who developed foot bone metastasis 3 years after a left nephrectomy for a renal cell carcinoma. Metastasis were treated in two session of CT-guided microwave ablation. One lesion in the first session and three, simultaneously, in the second one. Cement augmentation was performed in all cases. No complications were noticed.
The patient showed good pain control immediately after the procedure and on follow-up at six months.

Key words: Renal Cell Carcinoma Metastases; Foot Bone Metastases; Simultaneous Microwave Ablation; CT Guided Microwave Ablation; Pain Therapy


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