Microwave Tumor Ablation of Vertebral Bone Metastasis: A Case Report

Hosseini, Behnam; Hashemi, Masoud; Mehdi Zhand, Mohamad; Alijani, Babak; Jalili-Khoshnood, Reza

doi:10.18869/acadpub.irjns.1.4.24

Volume 1, Issue 4 (3-2016) Iran J Neurosurg 2016, 1(4): 24-26 | Back to browse issues page

‎ 10.18869/acadpub.irjns.1.4.24

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Hosseini B, Hashemi M, Mehdi Zhand M, Alijani B, Jalili-Khoshnood R. Microwave Tumor Ablation of Vertebral Bone Metastasis: A Case Report. Iran J Neurosurg 2016; 1 (4) :24-26
URL: http://irjns.org/article-1-28-en.html

Microwave Tumor Ablation of Vertebral Bone Metastasis: A Case Report

Behnam Hosseini¹

, Masoud Hashemi¹

, Mohamad Mehdi Zhand²

, Babak Alijani ^*

³, Reza Jalili-Khoshnood⁴

1- MD, Assistant Professor, Pain Medicine Fellowship, Program Director of Pain Fellowship, Department of Anesthesiology and Pain Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- MD, Fellowship of Anesthesiology and Pain Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- MD, Assistant Professor of Neurosurgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- MD, Assistant Professor of Neurosurgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract: (5434 Views)

Introduction: Thermal ablation by microwave (MWA) has proven efficacy in treatment of primary and metastatic cancers. Soft tissue tumors could be ablated completely using MWA. However, bony tissue metastasis particularly spinal vertebral metastasis ablation has not reported yet.

Case presentation: A 50 year old male patient with primary diagnosed colon cancer undergone surgical resection of tumor. Recently, he was diagnosed with metastasis to liver and spinal vertebral bone. He was referred to pain clinic with severe non-radiating back pain. In MRI Imaging, hyperdensity lesions were identified on body of L5 and T12 and in spinal canal of L1 indicating metastatic involvement. Under fluoroscopy guidance, the metastatic tumor was ablated by MWA and the generator was powered to 20 Watt/3 minutes in the temperature control mode. Patient had no low back pain afterward.

Conclusion: MWA could be used to ablate vertebral bone metastasis without any complications and with good prognosis

Keywords: Microwave, Tumor, Ablation, Vertebral Bone, Metastasis

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery

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