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Case report
Thyroid skeletal metastasis: pain management with verteblation
  1. Gianluigi Orgera1,
  2. Miltiadis Krokidis2,
  3. Alberto Rebonato3,
  4. Marcello Andrea Tipaldi1,
  5. Luca Mascagni1 and
  6. Michele Rossi1
  1. 1 Department of Radiology, Sant'Andrea University Hospital La Sapienza, Rome, Italy
  2. 2 Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  3. 3 Department of Surgical and Biomedical Science, University of Perugia, Perugia, Italy
  1. Correspondence to Dr Miltiadis Krokidis, Department of Radiology, Cambridge University Hospitals NHS Trust, Hills Road, Cambridge CB2 0QQ, UK; mkrokidis{at}hotmail.com

Abstract

The combination of percutaneous vertebroplasty with radiofrequency ablation (verteblation) has not shown to be an effective measure of pain management in patients with metastatic lesions of the spine. The use of this novel technique has not been previously described in metastatic disease from thyroid cancer. We would like to report our experience after treating a patient affected by a thyroid carcinoma and an osteolytic spine metastasis. The patient suffered from life-limiting pain and was successfully treated with a combination of vertebroplasty and radiofrequency ablation. This case shows that the indications of verteblation may be expanded in the palliative treatment of metastatic disease from thyroid carcinoma.

  • Vertebroplasty
  • radiofrequency ablation
  • pain management
  • thyroid carcinoma
  • palliative treatment

http://dx.doi.org/10.1136/bmjspcare-2017-001326

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    Footnotes

    • Contributors GO was involved in text editing and manuscript planning. MK was involved in text editing and submission. MR was involved in text editing and guarantor content. AR, MAT and LM were involved in literature research.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval Institutional Review Board.

    • Provenance and peer review Not commissioned; internally peer reviewed.