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Electrochemotherapy and Simultaneous Photodynamic Bone Stabilization of Upper Limbs in Metastatic Renal Cancer Disease: Case Report and Literature Review
المؤلفون المشاركون
Albertini, Ugo
Conti, Andrea
Ratto, Nicola
Pellegrino, Pietro
Boffano, Michele
Piana, Raimondo
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-14
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Metastatic bone disease represents a systemic pathology that heavily affects the quality of life of oncologic patients causing pain and functional disability.
Methodology.
We present the case of a patient with a history of renal cell cancer presenting pathologic fractures of both humeri and proximal right radius.
Results.
After a careful multidisciplinary approach, an adjuvant anticancer therapy and a photodynamic bone stabilization procedure were performed with a minimally invasive technique aiming to minimize pain and local disease progression, while restoring functional autonomy and improving the patient’s quality of life.
Electrochemotherapy was delivered on the lytic bone lesions with extraskeletal involvement of the proximal left humerus and the proximal right radius, and then polymeric bone stabilization was performed on both humeri.
At two months of follow-up, the patient presented satisfactory functional scores (MSTS score: 12/30 bilaterally; DASH scores: 46.7/100 for the right side and 48.3/100 for the left one), and pain was well controlled with opioid analgesics.
Radiographs showed good results in terms of ossification of lytic bone lesions and durability of polymeric stabilization.
At four months of follow-up, the patient reported a stable clinical scenario.
Six months after surgery, due to extremely poor prognosis after the progression of primary disease, the patient was referred to palliative care and died shortly thereafter.
Conclusion.
Over the last decade, the management of metastatic bone disease has changed.
Low-toxicity and minimally invasive procedures such as electrochemotherapy and polymeric bone stabilization might be performed concomitantly in selected patients, as an alternative to radiation therapy and to more demanding surgical procedures such as plating and adjuvant cementing.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Albertini, Ugo& Conti, Andrea& Ratto, Nicola& Pellegrino, Pietro& Boffano, Michele& Piana, Raimondo. 2020. Electrochemotherapy and Simultaneous Photodynamic Bone Stabilization of Upper Limbs in Metastatic Renal Cancer Disease: Case Report and Literature Review. Case Reports in Medicine،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148651
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Albertini, Ugo…[et al.]. Electrochemotherapy and Simultaneous Photodynamic Bone Stabilization of Upper Limbs in Metastatic Renal Cancer Disease: Case Report and Literature Review. Case Reports in Medicine No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1148651
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Albertini, Ugo& Conti, Andrea& Ratto, Nicola& Pellegrino, Pietro& Boffano, Michele& Piana, Raimondo. Electrochemotherapy and Simultaneous Photodynamic Bone Stabilization of Upper Limbs in Metastatic Renal Cancer Disease: Case Report and Literature Review. Case Reports in Medicine. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148651
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1148651
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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