• Salvatore Masala, Guglielmo Manenti, Mario Roselli, Matteo Mammucari, Dario Alberto Bartolucci, Vincenzo Formica, Francesco Massari, and Giovanni Simonetti.
• University Hospital, Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, Viale Oxford 81, 00133 Rome, Italy. salva.masala@tiscali.it
• Anticancer Res. 2007 Nov 1; 27 (6C): 4259-62.

BackgroundRadiofrequency thermal ablation (RFTA) has recently been introduced for the treatment of painful bone metastases. We report the outcome of one combined protocol session of percutaneous RFTA and cementoplasty on a painful sternal breast cancer metastasis of a 66-year-old patient.Patients And MethodsA sternal lesion was identified at a repeated CT scan during the oncological follow-up. Due to severe chest pain, the patient was treated percutaneously to obtain pain relief and bone stabilization. Percutaneous RFTA was performed using a 15-gauge needle electrode (MIRAS TX-120) coaxially introduced through a 13-gauge bone biopsy needle. The lesion was heated up to 80 degrees C for 3 minutes. A percutaneous injection of 1 cc polymethylmethacrylate in the central part of the lesion was performed immediately after the RFTA procedure.ResultsImmediate symptomatic improvement was documented.ConclusionCombined percutaneous therapy showed feasibility and effectiveness and can be considered as an alternative for the treatment of painful bone metastases.

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