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- Title
Percutaneus osteoplasty in the treatment of extraspinal painful multiple myeloma lesions.
- Authors
Masala S; Volpi T; Fucci FP; Cantonetti M; Postorino M; Simonetti G; Masala, Salvatore; Volpi, Tommaso; Fucci, Francesco P M; Cantonetti, Maria; Postorino, Massimiliano; Simonetti, Giovanni
- Abstract
<bold>Purpose: </bold>The aim of our study was to assess the efficacy and safety of percutaneous osteoplasty (PO), a technical extension of percutaneous vertebroplasty, in the treatment of extraspinal bone lesions from multiple myeloma causing pain resistant to NSAID therapy or treated with opioids.<bold>Methods: </bold>Between March 2006 and January 2009, 39 patients (22 female), median age 64 years (range 48-88 years) with diagnosis of multiple myeloma, were treated with percutaneous osteoplasty for painful extraspinal bone lesions resistant to NSAID therapy or treated with opioids.<bold>Results: </bold>Technical success was achieved in all cases. Mean visual analog pain score (VAS) scores dropped from 8.4 ± 1 (range 6-10; pretreatment) to 2.1 ± 1.7 (range 0-7; 24-h posttreatment). Pain completely disappeared in six (15%) patients. Administration of analgesics was suspended in 16 (41%) patients whereas in 17 (43.5%) patients previously treated with opioids, residual pain was controlled by NSAIDs. In six (15%) patients, narcotics administration was continued due to the persistence of pain. All patients completed an at least 6-month follow-up with a median long-term VAS score of 2.4 ± 2.1 (range 0-9). In five (13%) patients, pain remission was complete, with no recurrence at 18 months from treatment.<bold>Conclusion: </bold>Our study suggests that PO may be feasible, effective, and safe in the treatment of conventional therapy-resistant extraspinal painful multiple myeloma lesions providing long-lasting pain relief with occasional tumor control and a significant reduction in the assumption of analgesic drugs.
- Publication
Supportive Care in Cancer, 2011, Vol 19, Issue 7, p957
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-010-0910-1