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Intramedullary brachytherapy for the treatment of long bone metastatic disease: A case report

CASE: A 56-year-old woman with metastatic melanoma and femoral lesions with impending pathologic fracture was indicated for intramedullary brachytherapy (IMBT) and intramedullary nail. CONCLUSIONS: IMBT + intramedullary nail is a new technique for the treatment of long bone metastases. IMBT maximize...

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Detalles Bibliográficos
Autores principales: O'Neill, David Eric, Gannavarapu, Bhavani, Hrycushko, Brian, Folkert, Michael, Timmerman, Robert, Callan, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538573/
https://www.ncbi.nlm.nih.gov/pubmed/37780184
http://dx.doi.org/10.1097/OI9.0000000000000267
Descripción
Sumario:CASE: A 56-year-old woman with metastatic melanoma and femoral lesions with impending pathologic fracture was indicated for intramedullary brachytherapy (IMBT) and intramedullary nail. CONCLUSIONS: IMBT + intramedullary nail is a new technique for the treatment of long bone metastases. IMBT maximizes radiation to the tumor and minimizes radiation to surrounding tissues. It allows the patient to resume systemic treatment expediently. Our cadaver model and patient were both treated for femoral metastases; however, this technique allows for the treatment of any long bone. This is a safe technique that minimizes treatment time compared with other standard radiation regimens.