CANCER METASTASIS procedure

Kerbel, R. S., Comil, I. and Theodorescu, D. (1991). Importance of orthotopic transplantation procedures in assessing the effects of transfected genes on human tumor growth and metastasis. Cancer Metastasis Rev. 10, 201-215. 

Fig. 9.3a-d. a A 58-year-old male patient with renal cell cancer and a symptomatic metastasis to the fifth lumbar vertebra. Note that the posterior lamina of the vertebra is already penetrated, b The coronal re-formation displays the total cranio-caudal extent, c The lamina of the pedicle could be passed by the umbrella-like electrode and the tines could be deployed within the tumoral cavity. Under conscious sedation without any neurological sensations the ablation procedure was performed with 10 W over 10 min until the impedance rose significantly, aborting the energy delivery, d Subsequently, in the same session, a vertebroplasty needle was placed into the tumor cavity and 2.5 ml of PMMA cement were injected under CT-fluoroscopic guidance. Within 24 h the patient was free of pain and presented during the follow-up period of 30 months with no tumor or pain recurrence... 

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