Femoral metastases

VAN DER Linden et al. (2004) emphasized the importance of cortical involvement in femoral metastases. This is best done using MDCT. In a multivariate analy-... 

Fig. 5.12a, b. A 71-year-old male patient with bronchogenic carcinoma invading the mediastinum and brain metastasis. Superior vena cava obstruction syndrome was treated by placement of a Wallstent endoprosthesis in the superior vena cava. At 3 weeks after endoluminal treatment, obstruction symptoms recurred, a Phlebography obtained by a femoral approach and catheterization of the stent lumen showed stent obstruction, and extensive filling of mediastinal veins, b After balloon dilatation at the junction of the stent with the internal jugular vein, a residual stenosis (arrow), due to insufficient stent covering of mediastinal tumor extent was evident... 

Fig. 10.5a-c. Cementoplasty of the femoral head, a Painful metastasis of the femoral head in an advanced stage of lung cancer. This particular patient refused surgery, b A 15-gauge needle is positioned in the center of the metastasis, c Injection of 4 ml of cement. Rapid pain relief was achieved... 

Fig. 11.1 la-c. Painful metastasis of femoral diaphysis consolidated by osteosynthesis, a, b Alcoholization of the tumor was interrupted because of a large vascular leak. Laser thermocoagulation was preferred to radiofrequency because of the osteosynthesis, c Laser thermoablation with four 18-gauge needles placed inside the metastasis. Excellent pain relief... 

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