Abstract
Percutaneous osteoplasty (POP) has been proven to relieve pain due to osteolytic metastases by injecting bone cement to stabilize the pathological fracture. Nevertheless, there have been few reports about POP of metastases in the pubis. This article presents a case involving the use of POP to manage a metastasis in the pubis. After POP the patient experienced significant pain relief and improvement in the quality of life.
Highlights
The pelvis is a vulnerable site forosteolytic malignant tumors [1, 2]
The pelvic ring is composed of the ilium, sacrum, pubis and ischium
Even if the tumor is resected, the recurrence rate is as high as 40–70% and the 5-year tumor-free survival rate is less than 30%
Summary
The pelvis is a vulnerable site forosteolytic malignant tumors [1, 2]. The treatment of skeletal metastases is mainly dependent on radiotherapy, chemotherapy or hormone therapy. This article is mainly to report the case of one patient with pubic metastases treated with POP in this hospital. The patient received regular radiotherapy and chemotherapy to treat metastases and took opioids to relieve the pain; the constant pain could not be relieved after 1 month of oral painkiller administration. POP was performed to treat pubic bone metastases. The patient was changed to the lithotomy position to undergo POP on the pubic bone metastases. CA, USA) was used to puncture the superior pubic ramus It was adjusted by the sagittal and axial images of C-arm X-ray until it reached the tumor.
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