Single point of care embolization, ablation, and stabilization of unstable pelvic metastatic disease

Abstract

A 56-year-old man presented with intractable pain and inability to ambulate. Computed tomography showed an osteolytic renal cell carcinoma metastasis in the left ilium causing instability (Fig 1). Following a multidisciplinary discussion, percutaneous embolization, ablation, and pelvic stabilization were planned subsequent to radiation of the tumor. Triple therapy was necessary as nonembolized vascular renal cell carcinoma metastases may cause heat sink, incomplete ablation, and tumor progression, resulting in the failure of hardware.