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

David Eric O'Neill, Bhavani Gannavarapu, Brian Hrycushko, Michael Folkert, Robert Timmerman, Alexandra Callan
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Abstract

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.

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髓内近距离放射治疗长骨转移性疾病:一例报告。
病例:一名56岁的女性,患有转移性黑色素瘤和股骨病变,即将发生病理性骨折,建议进行髓内近距离放射治疗(IMBT)和髓内钉。结论:IMBT+髓内钉是治疗长骨转移瘤的一种新技术。IMBT使对肿瘤的辐射最大化,并使对周围组织的辐射最小化。它允许患者方便地恢复全身治疗。我们的尸体模型和患者都接受了股骨转移治疗;然而,这种技术可以治疗任何长骨。与其他标准放射方案相比,这是一种安全的技术,可以最大限度地缩短治疗时间。
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