Percutaneous CT-Guided Cryoablation as an Alternative Treatment for an Extensive Pelvic Bone Giant Cell Tumor

Cardiovasc Intervent Radiol. 2016 Feb;39(2):299-303. doi: 10.1007/s00270-015-1160-x. Epub 2015 Jul 1.

Abstract

A giant cell tumor (GCT) is an intermediate grade, locally aggressive neoplasia. Despite advances in surgical and clinical treatments, cases located on the spine and pelvic bones remain a significant challenge. Failure of clinical treatment with denosumab and patient refusal of surgical procedures (hemipelvectomy) led to the use of cryoablation. We report the use of percutaneous CT-guided cryoablation as an alternative treatment, shown to be a minimally invasive, safe, and effective option for a GCT with extensive involvement of the pelvic bones and allowed structural and functional preservation of the involved bones.

Keywords: Bone giant cell tumor; CT guided; Cryoablation; Pelvic bone tumor.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Bone Neoplasms / pathology*
  • Bone Neoplasms / surgery*
  • Cryosurgery / methods*
  • Giant Cell Tumors / pathology*
  • Giant Cell Tumors / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Pelvic Bones / pathology*
  • Radiography, Interventional*
  • Tomography, X-Ray Computed*