The use of the isotope strontium 89 in a patient with palatine tonsil cancer, painful bone metastases and chronic kidney disease – a case report

Olgierd Chrabański; Magdalena Onyszczuk

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

3/2016
vol. 8

Send email

Copy url:

abstract:

Case report

The use of the isotope strontium 89 in a patient with palatine tonsil cancer, painful bone metastases and chronic kidney disease – a case report

Olgierd Chrabański

,

Magdalena Onyszczuk

Medycyna Paliatywna 2016; 8(3): 139–143

Online publish date: 2017/01/04

View full text Get citation

We present a case of a 66-year-old man with squamous cell carcinoma of the tonsil, painful skeletal metastases, and coexisting chronic kidney disease after bilateral tonsillectomy and followed by radiotherapy. It is particularly difficult clinical situation due to the increased risk of pharmacological treatment with the use of non-steroidal anti-inflammatory drugs that can cause further impairment of renal function. Using twice the dose of the isotope strontium 89, in the three-month interval, several months mastering pain was achieved, without the need of daily painkillers. At the same time, control study of bone scintigraphy revealed no new evident osteoblastic lesions in skeleton. Proven high analgesic efficacy, good tolerability for the patient, and the availability of treatment under the National Health Fund should prompt physicians to consider more frequent use of this method in patients with painful bone metastases.

keywords:

The use of the isotope strontium 89 in a patient with palatine tonsil cancer, painful bone metastases and chronic kidney disease – a case report

Olgierd Chrabański , Magdalena Onyszczuk

neoplasm metastasis, bones, strontium radioisotopes

Olgierd Chrabański

,

Magdalena Onyszczuk