TURKISH JOURNAL OF ONCOLOGY 2013 , Vol 28 , Num 2
Quantitative assessment of radionuclide pain palliaton: case report
Serdar Savaş GÜL,1 Özlem SÖNMEZ,2 Emel KOÇYİĞİT DEVECİ,1 Huri Tilla İLÇE,1 Jalan ŞERBETÇİGİL ERGÖNENÇ3
1Sakarya Üniversitesi Tıp Fakültesi, Nükleer Tıp Bölümü, Sakarya
2Sakarya Üniversitesi Tıp Fakültesi, Tıbbi Onkoloji Bölümü, Sakarya
3Sakarya Üniversitesi Tıp Fakültesi, Algoloji Bölümü, Sakarya
In this study, the role of whole body bone scintigraphy has been investigated on patient applied pain palliation theraphy along with Samarium-153 in term of responding to treatment. A 73-year-old male patient diagnosed with lung and rectal cancers and taking chemotheraphy and radiotheraphy complained about his severe back ang leg pain. On whole body bone scintigraphy, increased heterogeneous osteoblastic activity position compitable with bone of skeletal system with metastaes is seen on L1 lumbar spine vertebral process, L2 lumbar spine corpus vertabre, sacrum and left proximal femur. When sixth month and initial scan compared, 40.6% decrease in L1 and L2 vertebral metastases along with 18.4% increase in sacrum metastasid activity have been seen. In addition to whole body bone scan scintigraphy applied initially, control scintigraphy was thought to help to evaluate the effectiveness of radionuclide pain palliation theraphy. Keywords : Pain palliation theraphy; samarium-153; whole body scintigraphy