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Breast Cancer  (Expert Forum)
 | 
Percutaneous Vertebroplasty
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

Percutaneous Vertebroplasty

by natia, May 09, 2002 12:00AM
First of all I would like to thank you for all you do to assist people with your advice.
I am seeking information for my aunt who is a breast cancer patient. She has metastasis in bones and experiences pain. She was diagnosed in summer 2000 has been on treatment since then (in the chronological order - radiotherapy, surgery - radical mastectomy, chemotherapy (FEM and Tamoxifen. Aredia (Bondronat), Farmarubicin Ftoruracil, Endoxan, Tamoxifen has been replaced with Arimedex. Aredia (Bondronat), Taxol, Farmarubicin. Zoladex –Depo, transfusion of 20 mg of Novelbine with 20 mg of Novantrone, Zoladex-Depo done again, the pain became severe, had transfusion of Clondronate. From 16 January 2002 was prescribed Xeloda, parallelly took Clondronate 10 mg (per os). Pain became severe from the beginning of February. Had another bone scintigraphy 8 February, the picture is practically the same, positive dynamic is not noticed. Was prescribed Femara, continues taking Clondronate). I am not sure about later, whether she was prescribed Zometa, but I can find out).
She has severe pain. I found out from the search on the Internet about Percutaneous Vertebroplasty. I wanted to ask you whether you have any information on that and whether it is being used in breast cancer patients with bone metastasis.
I apologize for such a long letter, but i wanted to provide as much information as I could. I have read many positive results of using bisphosphonates in bc patients with bone metastasis, as I know neither Femara nor Zometa are among those. It concerns me.
Thank you very much once again

by CCF-RN,MSN-JS, May 09, 2002 12:00AM
Dear Natia, Vertebroplasty refers to a procedure in which a needle is placed into the vertebra and a plastic material injected which hardens and supports the vertebra (vertebroplasty). Alternately the collapsed vertebra is restored in height with a balloon before injecting the plastic (kyphoplasty).  At Cleveland Clinic we do use the kyphoplasty procedure as a method of pain relief for breast cancer patients with spinal bone metastasis.  

Zometa is a relatively new biphosphonate.
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