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Palliative Medicine
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Intralesional methylprednisolone for rib metastases: an alternative to radiotherapy?

NP Rowell

Department of Radiotherapy, St Bartholomew's Hospital, London

Twenty-two patients with rib metastases or involvement of the ribs by multiple myeloma underwent infiltration of the tender areas with methylprednisolone (Depo-Medrone) under intercostal block by a previously described technique.1 Of 20 assessable patients, 11 became painfree in under 10 days with recurrence of pain in only one, and in three the pain was considerably improved. The procedure was well tolerated and there were no complications. This technique offers an alternative to irradiation in certain situations.

Key Words: analgesia • bone • corticosteroid • neoplasm metastasis • nerve block • pain

Palliative Medicine, Vol. 2, No. 2, 153-155 (1988)
DOI: 10.1177/026921638800200212
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R. T Rousseff and S. Simeonov
Letter to the editor
Palliative Medicine, April 1, 2004; 18(3): 259 - 259.
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