Impact of radiotherapy on pain relief and recalcification in plasma cell neoplasms: long-term experience

Strahlenther Onkol. 2011 Feb;187(2):114-9. doi: 10.1007/s00066-010-2155-9. Epub 2011 Jan 24.

Abstract

Purpose: To evaluate the impact of radiotherapy on pain relief and on recalcification in patients with osteolytic lesions due to plasma cell neoplasm.

Patients and methods: Pain relief was evaluated according to a 0-10 verbal numerical rating scale (NRS) and recalcification was measured using radiological imaging.

Results: From 1996-2007, 52 patients were treated (Table 1). Median total dose was 38 Gy (range, 16-50 Gy). Pain be-fore radiotherapy was reported by 45 of 52 (86.5%) patients (Table 2) as being severe (8 ≤ NRS ≤ 10) in 5 (11%), moderate (5 ≤ NRS ≤ 7) in 27 (60%), and mild in 13 (29%). Pain relief was achieved in 41 of 45 patients (91%): complete relief was obtained in 21 (51.2%) and partial relief in 20 patients (48.8%); patients with severe pain experienced resolution and none present-ed an increase of pain. Drugs reduction/suspension was achieved in 7 of the 21 patients with complete response. Of 42 patients evaluable for recalcification (Table 3), 21 (50%) presented a radiological response, which was identified as complete in 16 (38%).

Conclusion: Our data confirm the effectiveness of radiotherapy for pain relief, including a reduction in drug intake, and on recalcification, thus, supporting its use in a multidisciplinary approach.

MeSH terms

  • Adult
  • Aged
  • Bone Density / radiation effects*
  • Bone Neoplasms / pathology
  • Bone Neoplasms / radiotherapy*
  • Calcium / metabolism*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Multiple Myeloma / pathology
  • Multiple Myeloma / radiotherapy*
  • Neoplasm Staging
  • Osteolysis / pathology
  • Osteolysis / radiotherapy*
  • Palliative Care / methods*
  • Plasmacytoma / pathology
  • Plasmacytoma / radiotherapy*
  • Radiation Injuries / etiology
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted
  • Young Adult

Substances

  • Calcium