Management of complex malignant bone lesions often presents significant challenges requiring tailored and multi-modal interventional strategies. These cases frequently involve difficult anatomical locations, large tumor burden, mechanical instability, or proximity to critical structures, demanding careful planning and advanced technical skills. In this chapter, we present eight illustrative cases where innovative techniques, combined approaches, and procedural adaptations were key to achieving optimal clinical outcomes. Each case highlights specific tips and tricks that can assist the interventional radiologist in overcoming technical difficulties and improving procedural safety and efficacy. By systematically analyzing these real-world experiences, this chapter aims to provide practical guidance for the management of complex scenarios in musculoskeletal oncology interventions.

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Complex Cases: Tips and Tricks and Combined Approaches

  • Salvatore Marsico,
  • Flavio Zuccarino,
  • Ana Rodríguez Troyano,
  • Claudio Pusceddu

摘要

Management of complex malignant bone lesions often presents significant challenges requiring tailored and multi-modal interventional strategies. These cases frequently involve difficult anatomical locations, large tumor burden, mechanical instability, or proximity to critical structures, demanding careful planning and advanced technical skills. In this chapter, we present eight illustrative cases where innovative techniques, combined approaches, and procedural adaptations were key to achieving optimal clinical outcomes. Each case highlights specific tips and tricks that can assist the interventional radiologist in overcoming technical difficulties and improving procedural safety and efficacy. By systematically analyzing these real-world experiences, this chapter aims to provide practical guidance for the management of complex scenarios in musculoskeletal oncology interventions.