case_images: PMC10615080_01
case_images: Chest computed tomography. (A) Tumors are found in the right lung field and left chest wall. (B) The tumor in the left chest wall is slightly enlarged. The red circles indicate the locations of the tumors.
case_images: pmr.2023.0036_figure1.jpg
case_images: PMC10615080_01_pmr.2023.0036_figure1.jpg
case_images: f1
case_images: A 71-year-old man was diagnosed with right upper lung lobe cancer (Fig. 1A). Six months later, computed tomography (CT) scan revealed reduction in the size of the tumor in the right upper lobe, but with a mild increase in the left pleural tumor (Fig. 1B).
case_images: X-ray image of the thoracic spine. Radiofrequency thermocoagulation is performed under fluoroscopic guidance.
case_images: pmr.2023.0036_figure2.jpg
case_images: PMC10615080_01_pmr.2023.0036_figure2.jpg
case_images: f2
case_images: Under fluoroscopic guidance, needles (22G, Active tip 4 mm; Hakko Medical Co., Tokyo, Japan) were inserted near the 9th -11th thoracic spinal nerve roots, and electrical stimulation (50 Hz, 0.3-0.7 V) was applied to each nerve root to reproduce the pain (Fig. 2).