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Figure 2: A 52-year-old patient with metastatic breast cancer to the liver and paraortic lymph nodes undergoing unilateral paramedian celiac plexus neurolysis (CPN) procedure. (a, b) Axial computed tomography images show nodal metastasis (yellow arrow), liver deposits (red arrow), and celiac trunk (blue arrow). (c, d) Axial computed tomography images of unilateral CPN procedure show the course of the needle with its tip at the left celiac plexus (c), whereas (d) shows the distribution of ethanol after needle removal. Before CPN, pain degree by visual analog scale score was 9/10. Then immediately after CPN, it was 2/10; 1 week after CPN was 1/10; 1 month after CPN was 2/10; and 3 months later was 2/10. |
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