*Department of Interventional Radiology
**Department of Neurosurgery Hospital Israelita Albert Einstein, São Paulo, Brazil
***Siemens Healthineers Brazil
A 74-year-old female patient was admitted to the hospital due to a growing mass in the left posterior thoracic region associated with local and lower back pain. MRI and PET/CT examinations revealed a soft tissue lesion with multiple secondary lesions in the liver and the spine. A biopsy of the thoracic lesion was performed and a histopathological diagnosis of melanoma was confirmed. After two weeks of oncological treatment and pain control, the back pain remained (8 out of 10 in pain scale) despite optimization in pain relief. An interventional kyphoplasty palliative treatment was indicated and requested.