CT-guided radiofrequency ablation in patients with aneurysmal bone cysts

Zarzour, Osama A.; Santiago, Fernando Ruíz; Serrano, Nicolás Olea; Abdallah, Abdelkareem Hassan; El-Sharkawy, Mostafa; Mourad, Amr F.

doi:10.1016/j.ejrad.2018.01.020

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…During the operation, the lesion was removed with a scraper and curette, and the tumor was completely removed under the microscope, and then inactivated by radiofrequency ablation. Zarzour OA et al [11] used radiofrequency ablation to inactivate the tumor in bone tumors with good effect. Arthroscopic debridement is less invasive, faster recovery and more conducive to complete debridement.…”

Section: Discussionmentioning

confidence: 99%

Giant Aneurysmal Bone Cyst of the Femoral Head: A Case Report and Literature Review

Weichen

2023

J Surgery

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Section: Discussionmentioning

confidence: 99%

Giant Aneurysmal Bone Cyst of the Femoral Head: A Case Report and Literature Review

Weichen

2023

J Surgery

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“…• For benign tumours: Successfully treated lesions include OO, osteoblastoma, eosinophilic granuloma, chondroblastoma and aneurysmal bone cyst [12][13][14][15][16][17][18][19][20]. • For primary malignant bone tumours in carefully selected cases of small (\ 3 cm), slow-growing lesions in non-surgical candidates or in patients refusing surgery.…”

Section: Indications Based On Biologic Behaviour and Therapeutic Intentmentioning

confidence: 99%

“…Experience with other benign bone tumours, e.g. ABC, osteoblastoma, is limited [15][16][17][18][19][20]83].…”

Section: Benign Lesionsmentioning

confidence: 99%

CIRSE Standards of Practice on Thermal Ablation of Bone Tumours

Ryan

Byrne

Pusceddu³

et al. 2022

Cardiovasc Intervent Radiol

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Background Percutaneous thermal ablation is an effective, minimally invasive means of treating a variety of focal benign and malignant osseous lesions. To determine the role of ablation in individual cases, multidisciplinary team (MDT) discussion is required to assess the suitability and feasibility of a thermal ablative approach, to select the most appropriate technique and to set the goals of treatment i.e. curative or palliative. Purpose This document will presume the indication for treatment is clear and approved by the MDT and will define the standards required for the performance of each modality. CIRSE Standards of Practice documents are not intended to impose a standard of clinical patient care, but recommend a reasonable approach to, and best practices for, the performance of thermal ablation of bone tumours. Methods The writing group was established by the CIRSE Standards of Practice Committee and consisted of five clinicians with internationally recognised expertise in thermal ablation of bone tumours. The writing group reviewed the existing literature on thermal ablation of bone tumours, performing a pragmatic evidence search using PubMed to search for publications in English and relating to human subjects from 2009 to 2019. Selected studies published in 2020 and 2021 during the course of writing these standards were subsequently included. The final recommendations were formulated through consensus. Results Recommendations were produced for the performance of thermal ablation of bone tumours taking into account the biologic behaviour of the tumour and the therapeutic intent of the procedure. Recommendations are provided based on lesion characteristics and thermal modality, for the use of tissue monitoring and protection, and for the appropriately timed application of adjunctive procedures such as osseus consolidation and transarterial embolisation. Results Percutaneous thermal ablation has an established role in the successful management of bone lesions, with both curative and palliative intent. This Standards of Practice document provides up-to-date recommendations for the safe performance of thermal ablation of bone tumours.

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“…Local adjuvant can be performed by phenol, cryotherapy, and cautery and argon gas application. Also en bloc resection, selective arterial embolization, sclerotherapy, embolization and radiation therapy, are among treatment options [4,5]. In recent years, denosumab application is seen as a new approach in aneurysmal bone cyst treatment.…”

Section: Introductionmentioning

confidence: 99%

Giant Aggressive Aneurismal Bone Cyst of the Proximal Humerus Unresponsive to Denosumab

Mn¹,

Alemdar²,

Elçi³

et al. 2019

Journal of Bone Biology and Osteoporosis

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Aneurysmal Bone Cyst (ABC) is a destructive lesion. The main treatment is curettage, local adjuvant and grafting. However, it is difficult to apply the optimal surgical procedure in aggressive lesions. In these cases, the use of denosumab prior to surgery has been shown to reduce bone destruction and facilitate surgical treatment. A 22-year-old woman was referred for limited shoulder movement and pain complaints. Physical examination and radiological findings were interpreted in favor of ABC. The biopsy was also found to be consistent with the ABC. Since the lesion was aggressive, denosumab was applied prior to surgery. The mass quickly became calcified and patient’s pain complaint decreased. After stopping denosumab treatment, lesion progressed rapidly and destructive character became dominant at every part of lesion. The patient underwent proximal humeral resection and prosthesis. A painless limb with limited shoulder movement was achieved. Although denosumab application prior to surgery was initially good in this case, after termination of treatment, lesion progressed rapidly and the gains associated with denosumab use was lost.

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CT-guided radiofrequency ablation in patients with aneurysmal bone cysts

Cited by 8 publications

References 19 publications

Giant Aneurysmal Bone Cyst of the Femoral Head: A Case Report and Literature Review

Giant Aneurysmal Bone Cyst of the Femoral Head: A Case Report and Literature Review

CIRSE Standards of Practice on Thermal Ablation of Bone Tumours

Giant Aggressive Aneurismal Bone Cyst of the Proximal Humerus Unresponsive to Denosumab

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