Intraosseous lipoma: retrospective analysis of 29 patients

Abstract

We reviewed 29 patients with intraosseous lipoma treated between 1985 and 2002. Mean patient age was 48 (20-75) years. According to Milgram's classification, ten cases were classified as stage I, 14 as stage II, and three as stage III. All patients were initially treated by curettage. In 11 cases an additional phenolization was performed. The average follow-up was 32 (6-208) months. At the last follow-up, none had any clinical or radiological signs of recurrence. The adequate treatment of a symptomatic intraosseous lipoma is curettage and bone grafting. In the current study, phenolization showed no added benefit. An asymptomatic intraosseous lipoma without impending pathological fracture can be treated conservatively. Résumé

Osteolytic lesions of the calcaneus: results from a multicentre study

“…Even histological examination seems to be limited sometimes, because it does not routinely reveal the correct diagnosis. Several factors may contribute to this, since in contrast to other locations differing biological behaviour of calcaneal osteosarcoma has been noted before [2,3,12,13,24]. Some authors suggest that osteosarcoma of the foot may represent a distinct subgroup with clinical features that differ highly from conventional osteosarcoma [5,22].…”

“…Often, the best policy for these lesions is a radiological examination after three and nine months, followed by annual examination in the context of a "watch and wait" approach [14]. According to our data, curettage seems to be an adequate treatment option for benign lesions that are symptomatic or at risk of fracture [2,3,10,[17][18][19]. As this paper is based on multicentric data, we can only assume that all treatment regimes for benign lesions were appropriate as there was no control group in this retrospective study.…”

“…Tumours of the calcaneus are exceedingly rare, although intraosseous lipomas and simple bone cysts are disproportionately frequent at this site compared to the rest of the appendicular skeleton [1][2][3]. Due to their rarity, the correct diagnosis is often missed for months and in addition the treatment is often inadequate [4,5].…”

Lipoma intracalcáneo en un jugador profesional de baloncesto

“…Su incidencia lo sitúa como uno de los tumores óseos menos frecuentes (0,1-2,5%), a pesar de que este hecho podría deberse a que, al ser asintomático, pasa inadvertido en muchos casos 2,3,5,10 . La mayoría son asintomáticos, pero cuando presenta sintomatología el elemento más frecuente es el dolor (50%).…”

“…La etiología de la lesión no está claramente definida pero suele derivar tras una reacción postraumática, tras un infarto óseo o ser directamente un auténti-co tumor benigno [2][3][4][5][6] .…”