Is Pain Duration Associated with Morphologic Changes of Osteoid Osteomas at CT?

Touraine, Sébastien; Emerich, Luciano; Bisseret, Damien; Genah, Idan; Parlier‐Cuau, Caroline; Hamzé, B.; Petrover, David; Laredo, Jean‐Denis; Bousson, Valérie

doi:10.1148/radiol.14131629

Cited by 19 publications

(15 citation statements)

References 34 publications

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“…Radiographs are usually obtained first and typically show sclerosis and thick periosteal reaction with a lucent nidus located centrally. The imaging modality of choice for diagnosis of an OO is CT, as it is the most accurate in detecting the nidus of the lesion when compared to other modalities [6], [7]. It is important to note, however, that magnetic resonance (MR) perfusion has also been shown to be clearly effective in diagnosis and measurement of OO recurrence.…”

Section: Discussionmentioning

confidence: 99%

CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

Basappa

Rabang

Anderson

et al. 2019

Radiology Case Reports

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An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed; when these treatments do no prove efficacious, either open surgery or interventional ablation are pursued. Herein, we report a rare case of an osteoid osteoma located in the rib of a 19-year-old male that was histologically diagnosed through computed tomography (CT)-guided biopsy. Using CT guidance, the tumor was ablated by creating an artificial pneumothorax in order to induce a margin of space safe enough for cryoablation. It is important to be aware of the possibility that an osteoid osteoma may be present in the ribs, as the differential diagnosis includes costochondritis, pneumonia, osteoblastoma, enchondroma, osteosarcoma, cyst, and Brodie abscess. In addition, we have shown that CT-guided cryoablation can be an effective and less invasive treatment when compared to open en bloc resection, highlighting the role of interventional radiology in bone tumor ablation.

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Section: Discussionmentioning

confidence: 99%

CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

Basappa

Rabang

Anderson

et al. 2019

Radiology Case Reports

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“…In their study, diaphyseal osteoid osteomas displayed a lower ratio of nidus mineralization as compared to those in epiphyseal and metaphyseal locations. 23 …”

Section: Imaging Findingsmentioning

confidence: 99%

Osteoid osteoma: Contemporary management

Noordin¹,

Allana²,

Hilal³

et al. 2018

Orthop Rev (Pavia)

125

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Osteoid osteoma is a benign bone-forming tumor with hallmark of tumor cells directly forming mature bone. Osteoid osteoma accounts for around 5% of all bone tumors and 11% of benign bone tumors with a male predilection. It occurs predominantly in long bones of the appendicular skeleton. According to Musculoskeletal Tumor Society staging system for benign tumors, osteoid osteoma is a stage-2 lesion. It is classified based on location as cortical, cancellous, or subperiosteal. Nocturnal pain is the most common symptom that usually responds to salicyclates and non-steroidal anti-inflammatory medications. CT is the modality of choice not only for diagnosis but also for specifying location of the lesion, i.e. cortical vs sub periosteal or medullary. Non-operative treatment can be considered as an option since the natural history of osteoid osteoma is that of spontaneous healing. Surgical treatment is an option for patients with severe pain and those not responding to NSAIDs. Available surgical procedures include radiofrequency (RF) ablation, CT-guided percutaneous excision and en bloc resection.

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“…OO most often involves the diaphysis, followed by the metaphysis of the long bones (around 50% and 40%, respectively) [13]. The femur and tibia are involved in more than 50% of cases, and the humerus can also be involved (around 8%) [8,13].…”

Section: Introductionmentioning

confidence: 99%

Osteoid osteoma: the great mimicker

et al. 2021

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Osteoid osteoma is a painful, benign and common bone tumor that is prevalent in young adults. The typical clinical presentation consists of pain that becomes worse at night and is relieved by nonsteroidal anti-inflammatory drugs. The most common imaging finding is a lytic lesion, known as a nidus, with variable intralesional mineralization, accompanied by bone sclerosis, cortical thickening and surrounding bone marrow edema, as well as marked enhancement with intravenous contrast injection. When the lesion is located in typical locations (intracortical bone and the diaphyses of long bones), both characteristic clinical and radiological features are diagnostic. However, osteoid osteoma is a multifaceted pathology that can have unusual presentations, such as intraarticular osteoid osteoma, epiphyseal location, lesions at the extremities and multicentric nidi, and frequently present atypical clinical and radiological manifestations. In addition, many conditions may mimic osteoid osteoma and vice versa, leading to misdiagnosis. Therefore, it is essential to understand these musculoskeletal diseases and their imaging findings to increase diagnostic accuracy, enable early treatment and prevent poor prognosis.

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Is Pain Duration Associated with Morphologic Changes of Osteoid Osteomas at CT?

Cited by 19 publications

References 34 publications

CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

Osteoid osteoma: Contemporary management

Osteoid osteoma: the great mimicker

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