Osteoid Osteoma: Diagnosis and Treatment

Abstract

Treatment of small but painful osteoid osteomas was traditionally based on either prolonged medication or resection. In the era of rapidly evolving minimally invasive techniques, reluctance has been posed against surgical interventions mostly due to their relatively high rates of recurrence, complications, or persistent pain. Nonetheless, incomplete pain control and intolerance to anti-inflammatory drugs unfavorably affect prognosis. The objective of this article is to explore the nature and clinical presentation of osteoid osteomas, discuss their imaging and histological features, review available data regarding surgical and percutaneous methods for addressing these lesions and comment on their feasibility, safety, and efficacy.

Revisão de atualização do uso da ablação térmica por radiofrequência: perspectiva de desenvolvimento de inovação tecnológica para neoplasias

“…Câncer de pulmão de não pequenas células -O câncer de pulmão de não pequenas células corresponde a cerca de 85% de todas as neoplasias de pulmão, sendo a principal causa de mortes por câncer no Brasil, atualmente [5]. Estudos de [6] e [7] mostraram que a taxa de recorrência local do câncer é de 31,5% com uma taxa de sobrevivência de 74% após 17 meses e 47% após 30 meses do uso da RFA.…”

Our Experience in Osteoid Osteoma Patients Treated with Computed Tomography Guided Percutaneous Radiofrequency Ablation

“…Küçük nidus yapısına sahiptir (2). Klasik olarak geceleri belirginleşen ağrılara neden olur ve bu ağrıları salisilat analjeziye cevap verir (3). Tüm benign kemik lezyonlarının yaklaşık %10'unu oluşturur ve erkeklerde 2-4 kat daha sıktır (1).…”

Paediatric musculoskeletal interventional radiology

“…Surgical resections have reported a success rate ranging from 88% to 97%. 26 However, they lead to resection margins larger than the actual size of the lesion, prolonged hospitalization, need for rehabilitation and exposure to a greater likelihood of pathological fractures, even after a long time following surgery. 28,29 For these reasons, the goal of researchers focuses on minimally invasive procedures that can allow treatment of OO; among these, the gold standard is CT-guided radiofrequency ablation (RFA).…”

“…25,26 Although age of onset varies from a few months to 70 years, the majority of patients are adolescents and young adults: in 85% of cases, age at onset is between 5 and 24 years. 27 There is a strong male predominance with a ratio between males and females ranging between 1.6 : 1 and 4 : 1.…”