Osteoid osteoma of a cervical vertebral body.

Abstract

An osteoid osteoma in the anterior part of the body of the fourth cervical vertebra occurred in a 22-year-old female. The patient's main complaint was neck pain and occasional numbness of the extremities. The pain was relieved by analgesics. Plain radiography and a 99Tcm MDP bone scan showed a non-specific abnormality. CT suggested the pathological diagnosis with reasonable certainty. The unusual location of the lesion and the role of various diagnostic modalities are discussed and the literature reviewed.

Osteoid osteoma of the maxillary sinus

“…Daha sıklıkla, femur ve tibia olmak üzere, uzun kemiklerde lokalizedir. 1,5,6,12 Histopatolojik olarak, osteoid ve kemik trabeküllerini çevreleyen atipik olmayan osteoblastik hücreler izlenir ve geniş vasküler alanlar ile nidus yapısının bulunması ve reaktif dev hücrelerin görülme-mesi ile osteoblastomdan ayrılır. 3,13,14 BT osteoid osteoma tanısında en uygun yöntemdir.…”

“…Tüm primer kemik tümörlerinin yaklaşık %10'unu oluştu-rur. 1 Genellikle uzun kemiklerin korteksinde meydana gelen ve nonsteroid antiinflamatuvar ilaçlara dramatik yanıt veren gece ağrısıyla karakterizedir. 2,3 Osteoid osteomanın spinal kemik tutulumu dışında kranium tutulumu nadirdir.…”

Osteoid osteomas of the body of the cervical spine. Case report and review of the literature

“…8 CT is the investigation of choice, as it clearly demonstrates these small well defined lesions, which are most often surrounded by a region of reactive sclerosis. 4,5,9 Radionuclide bone scanning is positive in the majority of cases, although a negative scan has been reported. 15 MRI appearance depends on the amount of calcification within the nidus, the size of the fibrovascular zone, reactive sclerosis and the amount of oedema in the bone, and therefore may not be diagnostic.…”

“…15 MRI appearance depends on the amount of calcification within the nidus, the size of the fibrovascular zone, reactive sclerosis and the amount of oedema in the bone, and therefore may not be diagnostic. 9 Complete resection of the lesion is the treatment of choice, and leads to the relief of the pain and other associated symptoms. 2,7,8,9 …”

“…[1][2][3][4][5][6] Four previous cases of osteoid osteoma involving only the cervical vertebral body have been reported. 2,[7][8][9] We report a further case and review the literature in this common condition occupying an unusual site.…”