Percutaneous Radiofrequency Ablation of Appendicular Skeleton Chondroblastoma—an Experience from a Tertiary Care Cancer Center

Kulkarni, Suyash; Shetty, Nitin; Gala, Kunal; Shariq, Mohd; Gulia, Ashish; Polnaya, Ashwin; Shetty, Neeraj G.; Janu, Amit; Choudhari, Amit; Puri, Ajay

doi:10.1016/j.jvir.2020.07.027

Cited by 11 publications

(11 citation statements)

References 12 publications

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“…[2,3] Multiple studies have shown that radiofrequency ablation can result in subchondral fractures as a complication. [1,[3][4][5] We would like to emphasize that during initial arthroscopic examination in our patient, the roof of the lesion in question was noted to be hyperaemic and friable, indicating inadequate bony margins and increased susceptibility to subchondral fracture.…”

mentioning

confidence: 74%

“…Most quoted literature refers to radiofrequency ablation as a treatment alternative rather than a gold standard and after thorough literature review, we were unable to find any meta-analysis to substantiate it replacing surgery as the standard of treatment. [1,2,4,5] While we do agree that new advances and non-invasive techniques have revolutionized the way we treat patients and can pave the way to set new treatment standards, it is unfortunate that lacunae in present literature is unable to facilitate the same. We hope that in time this can change and literature can catch up to present-day clinical practice.…”

mentioning

confidence: 99%

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Management of Juxta-articular chondroblastoma

Mirza

Acharya

2022

Journal of Clinical Orthopaedics and Trauma

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confidence: 74%

mentioning

confidence: 99%

Management of Juxta-articular chondroblastoma

Mirza

Acharya

2022

Journal of Clinical Orthopaedics and Trauma

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“…The authors determined that subchondral collapse as a late complication occurred in 7.2% of the cases (7 out of 97) included in this review. 14 18 21 23 Two cases of the seven already had subchondral fracture and collapse before the RFA. 14 18 Also, the subchondral collapse occurred in one case when RFA was applied after postcurettage recurrence and in another case with insufficient RFA.…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][20][21][22] RFA has proven to be safe, minimally invasive, relatively inexpensive, and precise treatment tool for other bony lesions such as chondroblastoma and metastases. 16,23 The first application of RFA for chondroblastoma appears to be unplanned, when a lesion thought to be an osteoid osteoma was treated with RFA without complication during the follow-up period that extended to 2 years. 18 This current review reveals a success rate of 100% initial pain relief in most cases after RFA.…”

Section: Radio Frequency Ablationmentioning

confidence: 99%

Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis

Sulaiman¹,

Al-Zubaidi²,

Sakrana

2022

Indian J Radiol Imaging

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Radio frequency ablation (RFA) is a minimally invasive technique that has become recognized in clinical practice for treating chondroblastoma, although curettage with bone graft is the standard treatment. Chondroblastoma is a locally aggressive cartilaginous bone tumor, representing nearly 5% of benign bone tumors. Chondroblastoma shows a preference toward the epiphysis or apophysis of long bones, but it was also reported in vertebrae and flat bones. The management of chondroblastoma could be challenging due to the risk to injure the epiphyseal plate or difficult location. The aim of this study was to determine if RFA is a suitable alternative to curettage with bone graft for the treatment of chondroblastoma. Moreover, there will be an evaluation of RFA's effectiveness in terms of symptoms relief; we also define the proper size of the lesion to be treated with RFA, and discuss the complications after the procedure, including the recurrence rate. Furthermore, we review the best imaging method to evaluate the therapeutic response of RFA and for the detection of residual disease early after the ablation. A comprehensive PubMed and Google Scholar search followed the Preferred Reporting Items for Systematic Review and Meta-Analysis 2020 checklist guidelines. Ninety-seven patients were identified after reviewing the available full texts of nine articles. The results of the current review provide further evidence to support the use of RFA as an alternative option to surgery.

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“… 1 Recent studies demonstrate successful treatment of appendicular CBs using RFA. 10 , 13 Rybak et al 10 found that 12 (85.7%) of 14 patients did not require further intervention, with only one recurrence (6%) and no complications directly attributed to RFA. In addition, all patients demonstrated a full return to all pretreatment activities at a mean clinical follow-up of 41.3 months.…”

Section: Discussionmentioning

confidence: 99%

Skull base chondroblastoma with aneurysmal bone cyst–like changes treated with percutaneous radiofrequency ablation and doxycycline sclerotherapy: illustrative case

Foo¹,

Nicol

Murakami³

2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Chondroblastomas (CBs) are rare benign bone tumors that are often difficult to treat because of their locations. CBs can be even more challenging to successfully manage when they present alongside aneurysmal bone cyst (ABC)-like changes. To minimize operative morbidity, especially in hard-to-reach lesions, percutaneous approaches for both lesions have been individually described. We present a skull base CB with associated ABC-like changes treated by combining two different previously described percutaneous modalities. OBSERVATIONS The authors report successful percutaneous treatment of a skull base CB with adjacent ABC-like changes in a 17-year-old male. The CB was treated with radiofrequency ablation (RFA) and the adjacent ABC area with doxycycline sclerotherapy. After 3 years of follow-up, there has been no clinical or radiological evidence of recurrence. LESSONS CBs occur in the skull base and, as elsewhere in the body, can be associated with ABC-like changes. Successful percutaneous treatment of such a CB with ABC-like changes is possible by combining previously described techniques of RFA and doxycycline sclerotherapy.

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Percutaneous Radiofrequency Ablation of Appendicular Skeleton Chondroblastoma—an Experience from a Tertiary Care Cancer Center

Cited by 11 publications

References 12 publications

Management of Juxta-articular chondroblastoma

Management of Juxta-articular chondroblastoma

Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis

Skull base chondroblastoma with aneurysmal bone cyst–like changes treated with percutaneous radiofrequency ablation and doxycycline sclerotherapy: illustrative case

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