“…Yet the lesion tends to recur locally in 10–75% of patients 5, 6. Conventional chemotherapy, radiofrequency thermal ablation, and arterial embolization are only palliative options with limited effects on local tumor control 7, 8. Recent clinical studies have used interferon alpha‐2b 9, denosumab 10, and bisphosphonates 11 to treat inoperable GCTB.…”
“…Yet the lesion tends to recur locally in 10–75% of patients 5, 6. Conventional chemotherapy, radiofrequency thermal ablation, and arterial embolization are only palliative options with limited effects on local tumor control 7, 8. Recent clinical studies have used interferon alpha‐2b 9, denosumab 10, and bisphosphonates 11 to treat inoperable GCTB.…”
“…Radiofrequency appears to have cured the tumor in one patient, whereas the other required surgery. 61,62 How to Do It Percutaneous treatment of benign bone tumors should be undertaken with a multidisciplinary approach, a preprocedural consultation, optimized image guidance, and appropriate anesthesia.…”
Benign bone tumors consist of a wide variety of neoplasms that do not metastasize but can still cause local complications. Historical management of these tumors has included surgical treatment for lesion resection and possible mechanical stabilization. Initial percutaneous ablation techniques were described for osteoid osteoma management. The successful experience from these resulted in further percutaneous image-guided techniques being attempted, and in other benign bone tumor types. In this article, we present the most common benign bone tumors and describe the available results for the percutaneous treatment of these lesions.
“…Percutaneous image guided tumor ablation with thermal energy source such as radiofrequency, laser or microwave energy is used in the treatment of both benign (osteoid osteoma, osteoblastoma, enchondroma etc.) and malignant (metastatic) lesions in place of surgery due to potentional benefits such as minimal invasiveness, reduced cost and morbidity (21,22). Osteoid osteoma is a benign but painful bone tumour, usually found in lower extremities of children and young adults and ablation is done for control of pain.…”
Section: Percutaneous Ablation Of Bone Tumoursmentioning
SUMMARYMany new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. These interventional radiological procedures can be performed in the outpatient setting and the overall cost to the patient may be less in the long run. Radiofrequency and Laser ablation techniques are now widely used and rapidly expanding technologies in the interventional radiology used in the treatment of tumours, varicose vein and lumbar disc treatment. Similarly percutaneous vertebroplasty (PVP) is used in the treatment of spinal lesions and osteoporotic vertebral collapse. The knowledge of these procedures is vital as medicine moves into minimally invasive procedures with targeted treatments as these procedures offer less risk, less pain and less recovery time compared to various surgical procedures.In this presentation I would like to present my work related to percutaneous vertebroplasty (PVP) in spinal lesions, percutaneous Laser disc decompression (PLDD) in the treatment of chronic discogenic low back pain and percutaneous radiofrequency ablation (RFA) in musculoskeletal lesions. The technique, results and long term outcomes of these newer procedures will be discussed.
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