Partial excision of the nidus of an atypical cancellous osteoid osteoma by use of a bone marrow biopsy needle under fluoroscopic guidance

Ahmet Yılmaz

doi:10.21601/ortadogutipdergisi.488984

Abstract

Amac: Osteoid osteoma tedavisinde yaygin olarak kabul edilen yontem nidusun ya tam eksizyonu ya da tahrib edilmesidir. Bu calimanin amaci, atipik kanselloz osteoid osteoma tedavisinde minimal invasiv teknik olarak kemik iligi biyopsi ignesi ile kismi nidus eksizyonu etkinligini degerlendirmekti. Gerec ve Yontem: Dort olguda 11-G kemik iligi biyopsi ignesiyle floroskopi kilavuzlugunda nidusun kismi eksizyonu uygulandi. Lezyonlar femur basi epifizi, femur boynu posterosuperior tarafi, tibia distal epifizi ve olekranon cikintida yerlesmislerdi. Bulgular: Hastalarin agrisi nidus eksizyonunu takip eden gece gecti. 72, 36, 32 ve 24. aylardaki takipte nuks gorulmedi. Sonuc: Nidusun kismi eksizyonu ozellikle cerrahi girisimin zor oldugu atipik kanselloz osteoid osteoma tedavisinde dikkate deger bir teknik olarak dusunulebilir.

Highlights

The Osteoid Osteoma (OO) is the third most common benign bone tumor, and is commonly seen in the second and third decades of life
The OO lesion was first proposed as a distinct entity by Jaffe in 1935 [1]
We evaluated the efficacy of interventional partial nidus excision technique using a bone marrow biopsy needle under fluoroscopic guidance in patients with atypical cancellous bone OOs

Summary

Introduction

The Osteoid Osteoma (OO) is the third most common benign bone tumor, and is commonly seen in the second and third decades of life. The OO lesion was first proposed as a distinct entity by Jaffe in 1935 [1]. More than half of these lesions occur in the long bones of the lower extremities. The proximal femur, mainly in the neck portion, is the most frequent location for the development of an OO [2-4]. OO lesions can occur anywhere within the bone, including the cortex, medulla, subperiosteal and intracapsular areas. OO lesions are rarely seen in the epiphysis of the femur, the carpals, the phalanges, the bones of the pelvis and the vertebrae [5-10]

Objectives

Methods

Conclusion