Computed tomography-guided percutaneous trephine removal of the nidus in osteoid osteoma patients: experience of a single center in Brazil

Radiologia Brasileira

Marcelo Petrilli¹  Andreza Almeida Senerchia¹  Antonio Sergio Petrilli¹  Henrique Manoel Lederman¹  Reynaldo Jesus Garcia Filho¹ 

关键词: Osteoma osteoid;    Benign tumor;    Nidus;    CT-guided;    Image-guided;    Osteoma osteoide;    Tumor benigno;    Nidus;    Tomografia computadorizada;    Imagem;   

DOI  :  10.1590/0100-3984.2014.0024

来源: SciELO

【 摘 要 】

AbstractObjective:To report the results of computed tomography (CT)-guided percutaneous resection of the nidus in 18 cases of osteoid osteoma.Materials and Methods:The medical records of 18 cases of osteoid osteoma in children, adolescents and young adults, who underwent CT-guided removal of the nidus between November, 2004 and March, 2009 were reviewed retrospectively for demographic data, lesion site, clinical outcome and complications after procedure.Results:Clinical follow-up was available for all cases at a median of 29 months (range 6–60 months). No persistence of pre-procedural pain was noted on 17 patients. Only one patient experienced recurrence of symptoms 12 months after percutaneous resection, and was successfully retreated by the same technique, resulting in a secondary success rate of 18/18 (100%).Conclusion:CT-guided removal or destruction of the nidus is a safe and effective alternative to surgical resection of the osteoid osteoma nidus.

【 授权许可】

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