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

Year 2019, Volume: 11 Issue: 4, 383 - 389, 01.12.2019

Ahmet Yılmaz

https://doi.org/10.21601/ortadogutipdergisi.488984

Abstract

Aim: The widely accepted method in treatment of osteoid osteoma is either the complete excision or destruction of the nidus. The aim of this study was to evaluate the efficacy of partial nidus excision using a bone marrow biopsy needle as a minimally invasive technique for management of atypical cancellous osteoid osteomas.
Material and Method: Partial excision of the nidus was performed in four cases using an 11-G bone marrow biopsy needle under fluoroscopic guidance. The lesions were located in the capital femoral epiphysis, the posterosuperior side of the femoral neck, the distal tibial epiphysis and the olecranon process of the ulna.
Results: The patient’s pain resolved the night following excision of the nidus. No recurrence was observed at the 72, 36, 32 and 24 month follow-ups.
Conclusion: Partial excision of the nidus may be considered a remarkable technique especially in the treatment of atypical cancellous osteoid osteoma, where surgical intervention is challenging.

Keywords

osteoid osteoma, partial excision, fluoroscopy, biopsy needle

Atipik kansellöz osteoid osteomada floroskopi kılavuzluğunda kemik iliği biyopsi iğnesi ile nidusun kısmi eksizyonu

Abstract

Amaç: Osteoid osteoma tedavisinde yaygın olarak kabul edilen yöntem nidusun ya tam eksizyonu ya da tahrib edilmesidir. Bu çalımanın amacı, atipik kansellöz osteoid osteoma tedavisinde minimal invasiv teknik olarak kemik iliği biyopsi iğnesi ile kısmi nidus eksizyonu etkinliğini değerlendirmekti.
Gereç ve Yöntem: Dört olguda 11-G kemik iliği biyopsi iğnesiyle floroskopi kılavuzluğunda nidusun kısmi eksizyonu uygulandı. Lezyonlar femur başı epifizi, femur boynu posterosüperior tarafı, tibia distal epifizi ve olekranon çıkıntıda yerleşmişlerdi.
Bulgular: Hastaların ağrısı nidus eksizyonunu takip eden gece geçti. 72, 36, 32 ve 24. aylardaki takipte nüks görülmedi.
Sonuç: Nidusun kısmi eksizyonu özellikle cerrahi girişimin zor olduğu atipik kansellöz osteoid osteoma tedavisinde dikkate değer bir teknik olarak düşünülebilir.

Keywords

osteoid osteoma, kısmi eksizyon, floroskopi, biyopsi iğnesi

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