Osteoid osteoma of the sternum (original) (raw)
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Osteoblastoma of the sternum--case report and review of the literature
Bulletin of the Nyu Hospital For Joint Diseases, 2010
Osteoblastoma is an extremely rare entity that represents less than 1% of all bone tumors, and affects twice as many males as females with peak incidence between 15 and 20 years. Osteoblastomas commonly affect axial bones, long bones, bones of the foot and hand, and less commonly the pelvis, scapula, ribs, and clavicle. Osteoblastoma does not have a classic presentation, but can vary with the location and size of the tumor. The main complaint is often progressive pain localized at the tumor site. Osteoblastoma is a benign tumor with an aggressive behavior. The treatment is wide surgical resection, otherwise it continues to enlarge and destroy the bone and surrounding structures. We report a 32-year-old male with an osteoblastoma of this sternum who was treated with an en-bloc resection and reconstruction with Marlex((R)) and a methylmethacrylate plate.
In Vivo, 2021
Osteoid osteoma, the third most common benign bone tumor, usually occurs in the cortex of long bones. It consists of a radiolucent nidus surrounded by reactive osteosclerosis. Generally, osteoid osteoma affects young males. Nocturnal pain that eases with salicylates or nonsteroidal anti-inflammatory drugs (NSAID) is the typical clinical presentation. Sometimes, it remains undiagnosed for a long time. Plain radiography and computed tomography are usually sufficient for the diagnosis of osteoid osteoma. Initial treatment includes salicylates and NSAID because the tumor often regresses spontaneously over 2-6 years. Surgical treatment is indicated in case of unresponsive pain to medical therapy, no tolerance of prolonged NSAID therapy due to side effects, and no willingness to activity limitations. Nowadays, minimally invasive techniques have replaced open surgery and are considered the gold standard of surgical treatment. Although cryoablation seems superior in terms of the nerve damage and immunotherapy effect, radiofrequency ablation is the preferred technique.
Radiological Features of Osteoid Osteoma: Pictorial Review
Iranian Journal of Radiology, 2011
Osteoid osteoma is a benign bone tumor of undetermined etiology, composed of a central zone named nidus which is an atypical bone completely enclosed within a wellvascularized stroma and a peripheral sclerotic reaction zone. There are three types of radiographic features: cortical, medullary and subperiosteal. Forty-four patients with osteoid osteoma were studied retrospectively. In plain films, 35 patients presented as the cortical type, six cases were located in the medullary zone and three had subperiosteal osteoid osteoma. In all the cases, the nidus was visualized on computed tomography (CT) scan. The nidus was visible in four out of five patients who had also undergone magnetic resonance imaging (MRI). Double-density sign, seen on radionuclide bone scans was positive in all patients. MRI is more sensitive in the diagnosis of bone marrow and soft tissue abnormalities adjacent to the lesion, and in the nidus that is located closer to the medullary zone. On the other hand, CT is more specific when it comes to detecting the lesion's nidus.
Journal of Manipulative and Physiological Therapeutics, 2000
W e describe 100 consecutive patients with osteoid osteoma. Of the 97 who had operations, 89 were treated by intralesional excision and eight by wide resection. The three remaining patients were not operated on because the osteoid osteoma was almost painless, or was found in the pedicle of the 12th thoracic vertebra at the site of entrance of the artery of Adamkjewicz. The diagnosis was confirmed histologically in all specimens. No local recurrences were observed at a minimum follow-up of one year. All except one patient were mobilised two to four days after surgery.
Osteoid osteoma with a multicentric nidus
International Orthopaedics, 1996
A case is reported of a 16-year-old boy who presented with continuous pain in his right leg. Cortical thickening and diffuse medullary sclerosis was revealed on x-ray of the distal tibia. CT imaging showed a circumscribed annular pattern extending some 2.5 cm-s and indicating the multifocal nature of the lesion. The diagnosis of multifocal osteoid osteoma was confirmed after histological examination of the block of resected bone. On présente le cas d’un enfant âgé de 16 ans qui présente une douleur continue de la jambe droite. L’examen radiographique montre un épaississement de la jambe droite et une sclérose médullaire diffuse du tibia au tiers distal. L’image CT montre un épaississement annulaire circonscrit présent sur différentes sections espacées de 2,5 cm et nous suggèrent la nature multifocale. La résection en bloc et l’examen histologique confirment le diagnostique d’ostéome ostéo%ide multifocal.
Iranian Journal of Radiation Research, 2012
Osteoid osteoma (OO) is a relatively common skeletal neoplasm, frequently involves long bones. OO of rib is extremely rare, including 0.23-2% of OO cases. Most of them arose in posterior arc, frequently in its head or neck and might lead to painful scoliosis. Involvement of anterior aspect of a rib is extremely rare. Skeletal scintigraphy is highly sensitive for detection of OO. “Double density sign"; a typical pattern in bone scintigraphy is usually seen in OO of cortical bones. The current study presents a case of 22-year-old man with OO in anterior arc of a rib, revealed double density sign on 99mTc-MDP scan. Iran.�J.�Radiat.�Res.,�2012;�10(3‐4):�197‐199�
A rare localization of osteoid osteoma - presentation of two cases
Srpski arhiv za celokupno lekarstvo, 2016
Introduction. Osteoid osteoma is a benign osteoid-forming tumor generally localized to the long bones, is rarely localized in the hand and the major symptom is intermittent pain. This study aims to present two patients who were operated on for metacarpal osteoid osteomas. Case Outline. A 16-year-old female patient and an 18-year-old male patient were operated on for metacarpal osteoid osteomas. The major symptom was intermittent pain for both patients. After surgical excision of the niduses, the complaints resolved in both cases. Conclusion. In the case of high suspicion for osteoid osteoma, computed tomography or magnetic resonance imaging should be performed due to the risk of negative radiographic findings. Surgical excision is curative and a safe method of treatment.
Thoracic spine osteoid osteoma
European Journal of Radiology Extra, 2003
A case report of an adult patient with an osteoid osteoma of the lamina of 9th thoracic vertebra is presented. The long history of progressively worsening nocturnal dorsal pain which was relieved by non-steroid anti-inflammatory drugs, and an essentially clinical examination, are typical of this condition in which the CT and radionuclide bone scans are the investigation of choice. Complete relief was obtained following excision of the lesion. The literature is reviewed. #