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CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()

An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed;...

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Autores principales: Basappa, Eric, Rabang, Joshua, Anderson, William, Richardson, Randy, Scott, Ryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321969/
https://www.ncbi.nlm.nih.gov/pubmed/30627298
http://dx.doi.org/10.1016/j.radcr.2018.12.010
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author Basappa, Eric
Rabang, Joshua
Anderson, William
Richardson, Randy
Scott, Ryan
author_facet Basappa, Eric
Rabang, Joshua
Anderson, William
Richardson, Randy
Scott, Ryan
author_sort Basappa, Eric
collection PubMed
description An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed; when these treatments do no prove efficacious, either open surgery or interventional ablation are pursued. Herein, we report a rare case of an osteoid osteoma located in the rib of a 19-year-old male that was histologically diagnosed through computed tomography (CT)-guided biopsy. Using CT guidance, the tumor was ablated by creating an artificial pneumothorax in order to induce a margin of space safe enough for cryoablation. It is important to be aware of the possibility that an osteoid osteoma may be present in the ribs, as the differential diagnosis includes costochondritis, pneumonia, osteoblastoma, enchondroma, osteosarcoma, cyst, and Brodie abscess. In addition, we have shown that CT-guided cryoablation can be an effective and less invasive treatment when compared to open en bloc resection, highlighting the role of interventional radiology in bone tumor ablation.
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spelling pubmed-63219692019-01-09 CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)() Basappa, Eric Rabang, Joshua Anderson, William Richardson, Randy Scott, Ryan Radiol Case Rep Interventional Radiology An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed; when these treatments do no prove efficacious, either open surgery or interventional ablation are pursued. Herein, we report a rare case of an osteoid osteoma located in the rib of a 19-year-old male that was histologically diagnosed through computed tomography (CT)-guided biopsy. Using CT guidance, the tumor was ablated by creating an artificial pneumothorax in order to induce a margin of space safe enough for cryoablation. It is important to be aware of the possibility that an osteoid osteoma may be present in the ribs, as the differential diagnosis includes costochondritis, pneumonia, osteoblastoma, enchondroma, osteosarcoma, cyst, and Brodie abscess. In addition, we have shown that CT-guided cryoablation can be an effective and less invasive treatment when compared to open en bloc resection, highlighting the role of interventional radiology in bone tumor ablation. Elsevier 2019-01-04 /pmc/articles/PMC6321969/ /pubmed/30627298 http://dx.doi.org/10.1016/j.radcr.2018.12.010 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Interventional Radiology
Basappa, Eric
Rabang, Joshua
Anderson, William
Richardson, Randy
Scott, Ryan
CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title_full CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title_fullStr CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title_full_unstemmed CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title_short CT-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
title_sort ct-guided percutaneous cryoablation of an osteoid osteoma of the rib(☆)()
topic Interventional Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321969/
https://www.ncbi.nlm.nih.gov/pubmed/30627298
http://dx.doi.org/10.1016/j.radcr.2018.12.010
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