Cargando…

Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas

The family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the man...

Descripción completa

Detalles Bibliográficos
Autores principales: Acanfora, Chiara, Grassi, Enrico, Giacobbe, Giuliana, Ferrante, Marilina, Granata, Vincenza, Barile, Antonio, Cappabianca, Salvatore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999856/
https://www.ncbi.nlm.nih.gov/pubmed/35407593
http://dx.doi.org/10.3390/jcm11071987
_version_ 1784685291850694656
author Acanfora, Chiara
Grassi, Enrico
Giacobbe, Giuliana
Ferrante, Marilina
Granata, Vincenza
Barile, Antonio
Cappabianca, Salvatore
author_facet Acanfora, Chiara
Grassi, Enrico
Giacobbe, Giuliana
Ferrante, Marilina
Granata, Vincenza
Barile, Antonio
Cappabianca, Salvatore
author_sort Acanfora, Chiara
collection PubMed
description The family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the management of these lesions to allow for a ful quality of life. The possibilities of treatment range from chirurgical en-block resection (procedure of surgical oncology aiming to remove a tumoral mass in its entirety, completely surrounded by a continuous layer of healthy tissue) to interventional approaches that, nowadays, are considered the most affordable and sustainable in terms of effectiveness, recovery after procedure, and for bone structure sparing. The main techniques used for osteoid osteomas and osteoblastomas are radio frequency ablation (RFA) and magnetic resonance-guided focused ultrasound (MRgFUS): the most important difference between these approaches is the needleless approach of MRgFUS, which further reduces the minimal invasiveness of RFA (and the related consequences) and the absence of exposure to ionizing radiation. Despite their high efficacy, a recurrence of pathology may occur due to a failure in therapy. In light of this, describing the various possibilities of follow up protocols and the imaging aspects of recurrence or incomplete treatment is mandatory. In the scenario given in the literature, many authors have tried to asses an organized follow up protocol of these patients, but many of them did not undergo periodical magnetic resonance (MR) or computerized tomography (CT) because of the lack of symptomatology. However, even if it seems that clinical evolution is central, different papers describe the protocol useful to detect eventual relapse. The aim of our manuscript is to review the various possibilities of follow-up of these patients and to bring together the most salient aspects found during the management of these osteocytic bone lesions.
format Online
Article
Text
id pubmed-8999856
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89998562022-04-12 Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas Acanfora, Chiara Grassi, Enrico Giacobbe, Giuliana Ferrante, Marilina Granata, Vincenza Barile, Antonio Cappabianca, Salvatore J Clin Med Review The family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the management of these lesions to allow for a ful quality of life. The possibilities of treatment range from chirurgical en-block resection (procedure of surgical oncology aiming to remove a tumoral mass in its entirety, completely surrounded by a continuous layer of healthy tissue) to interventional approaches that, nowadays, are considered the most affordable and sustainable in terms of effectiveness, recovery after procedure, and for bone structure sparing. The main techniques used for osteoid osteomas and osteoblastomas are radio frequency ablation (RFA) and magnetic resonance-guided focused ultrasound (MRgFUS): the most important difference between these approaches is the needleless approach of MRgFUS, which further reduces the minimal invasiveness of RFA (and the related consequences) and the absence of exposure to ionizing radiation. Despite their high efficacy, a recurrence of pathology may occur due to a failure in therapy. In light of this, describing the various possibilities of follow up protocols and the imaging aspects of recurrence or incomplete treatment is mandatory. In the scenario given in the literature, many authors have tried to asses an organized follow up protocol of these patients, but many of them did not undergo periodical magnetic resonance (MR) or computerized tomography (CT) because of the lack of symptomatology. However, even if it seems that clinical evolution is central, different papers describe the protocol useful to detect eventual relapse. The aim of our manuscript is to review the various possibilities of follow-up of these patients and to bring together the most salient aspects found during the management of these osteocytic bone lesions. MDPI 2022-04-02 /pmc/articles/PMC8999856/ /pubmed/35407593 http://dx.doi.org/10.3390/jcm11071987 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Acanfora, Chiara
Grassi, Enrico
Giacobbe, Giuliana
Ferrante, Marilina
Granata, Vincenza
Barile, Antonio
Cappabianca, Salvatore
Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title_full Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title_fullStr Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title_full_unstemmed Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title_short Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
title_sort post-procedural follow-up of the interventional radiology’s management of osteoid osteomas and osteoblastomas
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999856/
https://www.ncbi.nlm.nih.gov/pubmed/35407593
http://dx.doi.org/10.3390/jcm11071987
work_keys_str_mv AT acanforachiara postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT grassienrico postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT giacobbegiuliana postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT ferrantemarilina postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT granatavincenza postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT barileantonio postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas
AT cappabiancasalvatore postproceduralfollowupoftheinterventionalradiologysmanagementofosteoidosteomasandosteoblastomas