Osteoid Osteoma Treatment with Microwave Ablation: A Report of Two Cases

Westlake, Babe; Mazzi, Jessica; Tedesco, Nicholas S

doi:10.3390/medicina57050470

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…The most common site is the proximal femur. Patients with OO typically feel escalating pain, which worsens at night [ 1 ]. Plain X-rays are utilized to determine the condition.…”

Section: Introductionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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Osteoid osteoma (OO) is a common benign ossifying lesion that is most prevalent among youth. Usually, it attacks the diaphyseal or metaphyseal bones that are tubular. The common hallmark of muscle pain is the reported occurrence of night pain that is nearly always present, yields satisfactory responses from nonsteroidal anti-inflammatory medications, and may be joined by complaints regarding physical activities. Also, it shows typical signs of study procedures like computed tomography (CT) and magnetic resonance imaging (MRI). A nidus, which is the primary marker in the diagnostic formation of shadowed images, is a crucial sign of an OO. This source is usually portrayed as an oval lytic lesion, measuring 1 cm flat and surrounded by a region of reactive ossification. It is laborious to diagnose OO since the condition is frequently confused with many other ones, and testing and therapy may be delayed and complicated as a result. There are still few studies on OO diagnosis and distinguishing of surrogate conditions. Unfortunately, either ablation or resection can be said to be the cure. Improved detection of OO shows the possibility for prompt diagnosis, fewer patient discomfort and side effects, less cost involved in unnecessary treatments, and a rightly diagnosed condition.

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“…The most common site is the proximal femur. Patients with OO typically feel escalating pain, which worsens at night [ 1 ]. Plain X-rays are utilized to determine the condition.…”

Section: Introductionmentioning

confidence: 99%

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Doelakeh,

Weerarathna,

Luharia

2024

Cureus

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“…High-frequency electrical current thermoablation (RFA) is considered the gold standard for the treatment of symptomatic cases of this tumour owing to its availability and high efficacy. Treatment with magnetic resonance-guided focused ultrasound (MRgFUS) appears to be a promising alternative as it is non-invasive and comparably efficient; however, it is limited by the strictness of indications and access to MRI [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

Napora

Wałejko

Mazurek

2023

JCM

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Osteoid osteoma (OO) is a common benign bone tumour, usually affecting young people. Typically, it is localised to the diaphyses or metaphyses of long bones. The classical manifestation includes distinctive night pain, almost always present, responding well to non-steroidal anti-inflammatory drugs, sometimes accompanied by complaints due to physical activity, and a typical picture on additional tests. A characteristic of osteoid osteoma is the presence of a nidus, usually visible on imaging tests. The nidus generally presents as a single, round lytic lesion up to 1 cm in diameter, surrounded by an area of reactive ossification. However, OO is a multifaceted neoplasm, and its diagnosis can cause numerous difficulties. OO can mimic multiple diseases and vice versa, which often leads to a prolonged diagnostic and therapeutic path and associated complications. There are few literature reviews about the differentiation and diagnostic difficulties of osteoid osteoma. Very effective therapies for this tumour are known, such as ablation and resection. Enhanced detection of osteoid osteoma could result in faster diagnosis and less suffering for the patient, avoidance of complications, and reduced costs of incorrect and prolonged treatment.

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“…The main clinical advantages of MWA are higher temperatures and faster heating, shorter ablation times, larger ablation volumes and less heat sink effect compared to RFA (6,7). Several studies have been published describing the outcomes and side effects of MWA (8)(9)(10). However, only a few studies have investigated the effectiveness of the treatment according to the location of the nidus in the long bones (11,12).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of computed tomography-guided percutaneous microwave ablation in patients with osteoid osteoma according to nidus location in long bones: A single-centre initial experience

ÖZBALCI¹,

Dabak²

2022

J. Exp. Clin. Med.

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This study aims to assess the efficacy of microwave ablation (MWA) treatment in painful extra-articular osteoid osteoma (OO) in long bones in a consecutive series of patients and to compare the technical and clinical success in terms of pain scores according to their location. A total of 23 patients who were diagnosed with OO in long bones and treated with MWA between January 1, 2016, and June 1, 2020 were enrolled in this study. Medical data and images were reviewed for age, gender, size of the nidus and duration of pain. Patients were then categorized into three groups according to the location of nidus (pertrochanteric, metaphyseal or diaphyseal). Operation length and technical and clinical success rates were compared. Technical success was achieved in 100% of patients. Primary clinical success following MWA was 82.6%. The most common location was the pertrochanteric region (34.8%). In comparing the pain scores with the locations of the lesions, no statistically significant difference was found between the first-day (p = 0.504) and first-week (p = 0.648). However, significant difference was present between the first month (p = 0.016), third month (p < 0.001) and sixth month (p = 0.001). The statistically significant differences between the sites were due to the difference between the pertrochanteric and diaphyseal lesions. CT-guided percutaneous MWA is safe and effective in the treatment of OO located in long bones without any recurrence. However, management of pertrochanteric OOs requires specific expertise and follow up. Further studies are expected in the future to assess the long-term efficacy and safety of MWA for the treatment of OO, especially for cases in pertrochanteric locations of the femur, which have an increased risk of local recurrence.

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Osteoid Osteoma Treatment with Microwave Ablation: A Report of Two Cases

Cited by 4 publications

References 19 publications

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report

Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature

The efficacy of computed tomography-guided percutaneous microwave ablation in patients with osteoid osteoma according to nidus location in long bones: A single-centre initial experience

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