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Journal of Oral and Maxillofacial... Jan 1994
Review
Topics: Adult; Humans; Male; Mandibular Neoplasms; Neoplasm Recurrence, Local; Osteoblastoma
PubMed: 8263651
DOI: 10.1016/0278-2391(94)90022-1 -
AJR. American Journal of Roentgenology Nov 2019The aim of this observational study was to assess safety and clinical outcomes of percutaneous image-guided cryoablation (CA) to treat osteoblastomas (OBs) at various... (Observational Study)
Observational Study
The aim of this observational study was to assess safety and clinical outcomes of percutaneous image-guided cryoablation (CA) to treat osteoblastomas (OBs) at various osseous sites. A retrospective search was performed to identify patients presenting with painful OBs who underwent CA at the University Hospitals of Strasbourg between March 2007 and December 2018. Ten patients (seven men, three women; median age, 21 years old) were identified and included. Medical records were reviewed to assess complications and clinical outcomes. Median OB diameter was 16.5 mm (range, 16-28 mm). OBs were located in the spine ( = 7), calcaneus ( = 1), fibula ( = 1), and third metacarpal bone ( = 1). In 90% of cases ( = 9), one or more critical structures were within 1 cm of the OB (median distance, 5 mm; range, 2-8 mm), thus requiring extensive protective measures. Technical success was achieved in all cases. Two (20%) immediate neural complications were noted. One major complication was consistent with a permanent sensory deficit of the arm. One minor complication was consistent with a transient right Horner syndrome, which completely resolved after 48 hours with high-dose steroids. Median clinical follow-up was 12 months. Primary clinical success was 100% and 78% at 1 and 12 months of follow-up, respectively, with two patients presenting with recurring pain. Percutaneous image-guided CA represents an effective therapeutic option for patients affected by painful OBs; the safety profile of the procedure is acceptable as long as comprehensive protective measures are deployed in light of the frequent close proximity of critical structures.
Topics: Adolescent; Adult; Child; Cryosurgery; Female; Humans; Male; Middle Aged; Osteoblastoma; Radiography, Interventional; Retrospective Studies; Tomography, X-Ray Computed
PubMed: 31310180
DOI: 10.2214/AJR.19.21390 -
Acta Otorrinolaringologica Espanola 2016
Topics: Humans; Laryngeal Neoplasms; Male; Middle Aged; Osteoblastoma; Thyroid Cartilage
PubMed: 27206395
DOI: 10.1016/j.otorri.2016.02.005 -
Orthopedics Mar 1998
Topics: Acetabulum; Adolescent; Bone Neoplasms; Humans; Male; Osteoblastoma
PubMed: 9547820
DOI: 10.3928/0147-7447-19980301-20 -
Skeletal Radiology Jan 2004Osteoblastoma-like osteosarcoma is a rare variant of osteosarcoma occurring in this instance in a highly unusual location: the lateral femoral condyle of a 13-year-old...
Osteoblastoma-like osteosarcoma is a rare variant of osteosarcoma occurring in this instance in a highly unusual location: the lateral femoral condyle of a 13-year-old girl. The radiological features were non-aggressive and, although slightly unusual, were most suggestive of chondroblastoma.
Topics: Adolescent; Diagnosis, Differential; Epiphyses; Female; Femoral Neoplasms; Femur Head; Humans; Osteoblastoma; Osteosarcoma
PubMed: 14628101
DOI: 10.1007/s00256-003-0716-z -
The American Journal of the Medical... Feb 2021
Topics: Adult; Bone Neoplasms; Diagnosis, Differential; Female; Humans; Meningeal Neoplasms; Meningioma; Osteoblastoma; Tomography, X-Ray Computed
PubMed: 32732077
DOI: 10.1016/j.amjms.2020.07.013 -
Neurology India Dec 1999A case of benign osteoblastoma affecting posterior element of spine with pain and paraplegia in a female is being presented with brief review of literature. Early... (Review)
Review
A case of benign osteoblastoma affecting posterior element of spine with pain and paraplegia in a female is being presented with brief review of literature. Early diagnosis and surgical excision remains the mainstay of treatment.
Topics: Adolescent; Female; Humans; Magnetic Resonance Imaging; Osteoblastoma; Spinal Neoplasms
PubMed: 10625912
DOI: No ID Found -
Skeletal Radiology Mar 2007Osteoblastoma is an uncommon benign bone tumor most commonly located in the vertebral column or metaphysis of a long bone. Periosteal location is rare. We report a... (Review)
Review
Osteoblastoma is an uncommon benign bone tumor most commonly located in the vertebral column or metaphysis of a long bone. Periosteal location is rare. We report a periosteal-based osteoblastoma, arising from the proximal tibia, in a 20-year-old woman who presented with knee swelling and pain of 2-year duration. Imaging studies showed a metaphyseal surface-based lesion with patchy radiodensities. The cortico-medullary junction was intact. The lesion was totally excised. Histopathologic evaluation disclosed immature bone and osteoid deposition in a vascularized stroma, associated with numerous osteoblasts and osteoclasts rimming the bony trabeculae. Plate-like arrangements of cartilage in the margin of the neoplastic tissue were also identified. At 16 months postoperatively, the patient was well without recurrence. Although extremely unusual, the presence of cartilage does not necessarily exclude the diagnosis of osteoblastoma.
Topics: Adult; Bone Neoplasms; Diagnosis, Differential; Female; Humans; Knee Joint; Magnetic Resonance Imaging; Osteoblastoma; Periosteum; Tomography, Emission-Computed; Tomography, X-Ray Computed
PubMed: 16868789
DOI: 10.1007/s00256-006-0169-2 -
Neurosciences (Riyadh, Saudi Arabia) Oct 2023Aneurysmal bone cysts (ABCs) are rare benign vascular bony lesions mostly encountered in young patients. These cysts can occur as primary lesions or, less frequently,...
Aneurysmal bone cysts (ABCs) are rare benign vascular bony lesions mostly encountered in young patients. These cysts can occur as primary lesions or, less frequently, secondary to other pathologies such as osteoblastomas. Skull ABCs are rare and can extend intracranially, presenting with hydrocephalus and bleeding. Here we illustrate the case of a 9-year-old male who presented with headache, nausea, and vomiting, without neurological deficit. Radiological investigations showed a soap-bubble lesion with mass effect over the right cerebellum. The patient underwent right sub-occipital craniotomy with marginal wide resection of the cystic lesion. The patient had excellent outcomes. The histopathological report was consistent with osteoblastoma with an aneurysmal bone cyst.
Topics: Male; Humans; Child; Osteoblastoma; Bone Cysts, Aneurysmal; Craniotomy; Skull; Bone Neoplasms
PubMed: 37844945
DOI: 10.17712/nsj.2023.4.20230060 -
European Spine Journal : Official... Oct 2012To define the role of Enneking staging system and of the consequent different treatment options on the outcome of osteoblastoma (OBL) of the spine. (Review)
Review
PURPOSE
To define the role of Enneking staging system and of the consequent different treatment options on the outcome of osteoblastoma (OBL) of the spine.
METHODS
A retrospective review of 51 patients with OBL of the mobile spine conducted to compare the outcomes among the different types of treatments at long term follow-up (25-229 months, av.90). These 51 patients were previously staged according to Enneking staging system and treatment selected accordingly. 10 stage two (st.2) OBLs were treated with intralesional excision and 41 stage three (st.3) OBLs were treated either by intralesional excision or en bloc resection. The intralesional excision group was divided considering the use or not of radiation therapy after surgery. The recurrence rate was compared among these groups and also considering previous open surgery ("non intact" vs. "intact"). The statistical significance was defined using the Fisher Exact test.
RESULTS
No local recurrence occurred in the st.2 patients treated by intralesional excision. Considering the st.3 patients, 2 local recurrences out of 13 patients occurred in the en bloc resection (15.4 %) group. All occurred in "non intact" cases (67 %). In the intralesional group, 5 local recurrences out of 27 patients occurred (18 %) being none in the group that received radiation therapy after surgery. Two occurred in the "intact" (7 %) and three in the "non intact" group (75 %). Considering all patients, the difference between the recurrence rate between "intact" and "non intact" groups was statistically significant (p < 0.002).
CONCLUSIONS
Intralesional excision proved to be effective in st.2 lesions and en bloc resection in st.3. Radiotherapy seems to be an effective adjuvant treatment when en bloc resection is not feasible or requires unacceptable functional sacrifices. The first treatment significantly affects the prognosis as previously treated patients have worse prognosis.
Topics: Adolescent; Adult; Child; Female; Humans; Male; Middle Aged; Neoplasm Recurrence, Local; Neoplasm Staging; Orthopedic Procedures; Osteoblastoma; Radiotherapy, Adjuvant; Spinal Neoplasms; Treatment Outcome; Young Adult
PubMed: 22695702
DOI: 10.1007/s00586-012-2395-8