Osteoid Osteoma - Diagnostic and Therapeutic Difficulties. A. Single-centre Experience Marta Karpik, Jerzy Wojnar, Jan Skowroński, Joanna Reszeć Ortop Traumatol Rehabil 2016; 18(2):131-140 ICID: 1205020
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Background. Osteoid osteoma is a primary, benign bone tumour. The characteristic clinical symptom is nocturnal pain at the tumour site that decreases or resolves completely with salicylates and non-steroidal antiinflammatory drugs (NSAIDs). The typical radiological features include a radiolucent area with an osteosclerotic rim. An unusual location or absence of visible abnormalities on conventional radiographs may pose a diagnostic challenge. Material and methods. We report our clinical experience with osteoid osteoma in 15 patients, with special regard to diagnostic and therapeutic difficulties in two cases. Results. All patients reported the characteristic pattern of nocturnal pain that was reduced or resolved after administration of aspirin or NSAIDs. A typical radiological appearance of osteoid osteoma was observed in 13 patients, with radiological studies showing no changes in two patients, who required extended imaging workup to establish the diagnosis. Conclusions. 1. Osteoid osteoma may be a diagnostic and therapeutic problem. 2. Lack of visible abnormalities on conventional radiographs in the presence of typical clinical symptoms does not rule out osteoid osteoma. 3. Bone scintigraphy and magnetic resonance imaging are helpful methods in the imaging of radiologically silent pathological lesions.
DOI 10.5604/15093492.1205020 PMID 28155821 - click here to show this article in PubMed