[The percutaneous CT-guided treatment of osteoid osteomas: a combined procedure with a biopsy drill and subsequent ethanol injection].
OBJECTIVE
The purpose of this study was the clinical evaluation of a percutaneous treatment modality in patients with an osteoidosteoma.


METHODS
6 patients with an osteoidosteoma of the upper (n = 1) and lower (n = 5) extremity which were confirmed on plain film radiographs and computed tomography underwent CT controlled drill biopsy of the nidus with subsequent injection of 96% ethanol into the biopsy channel to sclerose probably remaining remnants of the nidus. The procedure was started under local anaesthesia, but drilling of the nidus was carried out under a short general anaesthesia using ketamine.


RESULTS
The intervention was successful in all patients. No postinterventional infection occurred and no recurrence was observed in any of the patients in a follow-up time between 0.5 and 2 years.


CONCLUSIONS
Although only 6 patients were treated until now, we conclude that this combined procedure using a bone biopsy system and the subsequent injection of alcohol is a safe and successful procedure for percutaneous treatment of osteoidosteoma.
Adam
G
G
Klinik für Radiologische Diagnostik, RWTH Aachen.
Keulers
P
P
Vorwerk
D
D
Heller
K D
KD
Füzesi
L
L
Günther
R W
RW
D000293:Adolescent; D000328:Adult; D001132:Arm; D001707:Biopsy, Needle / Q000295:instrumentation / Q000379:methods; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy*; D002045:Bupivacaine; D003131:Combined Modality Therapy; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D007866:Leg; D008297:Male; D008875:Middle Aged; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods*; D011877:Radionuclide Imaging; D013667:Technetium; D014057:Tomography, X-Ray Computed / Q000379:methods*
D000431:Ethanol; D013667:Technetium; D002045:Bupivacaine
Perkutane CT-gesteuerte Behandlung von Osteoid-osteomen: kombiniertes Vorgehen mit einem Hohlbohrer und nachfolgender Athanolinjektion.