Osteoid osteoma: CT-guided percutaneous excision confirmed with immediate follow-up scintigraphy in 16 outpatients.
OBJECTIVE
To evaluate treatment of osteoid osteoma with computed tomography (CT)-guided percutaneous excision and immediate follow-up scintigraphy.


METHODS
Sixteen consecutive adolescent and adult patients underwent CT-guided percutaneous excision of a nidus with 14-gauge biopsy cutting needles, with local anesthesia. After the presence of nidus was confirmed at immediate follow-up scintigraphy, curettage of the bored cavity was performed to remove any residual fragments of the nidus. Scintigraphic and histologic findings were correlated.


RESULTS
The nidus was removed successfully in 14 of the 16 patients, with no complications (mean follow-up, 15 months; range, 3-25 months). In five of the 14 patients, immediate follow-up scintigraphy showed incomplete resection of the nidus and immediate second resection was successful. Surgical resection was necessary in two of the 16 patients.


CONCLUSIONS
CT-guided percutaneous excision with immediate follow-up scintigraphy was safe and effective for localization and removal of osteoid osteoma in outpatients.
Roger
B
B
Department of Radiology, Hôpital Pitié-Salpétrière, Université Paris VI, France.
Bellin
M F
MF
Wioland
M
M
Grenier
P
P
D000328:Adult; D000772:Anesthesia, Local; D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D003475:Curettage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009339:Needles; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging* / Q000601:surgery*; D015642:Radiology, Interventional; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D013669:Technetium Tc 99m Medronate