title: [Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation].
abstract: METHODS
  For 6 months a 25-year-old man had been suffering from intermittent pain in the left upper leg, alleviated by aspirin. Physical examination was unremarkable: local pain was not elicited.
  
  
  METHODS
  Routine radiology and computed tomography confirmed the clinically suspected diagnosis of intracortical osteoid osteoma of the femur. Skeletal scintigraphy showed distinctive local concentration of the contrast material. DIAGNOSTIC PROCEDURE, TREATMENT AND COURSE: The lesion's central area was identified by CT and under general anaesthesia drilled into (5 mm diameter drill bit). As the lesion's edges remained partially intact, the cavity was sterilized with 1-2 ml of 96% ethanol. The patient was mobilized after six hours. He has remained free of pain in the subsequent 7 months.
  
  
  CONCLUSIONS
  Minimally invasive, CT-guided percutaneous treatment of an osteoid osteoma can be achieved by a combined radiological and percutaneous orthopaedic procedure as an alternative to open surgery.
authors.affiliation: Abteilung für Radiologische Diagnostik, Eberhard-Karls-Universität Tübingen.
authors.forename: S H
authors.initials: SH
authors.lastname: Duda
authors.forename: P
authors.initials: P
authors.lastname: Schnatterbeck
authors.forename: T
authors.initials: T
authors.lastname: Härer
authors.forename: J
authors.initials: J
authors.lastname: Giehl
authors.forename: P
authors.initials: P
authors.lastname: Böhm
authors.forename: C D
authors.initials: CD
authors.lastname: Claussen
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D000431:Ethanol / Q000008:administration & dosage*; D005266:Femoral Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents; D000431:Ethanol
vernacular_title: Therapie des Osteoidosteoms durch CT-gesteuerte Bohrung und Aethanolinstillation.