Radiofrequency ablation of chondroblastoma using a multi-tined expandable electrode system: initial results.
The standard treatment for chondroblastoma is surgery, which can be difficult and disabling due to its apo- or epiphyseal location. Radiofrequency (RF) ablation potentially offers a minimally invasive alternative. The often large size of chondroblastomas can make treatment with plain electrode systems difficult or impossible. This article describes the preliminary experience of RF treatment of chondroblastomas with a multi-tined expandable RF electrode system. Four cases of CT guided RF treatment are described. The tumour was successfully treated in all cases. In two cases, complications occurred; infraction of a subarticular chondroblastoma in one case and cartilage and bone damage in the unaffected compartment of a knee joint in the other. Radiofrequency treatment near a joint surface threatens the integrity of cartilage and therefore long-term joint function. In weight-bearing areas, the lack of bone replacement in successfully treated lesions contributes to the risk of mechanical failure. Multi-tined expandable electrode systems allow the treatment of large chondroblastomas. In weight-bearing joints and lesions near to the articular cartilage, there is a risk of cartilage damage and mechanical weakening of the bone. In lesions without these caveats, RF ablation appears promising. The potential risks and benefits need to be evaluated for each case individually.
Tins
Bernhard
B
Department of Radiology, RJAH Orthopaedic and District Hospital, Oswestry, UK. Bernhard.Tins@rjah.nhs.uk
Cassar-Pullicino
Victor
V
McCall
Iain
I
Cool
Paul
P
Williams
David
D
Mangham
David
D
D000293:Adolescent; D001859:Bone Neoplasms / Q000601:surgery*; D017115:Catheter Ablation / Q000295:instrumentation*; D002804:Chondroblastoma / Q000601:surgery*; D004566:Electrodes; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome