Osteoid osteoma: diagnosis and treatment.
Treatment of small but painful osteoid osteomas was traditionally based on either prolonged medication or resection. In the era of rapidly evolving minimally invasive techniques, reluctance has been posed against surgical interventions mostly due to their relatively high rates of recurrence, complications, or persistent pain. Nonetheless, incomplete pain control and intolerance to anti-inflammatory drugs unfavorably affect prognosis. The objective of this article is to explore the nature and clinical presentation of osteoid osteomas, discuss their imaging and histological features, review available data regarding surgical and percutaneous methods for addressing these lesions and comment on their feasibility, safety, and efficacy.
Papathanassiou
Zafiria G
ZG
Department of Radiology, University Hospital, Patras, Rio 26504, Greece.
Megas
Panagiotis
P
Petsas
Theodore
T
Papachristou
Dionisios J
DJ
Nilas
John
J
Siablis
Dimitrios
D
D001859:Bone Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D004564:Electrocoagulation; D006801:Humans; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D019637:Orthopedic Procedures; D010017:Osteoma, Osteoid / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D011878:Radiotherapy