title: Successful treatment of tumor-induced osteomalacia with CT-guided percutaneous ethanol and cryoablation.
abstract: BACKGROUND
  Tumor-induced osteomalacia is a rare condition usually caused by benign mesenchymal tumors. When the tumor can be found, patients are usually managed by wide excision of the tumor.
  
  
  OBJECTIVE
  We report a 51-yr-old male with clinical and biochemical evidence of tumor-induced osteomalacia caused by a mesenchymal tumor in the right iliac bone. He declined surgery and appears to have been successfully managed by computed tomography-guided percutaneous ethanol ablation and percutaneous cryoablation.
  
  
  RESULTS
  Our patient appears to have had an excellent clinical and biochemical response to computed tomography-guided percutaneous ethanol ablation and percutaneous cryoablation. We found one prior case of image-guided ablation using radiofrequency ablation for tumor-induced osteomalacia.
  
  
  CONCLUSIONS
  Although the standard treatment for tumor-induced osteomalacia is wide excision of the tumor, image-guided ablation may be an option in patients who cannot have appropriate surgery or who decline surgery.
authors: Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53051, USA.
authors: Sean
authors: S
authors: Tutton
authors: Erik
authors: E
authors: Olson
authors: David
authors: D
authors: King
authors: Joseph L
authors: JL
authors: Shaker
mesh_terms: D003452:Cryosurgery / Q000379:methods*; D000431:Ethanol / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008637:Mesenchymoma / Q000150:complications*; D008875:Middle Aged; D009372:Neoplasms, Connective Tissue / Q000150:complications*; D010018:Osteomalacia / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D012997:Solvents / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D012997:Solvents; D000431:Ethanol