Juvenile Osteoid Osteoma of the Distal Phalanx of the Second Digit

2020 ◽  
Vol 110 (4) ◽  
Author(s):  
Christopher R. Hood ◽  
Wesley A. Jackson ◽  
Katlin A. O'Hara-Jackson
Keyword(s):  
Osteoid Osteoma ◽  
Bone Tumors ◽  
Pediatric Population ◽  
Distal Phalanx ◽  
Benign Tumors ◽  
Primary Bone Tumors ◽  
Primary Bone ◽  
The Right ◽  
Tubular Bones ◽  
Juvenile Patient

Osteoid osteomas account for approximately 3% to 10% of primary bone tumors and are found most commonly in the cortical, diaphyseal regions of long tubular bones. These osteoblastic, benign tumors are usually seen in males, in the second to third decade, most often in the long bones of the lower extremity. The literature describes the limited encounters with osteoid osteomas of the pedal digital phalanx, especially in the pediatric population. Here, a case report details a juvenile patient with an osteoid osteoma tumor of the distal phalanx in the right second digit that was treated with complete distal phalanx excision in toto, eliminating the patient's pain and symptoms quickly after surgery. Further the literature is reviewed for other examples of this pathology in the similar clinical setting.

scholarly journals Complications of Computer Tomography Assisted Radiofrequency Ablation in the Treatment of Osteoid Osteoma

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Yunus Oc ◽  
Bekir Eray Kilinc ◽  
Sahin Cennet ◽  
Mehmet Metin Boyacioglu ◽  
Rodi Ertugrul ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Osteoid Osteoma ◽  
Bone Tumors ◽  
Skin Infection ◽  
Primary Bone Tumors ◽  
Benign Bone Tumors ◽  
Superficial Skin ◽  
Primary Bone ◽  
A Prospective Study

Background. Osteoid osteoma (OO) is one of the most commonly occurring benign bone tumors. It constitutes 10-12% of benign bone tumors and 2-3% of primary bone tumors. In radiofrequency ablation (RFA) treatment, the cells of the tumor are thermally inactivated by the help of electrodes shaped like needles. In our study, we aimed to show the major and minor complications in patients undergoing RFA and to show what should be done to prevent these complications. Methods. The study was carried out as a prospective study on the follow-up of 87 osteoid osteoma patients treated between 2015 and 2017. The youngest of the patients was 1 year old and the oldest was 42 years old. The RFA procedure lasted 10 min on average, excluding anesthesia and preparation. All lesions were ablated at 90 degrees for 7 minutes with the heat increased gradually. All patients were followed up for 1 day in the orthopedics clinic. Results. Complications were observed in 7 patients. The lesions with the most complications were observed to be in the tibia, second-degree burns were seen in 2 patients, and superficial skin infection was observed in 2 patients. In 1 patient, the probe tip was broken and remained within the bone. Intramuscular hematoma was detected in 1 lesion located in the proximal femur. A complaint of numbness in the fingers developed in a lesion located in the metacarpus. Conclusion. Preventive measures should be taken before the procedure in order to prevent minor complications, and, for major complications, close follow-up should be done after the procedure and patients should be kept away from heavy physical activities for the first 3 months.

scholarly journals Role of 18F FDG PET in Differentiating Benign and Malignant Primary Bone Tumors

2015 ◽  
Vol 17 (1) ◽  
pp. 75-83
Author(s):  
Shankar Kumar Dey ◽  
Tanima Biswas
Keyword(s):  
Fdg Pet ◽  
Bone Tumors ◽  
Whole Body ◽  
Benign Tumors ◽  
Vertebral Compression Fractures ◽  
High Accumulation ◽  
Primary Bone Tumors ◽  
Significant Difference ◽  
Primary Bone ◽  
18F Fdg

18F FDG PET is useful in differentiating benign from many kinds of malignant tumors including bone tumors. Many reporters found significant difference of SUV (standardized uptake value) between benign and malignant primary bone tumors. However, some benign bone tumors specially histolytic and Giant cell containing lesions show high accumulation of FDG, which increases false positive rates in FDG-PET. So, consideration of histologic subtypes should be included in analysis of SUV at FDG PET of primary bone tumors. Furthermore, high accumulation of FDG in inflammatory lesions like chronic osteomyelitis and rheumatoid arthritis should also be considered. Dual time-point imaging and determination of retention index provide more help in the differentiation of malignant from benign tumors and is recommended for unclear bone lesions. To differentiate benign from malignant vertebral compression fractures PET showed slightly higher sensitivity over MRI and provide better specificity when both modalities are combined. PET provides opportunity of whole body screening to pick up new lesions and also guide FNAC in case of indeterminate results. DOI: http://dx.doi.org/10.3329/bjnm.v17i1.22495 Bangladesh J. Nuclear Med. 17(1): 75-83, January 2014

scholarly journals Comparison between Benign and Malignant Primary Bone Tumors-A Histopathological Study of 119 Cases

2018 ◽  
Vol 29 (2) ◽  
pp. 74
Author(s):  
Farah Falah Hasan ◽  
Haider Lateef Mohammed
Keyword(s):  
Bone Tumors ◽  
Benign Tumors ◽  
Histopathological Study ◽  
Malignant Bone Tumors ◽  
Female Ratio ◽  
Primary Bone Tumors ◽  
Benign Bone Tumors ◽  
Common Location ◽  
Primary Bone ◽  
The Mean

This is a prospective study done at Al wasity teaching hospital for reconstructive surgeries in Bagdad in a period from November 2014 to April 2017, using a Total of 119 samples of primary bone tumors which were diagnosed both histopathologically and radiologically. The main objectives of this study was to make a comparison between benign and malignant bone tumors. Immunohistochemical staining was done to confirm the diagnosis of primary malignant bone tumors and the proliferative index of them were carefully evaluated. Out of 119 samples of primary bone tumors used in this study ,100 (84%) were benign and borderline(osteoclastoma) and 19(16%) were malignant, the mean age for benign tumors was lower than the mean age for primary malignant one and both frequently present in the 2nd decade of life, male to female ratio for benign bone tumors was 3\2 and 8.5\1 for primary malignant one, femure was the most common location for benign bone tumors while tibia was the most common bone affected by primary malignant bone tumors. the study also showed that the most common benign bone tumors were osteochondromas(67%) and most common primary malignant bone tumors were osteosarcomas(52.63%),thus this study rise a conclusion that in general, primary bone tumors were mainly benign, occurred predominantly in the second decade of life with a male preponderance

scholarly journals Subperiosteal Osteoid Osteoma: A Rare Entity

2015 ◽  
Vol 5 (2) ◽  
pp. 118-121
Author(s):  
Smita Vishwanath Rathod
Keyword(s):  
Osteoid Osteoma ◽  
Bone Tumors ◽  
Neck Region ◽  
Rare Entity ◽  
Head And Neck Region ◽  
Primary Bone Tumors ◽  
Woven Bone ◽  
Common Location ◽  
Primary Bone ◽  
Average Size

ABSTRACT Osteoid osteoma (OO) is a relatively frequent benign tumor of the bone which has seldom been described in the jaws. It was originally described by Bergstand in 1930 and recognized as a distinct clinical entity by Jaffe in 1935. It is composed of osteoid and woven bone, and surrounded by a halo of reactive sclerotic bone, with an average size of the nidus less than 1.5 cm. The lesion occurs predominantly in children, adolescents and young adults. It accounts for 3% of all primary bone tumors, and about 10% of benign bone tumors. About 80% cases of OO occur in long bones while less than 1% occurs in head and neck region. The most common site is in the skull. When affecting the facial bones, they are frequently found in the mandible, the most common location being the posterior lingual surface and the mandibular angle area. Herein, we report a rare case of OO of the mandible in a 16-year-old male patient with a brief literature review. How to cite this article Rathod SV, Patel S, Pathak J, Swain N. Subperiosteal Osteoid Osteoma: A Rare Entity. J Contemp Dent 2015;5(2):118-121.

Scintigraphy with 99m Tc-Phosphonate and 67Gallium in Patients Suspected of Primary Bone Tumors

1982 ◽  
Vol 21 (04) ◽  
pp. 136-139 ◽  
Author(s):  
C.-J. Edeling
Keyword(s):  
Soft Tissue ◽  
Bone Scintigraphy ◽  
Primary Tumor ◽  
Bone Tumors ◽  
Whole Body ◽  
Skeletal Metastases ◽  
Malignant Bone Tumors ◽  
67Ga Scintigraphy ◽  
Primary Bone Tumors ◽  
Primary Bone

Whole-body scintigraphy with both 99mTc-phosphonate and 67Ga was performed on 92 patients suspected of primary bone tumors. In 46 patients with primary malignant bone tumors, scintigraphy with 99mTc-phosphonate disclosed the primary tumor in 44 cases and skeletal metastases in 11, and 67Ga scintigraphy detected the primary tumor in 43 cases, skeletal metastases in 6 cases and soft-tissue metastases in 8 cases. In 25 patients with secondary malignant bone tumors, bone scintigraphy visualized a single lesion in 10 cases and several lesions in 15 cases, and 67Ga scintigraphy detected the primary tumor in 17 cases, skeletal metastases in 17 cases and soft-tissue metastases in 9 cases. In 21 patients with benign bone disease positive uptake of 99mTc-phosphonate was recognized in 19 cases and uptake of 67Ga in 17 cases. It is concluded that bone scintigraphy should be used in patients suspected of primary bone tumors. If malignancy is suspected, 67Ga scintigraphy should be performed in addition.

CRYOSURGERY IN THE TREATMENT OF PATIENTS WITH BONE TUMORS

2019 ◽  
Vol 65 (2) ◽  
pp. 165-171
Author(s):  
Aleksey Belyaev ◽  
Georgiy Prokhorov ◽  
Anna Arkhitskaya
Keyword(s):  
Liquid Nitrogen ◽  
Bone Tumors ◽  
Cryogenic Treatment ◽  
Long Term Results ◽  
Bone Lesions ◽  
Giant Cell Tumors ◽  
Primary Bone Tumors ◽  
Circulation Circuit ◽  
Recent Emergence ◽  
Primary Bone

A review of the literature shows that surgical procedures will remain the standard treatment for primary bone tumors. Analysis of studies on the assessment of long-term results shows that additional double cryogenic treatment of the curettage cavity can improve the treatment outcomes of patients with giant cell tumors, dysplastic diseases and some forms of malignant lesions. The traditional execution of the procedure is associated with the open installation of liquid nitrogen in the bone cavity, which requires special skills in handling aggressive refrigerant from the staff and does not exclude complications. In case of multiple metastatic bone lesions, surgical treatment is not indicated. The recent emergence in clinical practice of new equipment with a closed liquid nitrogen circulation circuit inside cryoprobes resumes interest in cryoabla-tion of bone tumor lesions using modern minimally invasive puncture cryotechnology and expanding indications for its use in patients with severe comorbidities.

Wide Surgery in the Cervical Spine: Indications, Results, and Complications in a Series of 30 Patients Affected by Primary Bone Tumors

2021 ◽  
Author(s):  
Alessandro Luzzati ◽  
Gennaro Maria Scotto ◽  
Luca Cannavò ◽  
Giuseppe Orlando ◽  
Alessandra Scotto di Uccio ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Bone Tumors ◽  
Primary Bone Tumors ◽  
Primary Bone

scholarly journals Primary Bone Tumors: Epidemiologic Comparison of 9200 Patients Treated at Beijing Ji Shui Tan Hospital, Beijing, China, With 10 165 Patients at Mayo Clinic, Rochester, Minnesota

2015 ◽  
Vol 139 (9) ◽  
pp. 1149-1155 ◽  
Author(s):  
Xiaohui Niu ◽  
Hairong Xu ◽  
Carrie Y. Inwards ◽  
Yuan Li ◽  
Yi Ding ◽  
...  
Keyword(s):  
Mayo Clinic ◽  
Bone Tumors ◽  
Age Distribution ◽  
Chinese Patients ◽  
Malignant Bone Tumors ◽  
Primary Bone Tumors ◽  
Male Predominance ◽  
Primary Bone ◽  
Different Populations ◽  
Epidemiologic Characteristics

Context Although primary bone tumors are extremely rare, the literature suggests that there are variations in the epidemiologic characteristics in different populations. The most frequently cited epidemiologic characteristics of primary bone tumors are derived from a large US series (Mayo Clinic), with no comparable study thus far performed in China. Objective To identify any potential epidemiologic differences between Chinese patients and a US series of patients. Design We performed a comparison study between 9200 patients treated at Beijing Ji Shui Tan Hospital (JST) and 10 165 patients treated at Mayo Clinic (MC), Rochester Minnesota. Detailed epidemiologic features were analyzed. Results We found that giant cell tumor and osteosarcoma have significantly higher incidences in the JST than the MC patients (P < .001). However, JST patients had a significantly lower incidence of Ewing sarcoma, chordoma, fibrosarcoma, myeloma, and malignant lymphoma (P < .001). For most benign and malignant bone tumors, the Chinese cohort had a more distinct male predominance than the US cohort. Malignant bone tumors had a monomodal age distribution in the JST patient group, with a bimodal age distribution in the MC cohort. Also, there were was a predilection for tumors of the femur and tibia among the JST patients (P < .001). Conclusions Our data confirm that epidemiologic variations of primary bone tumors exist in different populations. Factors that may contribute to these observed differences are proposed and discussed.

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