Sestan Branko, Matovinovic Damir, Miletic Damir
Orthopaedic Clinical Hospital, Lovran, Croatia.
Acta Med Okayama. 2005 Apr;59(2):67-71. doi: 10.18926/AMO/31963.
We report herein a unique, previously unreported, successful outcome for a patient untreated for a tumor affecting a femoral neck considered as painless osteoid osteoma. The lesion was detected by chance at examination for groin injury. Diagnosis was based on the plain radiography, bone scan, and computed tomography. The results of the full blood examination were normal. Neither pharmacomedical nor surgical treatments were given. Two years later, radiological resolution of the lesion was revealed. The patient was observed between 1995 and 2002. We conclude that painless osteoid osteoma should be included in the differential diagnosis of asymptomatic femoral neck lesions. Our case suggests that osteoid osteoma has a tendency to regress over time and that conservative management appears to be a reliable option.
我们在此报告一例独特的、此前未报道过的成功病例，该患者患有被认为是无痛性骨样骨瘤的影响股骨颈的肿瘤，但未接受治疗。该病变在腹股沟损伤检查时偶然被发现。诊断基于X线平片、骨扫描和计算机断层扫描。全血检查结果正常。既未给予药物治疗也未进行手术治疗。两年后，病变显示出放射学消退。该患者在1995年至2002年期间接受观察。我们得出结论，无痛性骨样骨瘤应纳入无症状股骨颈病变的鉴别诊断。我们的病例表明，骨样骨瘤有随时间消退的趋势，保守治疗似乎是一种可靠的选择。
