Tos Salem M, Jobran Afnan W M, Alasafrah Anas, Natsheh Motaz, Asbeh Yousef Abu
Faculty of Medicine, Al Quds University, Jerusalem, Palestine.
Faculty of Medicine, Al Quds University, Jerusalem, Palestine.
Int J Surg Case Rep. 2023 Feb;103:107877. doi: 10.1016/j.ijscr.2023.107877. Epub 2023 Jan 9.
Osteoid osteomas (OO) are benign bone tumors that are prevalent in young adults. The typical clinical picture of the disease is pain that worsens at night, which may be alleviated by Non-Steroidal Anti Inflammatory Drugs (NSAIDs). The most common imaging finding of OO is a lytic lesion, known as a nidus, with variable intralesional mineralization, accompanied by bone sclerosis, cortical thickening and surrounding bone marrow edema, as well as marked post-contrast enhancement. The most commonly affected sites are the long bones of the lower limbs, but the ribs are rarely reported sites. The present study describes a case of osteoid osteomas located in the rib which was removed by rib resection using CT-scan guidance.
骨样骨瘤（OO）是一种在年轻人中常见的良性骨肿瘤。该疾病的典型临床表现是夜间疼痛加剧，非甾体类抗炎药（NSAIDs）可能会缓解这种疼痛。骨样骨瘤最常见的影像学表现是一个溶骨性病变，称为瘤巢，瘤巢内有不同程度的矿化，伴有骨硬化、皮质增厚和周围骨髓水肿，以及明显的增强后强化。最常受累的部位是下肢长骨，但肋骨很少被报道为受累部位。本研究描述了一例位于肋骨的骨样骨瘤病例，该病例通过CT扫描引导下的肋骨切除术得以切除。
