Chan Lok Hei Derek, Chien Pui Yang Carol, Chan Tommy Ho Fung
Department of Radiology, Queen Mary Hospital, 102 Pok Fu Lam Road, Hong Kong.
Radiol Case Rep. 2023 Oct 30;19(1):136-140. doi: 10.1016/j.radcr.2023.09.090. eCollection 2024 Jan.
We report a case of an osteoid osteoma at the scapular glenoid that was treated with cryoablation. The patient presented with shoulder pain with subsequent CT and MRI imaging findings suspicious for an osteoid osteoma. The patient complained of persistent pain despite medical treatment and was referred to interventional radiology for consideration of ablation. CT-guided biopsy confirmed the diagnosis of osteoid osteoma and the patient underwent cryoablation of the lesion in the same session. The patient reported a substantial relief in her pain at a follow-up 4 weeks after the procedure. MRI performed 8 weeks after the procedure also confirmed radiographic remission of the lesion.
我们报告一例肩胛盂骨样骨瘤采用冷冻消融治疗的病例。患者因肩部疼痛就诊,随后的CT和MRI影像表现怀疑为骨样骨瘤。患者尽管接受了药物治疗,但仍主诉持续性疼痛,遂被转诊至介入放射科考虑进行消融治疗。CT引导下活检确诊为骨样骨瘤,患者在同一次手术中接受了病变的冷冻消融治疗。患者在术后4周的随访中报告疼痛明显缓解。术后8周进行的MRI检查也证实了病变在影像学上的缓解。