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微波消融治疗年轻患者骨样骨瘤:一例报告

Microwave Ablation for Osteoid Osteoma in a Young Patient: A Case Report.

作者信息

Doelakeh Elijah Skarlus, Weerarathna Induni N, Luharia Anurag

机构信息

Anesthesia, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Biomedical Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 May 29;16(5):e61332. doi: 10.7759/cureus.61332. eCollection 2024 May.

DOI:10.7759/cureus.61332
PMID:38947687
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11214646/
Abstract

Osteoid osteoma (OO) is a common benign ossifying lesion that is most prevalent among youth. Usually, it attacks the diaphyseal or metaphyseal bones that are tubular. The common hallmark of muscle pain is the reported occurrence of night pain that is nearly always present, yields satisfactory responses from nonsteroidal anti-inflammatory medications, and may be joined by complaints regarding physical activities. Also, it shows typical signs of study procedures like computed tomography (CT) and magnetic resonance imaging (MRI). A nidus, which is the primary marker in the diagnostic formation of shadowed images, is a crucial sign of an OO. This source is usually portrayed as an oval lytic lesion, measuring 1 cm flat and surrounded by a region of reactive ossification. It is laborious to diagnose OO since the condition is frequently confused with many other ones, and testing and therapy may be delayed and complicated as a result. There are still few studies on OO diagnosis and distinguishing of surrogate conditions. Unfortunately, either ablation or resection can be said to be the cure. Improved detection of OO shows the possibility for prompt diagnosis, fewer patient discomfort and side effects, less cost involved in unnecessary treatments, and a rightly diagnosed condition.

摘要

骨样骨瘤(OO)是一种常见的良性骨化性病变,在年轻人中最为普遍。通常,它侵袭管状的骨干或干骺端骨骼。肌肉疼痛的常见特征是几乎总是出现夜间疼痛,对非甾体类抗炎药有满意的反应,并且可能伴有对体育活动的抱怨。此外,它在计算机断层扫描(CT)和磁共振成像(MRI)等检查过程中显示出典型征象。瘤巢是诊断阴影图像形成的主要标志,是骨样骨瘤的关键征象。该病灶通常表现为椭圆形溶骨性病变,直径1厘米,周围有反应性骨化区域。骨样骨瘤的诊断很困难,因为该疾病常与许多其他疾病混淆,结果可能导致检查和治疗延迟且复杂化。关于骨样骨瘤诊断和鉴别替代病症的研究仍然很少。不幸的是,消融或切除均可视为治愈方法。改进骨样骨瘤的检测显示出能够实现快速诊断、减少患者不适和副作用、降低不必要治疗的成本以及正确诊断病情的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950b/11214646/73da8acce741/cureus-0016-00000061332-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950b/11214646/73da8acce741/cureus-0016-00000061332-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950b/11214646/73da8acce741/cureus-0016-00000061332-i01.jpg

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本文引用的文献

1
Osteoid Osteomas of the Talus: A Case Report of Four Patients.距骨骨样骨瘤:4例病例报告
Cureus. 2023 Jun 22;15(6):e40798. doi: 10.7759/cureus.40798. eCollection 2023 Jun.
2
Osteoid Osteoma of the Hand: Surgical Treatment versus CT-Guided Percutaneous Radiofrequency Thermal Ablation.手部骨样骨瘤:手术治疗与CT引导下经皮射频热消融术的对比
Life (Basel). 2023 Jun 8;13(6):1351. doi: 10.3390/life13061351.
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Osteoid Osteoma, a Diagnostic Problem: A Series of Atypical and Mimicking Presentations and Review of the Recent Literature.
骨样骨瘤:一个诊断难题——一系列不典型及类似表现病例并对近期文献的综述
J Clin Med. 2023 Apr 5;12(7):2721. doi: 10.3390/jcm12072721.
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The Diagnostic Challenge of Osteoid Osteoma in the Bones of the Hand-A Case Series.手部骨骨样骨瘤的诊断挑战——病例系列
Diagnostics (Basel). 2023 Mar 28;13(7):1279. doi: 10.3390/diagnostics13071279.
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Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring?成年人轮椅篮球运动员中模仿肌肉骨骼性肩部疼痛的骨样骨瘤:是危险信号还是无稽之谈?
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Osteoid Osteoma Treatment with Microwave Ablation: A Report of Two Cases.微波消融治疗骨样骨瘤:两例报告。
Medicina (Kaunas). 2021 May 11;57(5):470. doi: 10.3390/medicina57050470.
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Radiofrequency ablation vs microwave ablation for osteoid osteomas: long-term results.射频消融与微波消融治疗骨样骨瘤:长期结果。
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Radiofrequency ablation of osteoid osteoma.骨样骨瘤的射频消融术。
Acta Biomed. 2018 Jan 19;89(1-S):175-185. doi: 10.23750/abm.v89i1-S.7021.
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Osteoid osteoma.骨样骨瘤
Orthopedics. 2013 Oct 1;36(10):792-800. doi: 10.3928/01477447-20130920-10.
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Osteoid osteoma of the hand and wrist: a report of 25 cases.手部和腕部骨样骨瘤:25例报告
Med J Islam Repub Iran. 2013 May;27(2):62-6.