Early complete remission of osteoid osteoma with conservative medical management
Osteoid osteoma is a benign bone tumor and causes persistent pain that is usually treated by surgery or ablation therapy. Conservative management with non-steroidal anti-inflammatory drugs (NSAIDs) is also used to avoid the morbidity associated with surgery or ablation therapy; however, it usually t...
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2014-03-01
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| Series: | Pediatric Reports |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/pr/article/view/5311 |
| _version_ | 1818598629315706880 |
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| author | Masahiro Yokouchi Satoshi Nagano Hirofumi Shimada Shunsuke Nakamura Takao Setoguchi Ichiro Kawamura Yasuhiro Ishidou Setsuro Komiya |
| author_facet | Masahiro Yokouchi Satoshi Nagano Hirofumi Shimada Shunsuke Nakamura Takao Setoguchi Ichiro Kawamura Yasuhiro Ishidou Setsuro Komiya |
| author_sort | Masahiro Yokouchi |
| collection | DOAJ |
| description | Osteoid osteoma is a benign bone tumor and causes persistent pain that is usually treated by surgery or ablation therapy. Conservative management with non-steroidal anti-inflammatory drugs (NSAIDs) is also used to avoid the morbidity associated with surgery or ablation therapy; however, it usually takes several years for the condition to resolve using conservative treatment. Our patient, a 10-year-old boy, presented with a 3-month history of a painful lesion in his leg. Plain radiography, bone scanning, computed tomography and magnetic resonance images showed the presence of a lesion with radiological features consistent with an osteoid osteoma of the cortex in the tibial diaphysis. The patient was treated with a usual dose of ibuprofen for 3 weeks. Within 3 weeks, his symptoms were almost completely resolved; he no longer needed NSAIDs and returned to normal life. Repeat imaging studies showed complete disappearance of the nidus within 2.5 years after the resolution of symptoms. |
| first_indexed | 2024-12-16T12:06:44Z |
| format | Article |
| id | doaj.art-a6c85e9a077a40d2aaa53818b2d33451 |
| institution | Directory Open Access Journal |
| issn | 2036-749X 2036-7503 |
| language | English |
| last_indexed | 2024-12-16T12:06:44Z |
| publishDate | 2014-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-a6c85e9a077a40d2aaa53818b2d334512022-12-21T22:32:18ZengMDPI AGPediatric Reports2036-749X2036-75032014-03-016110.4081/pr.2014.53112747Early complete remission of osteoid osteoma with conservative medical managementMasahiro Yokouchi0Satoshi Nagano1Hirofumi Shimada2Shunsuke Nakamura3Takao Setoguchi4Ichiro Kawamura5Yasuhiro Ishidou6Setsuro Komiya7Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaDepartment of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, KagoshimaOsteoid osteoma is a benign bone tumor and causes persistent pain that is usually treated by surgery or ablation therapy. Conservative management with non-steroidal anti-inflammatory drugs (NSAIDs) is also used to avoid the morbidity associated with surgery or ablation therapy; however, it usually takes several years for the condition to resolve using conservative treatment. Our patient, a 10-year-old boy, presented with a 3-month history of a painful lesion in his leg. Plain radiography, bone scanning, computed tomography and magnetic resonance images showed the presence of a lesion with radiological features consistent with an osteoid osteoma of the cortex in the tibial diaphysis. The patient was treated with a usual dose of ibuprofen for 3 weeks. Within 3 weeks, his symptoms were almost completely resolved; he no longer needed NSAIDs and returned to normal life. Repeat imaging studies showed complete disappearance of the nidus within 2.5 years after the resolution of symptoms.http://www.pagepress.org/journals/index.php/pr/article/view/5311osteoid osteoma, conservative therapy, NSAIDs, radiological resolution |
| spellingShingle | Masahiro Yokouchi Satoshi Nagano Hirofumi Shimada Shunsuke Nakamura Takao Setoguchi Ichiro Kawamura Yasuhiro Ishidou Setsuro Komiya Early complete remission of osteoid osteoma with conservative medical management Pediatric Reports osteoid osteoma, conservative therapy, NSAIDs, radiological resolution |
| title | Early complete remission of osteoid osteoma with conservative medical management |
| title_full | Early complete remission of osteoid osteoma with conservative medical management |
| title_fullStr | Early complete remission of osteoid osteoma with conservative medical management |
| title_full_unstemmed | Early complete remission of osteoid osteoma with conservative medical management |
| title_short | Early complete remission of osteoid osteoma with conservative medical management |
| title_sort | early complete remission of osteoid osteoma with conservative medical management |
| topic | osteoid osteoma, conservative therapy, NSAIDs, radiological resolution |
| url | http://www.pagepress.org/journals/index.php/pr/article/view/5311 |
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