骨样骨瘤7例报告

目的：分析7例骨样骨瘤的临床及影像学特点，总结诊断经验。方法：病变位于长骨干4例，跟骨，髋臼，胫骨下端各1例，对所有患都进行了局灶切除及病理检查，结果：术后7例症状均消失，长骨干4例术前诊断与病理报告相符，其余3例术前均未得到正确诊断。结论：松质骨骨样骨瘤其X线表现不典型是诊断困难的重要原因，X片骨硬化和病人疼痛症状应为诊断的重要线索，必要时拍断层照片或CT检查，有助于明确诊断。     

胸椎附件骨样骨瘤的诊断和治疗

骨样骨瘤是良性骨肿瘤,由成骨的结缔组织及其形成的骨样组织构成。10～25岁发病率较高,男女之比3：1,好发股骨及胫骨骨干皮质：以疼痛为主要症状,初为间歇性后为持续性,由以夜间为重,口服水杨酸制剂可缓解。发生于脊柱者较少见,发生于脊柱者通常发生在附件上,现将我科3例经CT诊断,临床手术证实的胸椎附件骨样骨瘤报告如下：     

距骨骨样骨瘤一例

<正>距骨骨样骨瘤是临床上罕见的良性骨样骨瘤,约占所有骨样骨瘤的2%～10%[1-2]。97%的距骨骨样骨瘤发生于距骨颈,而发生于距骨负重面的病例较少[3-4]。鉴于距骨骨样骨瘤病例比较罕见,影像学表现不典型,漏诊率较高,本文报道1例关节镜下治疗距骨骨样骨瘤病例,以期为临床诊治距骨骨样骨瘤提供参考,提高临床医师对距骨骨样骨瘤的认识,现报告如下。     

跟骨后结节骨样骨瘤一例

骨样骨瘤是一种良性骨肿瘤,可引起局部疼痛,疼痛通常在夜间加重,可通过非甾体药物缓解。其中股骨和胫骨是最常见的部位,足踝部骨样骨瘤的发病率较低,常见于7至25岁的人群,男性病人居多。跟骨骨样骨瘤病例比较罕见,影像学表现不典型,漏诊率较高。本文报道1例开放性手术治疗跟骨后结节骨样骨瘤,为临床诊治跟骨后结节骨样骨瘤提供参考,提高临床工作人员对跟骨后结节骨样骨瘤的认识。     

髋关节结核误诊为骨样骨瘤1例

1病例介绍患者,女,26岁,右髋疼痛1年,夜间或休息加重,口服止痛药可缓解,1个月前疼痛加重,口服止痛药亦不缓解,查体:一般状态可,午后发热38℃,右下肢略萎缩,大转子叩痛,患髋屈曲90°,伸0°。血沉42mm/h,C反应蛋白2·1mg,X线片见右髋臼及股骨上段均有密度减低改变,胸片见陈旧性结核灶,CT见右髋臼顶部鸟巢样病灶(牛眼征)(图1)诊断骨样骨瘤。在CT导引下取出病灶,病理报告为结核。术后抗痨治疗,20d内发热39~40℃。随诊见骨密度进一步降低,关节间隙改变,股骨头变形。终行髋关节融合术。2讨论骨样骨瘤是由成骨性结缔组织构成,呈圆形或椭圆形,直…     

骨样骨瘤的微创治疗

骨样骨瘤（osteoid osteoma）是一种生长缓慢的良性成骨性肿瘤，由Jaffe于1935年首次提出，占所有骨肿瘤的2％-3％，占良性骨肿瘤的10％-20％。骨样骨瘤为起源于成骨性间胚叶组织且具有形成大量骨样组织倾向的骨肿瘤，好发于男性，好发年龄为5-20岁，婴儿及40岁以上成人很少发生。骨样骨瘤在白色人种中的发生率高于其他人种。     

骨样骨瘤的诊断及手术治疗

目的：探讨骨样骨瘤的临床特点及手术方法。方法：9例经X线或CT检查诊断为骨样骨瘤,均采用手术切除治疗。结果：8例局部疼痛症状均消失;1例第1次手术未能切除瘤巢,局部疼痛症状不减,再次手术切除瘤巢后疼痛消失。结论：骨样骨瘤的术前诊断主要依靠影像学的检查,彻底切除瘤巢是有效手术治疗的关键。     

CT引导下经皮关节周围骨样骨瘤旋切术11例临床报告

目的探讨在CT引导下经皮旋切关节周围骨样骨瘤的治疗方法。方法2003年2月至12月,共收治11例关节周围小病灶（直径6～11mm,平均8.7mm）;其中男性7例,女性4例;年龄14～32岁,平均19.3岁。其中股骨近端6例、髋臼区4例,肱骨头内1例。首先对整个瘤巢采用2mm薄层扫描,选择穿过瘤巢中心的层面,以克氏针钻入,定位瘤巢中心,在套筒保护下用环钻沿导引针将整个瘤巢切除。CT扫描复查确定是否已将整个瘤巢切除,并将所取出组织送病理检查。结果其中9例取出的病变组织经病理证实为骨样骨瘤,1例为纤维组织,1例为结核。被病理证实的9例骨样骨瘤患者手术后次日症状缓解,无明显手术并发症发生。随访8-18个月（平均15.2个月）,患者症状完全缓解,无1例复发。结论CT引导下,经皮旋切关节周围骨样骨瘤的治疗方法,简便、安全、恢复快。     

48例儿童骨样骨瘤的诊断与治疗分析

[目的]探讨小儿骨样骨瘤的临床特点及治疗方法.[方法]对48例小儿骨样骨瘤的临床特点、X线特点及治疗方法进行回顾性分析.[结果]本组病例均经手术治疗,术后无复发,病变部位疼痛、跛行、脊柱侧凸症状均消失.无植骨反应,无病理性骨折.[结论]根据小儿骨样骨瘤的临床特点、患病部位疼痛及X线可见典型的瘤巢,诊断并不困难.因本病痛苦大,确诊后应早期手术治疗.     

小儿脊柱骨样骨瘤的诊治

目的 :探讨小儿脊柱骨样骨瘤的临床特点、诊断及治疗。方法 :对 3例小儿脊柱骨样骨瘤的临床特点进行分析。结果 :腰背部疼痛和代偿性脊柱侧凸是常见的临床表现 ,且服用非甾体抗炎药可缓解疼痛 ;CT检查可见典型的“牛眼征” ;3例均手术切除病灶 ,术后症状全部消失。结论 :小儿脊柱的骨样骨瘤可引起疼痛和代偿性脊柱侧凸 ;骨扫描结合CT检查是早期诊断的最好方法 ;早期手术切除病灶 ,症状可全部消失。     

Osteoid osteoma of the coracoid process

Osteoid osteoma is a small, benign, and painful tumor most commonly affecting the extra-articular portions of the long bones, especially the femur or tibia. Osteoid osteoma of the coracoid process is so rare that we have found only three previously reported cases in the international literature. We describe our experience in managing a case of osteoid osteoma in this unusual location.     

Osteoid osteoma of the cervical spine

Osteoid osteoma is a benign tumor of bone that occurs in children and adolescents, particularly in the femur and tibia. Osteoid osteoma of the spine accounts for approximately 10% of these lesions. There frequently is a delay in diagnosis because of its difficult visual appearance. Pain in the spine occurring at night that is relieved by aspirin, or painful scoliosis, should alert the physician to the possibility of its presence. Bone scan and tomograms are essential in making the diagnosis. Complete surgical excision of the lesion is the procedure of choice for immediate, lasting pain relief.     

Osteoid osteoma of the hallux

Osteoid osteoma is a benign bone tumor, first reported 50 years ago. Various characteristics of this bone tumor have remained consistent throughout the years. A discussion of the previous literature on osteoid osteoma and its characteristics are presented in this article, with a case report.     

Osteoid osteoma of the lunate

Osteoid osteoma is a rare lesion in the carpus. This article records the case of an osteoid osteoma occurring in the lunate.     

A Painless Subungual Osteoid Osteoma

BACKGROUND: Osteoid osteoma is a benign bone tumor. Its etiology is not fully understood and the role of trauma is still elusive. OBJECTIVE: Osteoid osteoma mostly presents with a poorly localized pain that is worst at night and characteristically relieved by salicylates. It usually occurs on the weight-bearing bones of the lower extremities, but toe location is quite rare. Here, we present a case of painless osteoid osteoma located subungually on the dorsum of the great toe. RESULT: A 29-year-old woman presented with a painless subungual mass on the dorsum of her great toe. Subungual exotosis, osteochondroma, and osteoma were considered in the differential diagnosis and the lesion was totally excised. Histopathologic examination showed characteristic findings of osteoid osteoma. CONCLUSION: A painless osteoid osteoma is rarely seen and it can be easily misdiagnosed if it occurs in an atypical location such as the subungual area.     

Osteoid Osteoma of the Cuboid Managed by Percutaneous Radiofrequency Ablation

We present details of a case of osteoid osteoma of the tarsal cuboid bone. Osteoid osteoma arising in the foot is not very common, and localization in the cuboid is rare. To our knowledge, this is the first case of osteoid osteoma of the cuboid bone treated successfully by percutaneous radiofrequency ablation.     

Painless osteoid osteoma in a metacarpal

Osteoid osteoma is a benign primary tumour of bone occurring in the first two decades of life. It presents with pain and is uncommon in the hand, particularly so in the metacarpals. We report a painless osteoid osteoma affecting a metacarpal.     

Calcaneal osteoid osteoma hidden by confusing symptoms in an 18-year-old basketball player: A case report

BackgroundOsteoid osteoma is a small common benign osteoblastic tumor. Osteoid osteomas of the foot only account for a small number of cases. The typical patient is usually male children and young adults within the third decade.ObjectivesBy this case report we aim to: 1) analyze the reasons for initial misdiagnosis due to misleading previous sporting injury, and potential mimickers; and, 2) discuss different conservative and surgical therapeutic options.Clinical featuresIn our case report we describe an osteoid osteoma of the calcaneus in a young adult, semi-professional basketball player.Intervention and outcomesA non-successful symptomatic intervention of joint mobilization and the presence of a nocturnal pain responsive to acetylsalicylic acid lead to a diagnosis of osteoid osteoma. The patient was successfully treated by percutaneous CT-guided radiofrequency thermoablation.ConclusionsThe case suggests that close collaboration between general practitioner and physical therapist could have led to more efficient management of this rare disease. Osteoid osteoma should be considered in differential diagnosis when chronic foot pain, in children or in young adults, does not improve with conservative treatment.     

Painful and tender toe,osteoid osteoma of the distal phalanx of toe,a diagnostic dilemma

Osteoid osteoma rarely involves the phalanges of the toes. Basically osteoid osteoma is often a diagnostic dilemma in musculoskeletal practice especially in the foot and ankle. Its presentation is confusing and this may result in delayed diagnosis. We have reported a case of osteoid osteoma of the distal phalanx of the second toe which was treated successfully with surgical excision and reviewed the literature.     

Osteoid osteoma of the cuboid bone: a rare cause of foot pain

Osteoid osteoma, a common bone lesion of benign nature, is more rarely seen in feet. It most commonly involves the talus yet rarely the cuboid. The atypical symptoms of foot involvement may delay the diagnosis. Differential diagnosis most commonly includes ankle sprain, monoarticular arthritis, anterior impingement syndrome, tarsal spur, osteomyelitis, stress fracture, eosinophilic granuloma. The delay in diagnosis and treatment of osteoid osteoma in the foot may be a cause of chronic foot pain. In this study, we present a 17-year-old boy with osteoid osteoma in his right cuboid bone. The patient was undiagnosed during the first year of his symptoms. After surgical removal of the tumor, his complaints were resolved. The pathological examination confirmed the diagnosis of osteoid osteoma. Osteoid osteoma is an unusual bone tumor of the foot. It should be included in the differential diagnosis of patients exhibiting foot pain. In speculative cases with no obvious radiographic findings, further imaging studies, such as CT, should be considered.