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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Main Authors: Masahiro Yokouchi (Author), Satoshi Nagano (Author), Hirofumi Shimada (Author), Shunsuke Nakamura (Author), Takao Setoguchi (Author), Ichiro Kawamura (Author), Yasuhiro Ishidou (Author), Setsuro Komiya (Author)
Format: Book
Published: MDPI AG, 2014-03-01T00:00:00Z.
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Summary: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.
Item Description:2036-749X
2036-7503
10.4081/pr.2014.5311