Abstract
Percutaneous radiofrequency ablation is a well known treatment for osteoid osteomas. But its use in treating chondroblastoma is not well established in literature. There have been few case reports of such treatment in recent radiology literature (Radiology 221(2):463–468, 2001; Eur Radiol 3:1–7, 2005). We report a case of chondroblastoma in proximal humerus in a 14 year old treated with percutaneous radiofrequency ablation. At 6 month follow up the patient was asymptomatic. A repeat CT showed evidence of healing including resolution of the tumeral calcification. Repeat biopsy at this time showed no evidence of tumour recurrence. This minimally invasive treatment is an effective alternative to surgical curettage and packing, and should be considered the treatment of choice for suitable lesions.
Résumé
L’ablation percutanée des ostéomes ostéoïdes par radiofréquence est bien connue, mais son utilisation pour les chondroblastomes n’est pas bien établie dans la littérature. Il y a cinq cas décrits dans la littérature récente. Nous rapportons le cas d’un garçon de 14 ans présentant un chondroblastome de l’humérus enlevé par radiofréquence. Le patient est asymptomatique après six mois. Un contrôle scanographique montre la guérison avec disparition également de la calcification. Une biopsie de contrôle a montré l’absence de toute récidive tumorale. Le traitement mini-invasif est une véritable alternative au curetage chirurgical avec comblement et doit être considéré comme le traitement de choix.
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Sivan, M., Theologis, T.N., Athanasou, N.A. et al. Percutaneous radio-frequency ablation of chondroblastoma: an effective alternative. Eur J Orthop Surg Traumatol 17, 93–95 (2007). https://doi.org/10.1007/s00590-006-0123-y
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DOI: https://doi.org/10.1007/s00590-006-0123-y