Document Detail


Sclerotherapy in aneurysmal bone cysts in children: a review of 17 cases.
MedLine Citation:
PMID:  12768252     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the efficacy of percutaneous sclerotherapy in the treatment of aneurysmal bone cysts. MATERIALS AND METHODS: Seventeen patients (7 girls, 10 boys) with aneurysmal bone cysts were treated by the percutaneous approach with Ethibloc ( n=14) and histoacryl glue ( n=3) in our institution between January 1994 and June 2000. The cysts were located in the extremities ( n=6), pelvis ( n=2), spine ( n=2), mandible ( n=5), rib ( n=1) and sphenoid bone ( n=1). Percutaneous sclerotherapy was performed with fluoroscopic and/or computed tomographic guidance under general anesthesia. Clinical and imaging follow-up lasted from 24 months to 9 years and 6 months (mean: 57.3 months). The results were quantified as: excellent (residual cyst less than 20% of the initial involvement), satisfactory (residual cyst 30-50%), unsatisfactory (residual cyst more than 50%). RESULTS: The age of the patients ranged from 4 years and 6 months to 15 years and 8 months (mean: 11 years and 2 months). In nine patients, the therapeutic procedure was repeated 2-5 times. Excellent regression was observed in 16 (94%), satisfactory results in 1 (6%). There was no failure (unsatisfactory result or no response to treatment) in this reported series. The complications were minor and included: local inflammatory reaction ( n=2), small blister ( n=1), and leakage ( n=1). Relief of symptoms was achieved in all patients. No recurrence was noted during follow-up. CONCLUSION: Percutaneous sclerotherapy of aneurysmal bone cysts with Ethibloc is safe and effective. It is an important alternative to surgery, especially when surgery is technically impossible or not recommended in high-risk patients.
Authors:
Josée Dubois; Valérie Chigot; Guy Grimard; Marc Isler; Laurent Garel
Publication Detail:
Type:  Journal Article; Review     Date:  2003-03-22
Journal Detail:
Title:  Pediatric radiology     Volume:  33     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-05-27     Completed Date:  2003-10-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  365-72     Citation Subset:  IM    
Affiliation:
Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Cote Sainte-Catherine Road, H3T 1C5, Montreal, Quebec, Canada. josee-dubois@ssss.gouv.qc.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bone Cysts, Aneurysmal / physiopathology,  radiography*,  therapy*
Child
Child, Preschool
Diatrizoate / therapeutic use*
Drug Combinations
Fatty Acids / therapeutic use*
Female
Follow-Up Studies
Humans
Male
Propylene Glycols / therapeutic use*
Risk Assessment
Sclerosing Solutions / therapeutic use
Sclerotherapy / methods*
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Outcome
Zein / therapeutic use*
Chemical
Reg. No./Substance:
0/Drug Combinations; 0/Fatty Acids; 0/Propylene Glycols; 0/Sclerosing Solutions; 117-96-4/Diatrizoate; 9010-66-6/Zein; 91196-33-7/alcoholic prolamine solution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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