| 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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Multicentric Castleman's disease in a child with subpectoral involvement.
Next Document: SQUID biosusceptometry in the measurement of hepatic iron.