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Pediatr Rep. 2014 Mar 4;6(1):5311. doi: 10.4081/pr.2014.5311. eCollection 2014.

Early complete remission of osteoid osteoma with conservative medical management.

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  • 1Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University , Kagoshima, Japan.

Abstract

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.

KEYWORDS:

NSAIDs; conservative therapy; osteoid osteoma; radiological resolution

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