Case of the Month August, 2010 Page 4

Treatment

Options, risks, complications

  • Important to identify underlying lesion which will change treatment (ie risk of pathologic fracture)
  • Curettage, cryosurgery, bone grafting, fusion
  • Resection
    • Risk of bleeding during surgery
    • Preoperative embolization
  • Embolotherapy
    • Complications: Aseptic necrosis
  • Percutaneous Ethibloc injection
  • Radiation therapy
    • Risk of sarcomatous degeneration

(click here for a larger version of the image abov.)

Patient underwent preoperative embolization, tumor resection, and spinal fusion procedure.

References

  • Brant, William E. and Helms, Clyde A. Fundamentals of Diagnostic Radiology.  3rd ed, Lippincott Williams and Wilkins, Philadelphia, 2006.  Volume 4.  p. 1149.
  • Manaster, B.J., et. al.  Musculoskeletal Imaging: The Requisites. 3rd ed, Mosby, Philadelphia, 2007.  Pp. 503-506.
  • www.statdx.com

 

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