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[Diagnostic-therapeutic procedure in benign bone tumors]
M Dominkus1, P Krepler, E Schwameis
1Universitätsklinik für Orthopädie, AKH Wien, Währinger Gürtel 18-20, 1090 Wien/Osterreich. martin.dominkus@akh-wien.ac.at
Der Radiologe
|August 9, 2001
Summary
Surgical treatment for benign bone tumors depends on clinical behavior and patient symptoms. Conservative management is suitable for asymptomatic lesions without fracture risk, while aggressive tumors require surgical intervention.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Benign bone tumors present a range of clinical behaviors.
- Diagnosis and treatment decisions require careful evaluation of patient symptoms and imaging findings.
Purpose of the Study:
- To outline the indications for surgical intervention in benign bone tumors.
- To differentiate between lesions requiring conservative management and those needing aggressive treatment.
Main Methods:
- Review of clinical presentation, patient complaints, and technetium-99m bone scan (Tc-bone scan) activity.
- Correlation of imaging findings with risk of pathologic fracture.
- Evaluation of treatment outcomes for various benign bone tumor types.
Main Results:
- Asymptomatic nonossifying fibromas without fracture risk may be managed non-surgically.
- Clinically significant lesions, those with high Tc-bone scan activity, or fracture risk warrant biopsy, curettage, and bone grafting.
- Aggressive tumors like giant cell tumors necessitate more invasive approaches, including curettage with adjuvant therapy or marginal excision.
Conclusions:
- Surgical treatment for benign bone tumors is guided by a combination of clinical, radiological, and symptomatic factors.
- Tailored treatment strategies, from observation to aggressive surgical resection, are crucial for optimal patient outcomes.