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High Recurrence Rates of Osteoid Osteoma Treated With Open Surgery and Radiofrequency Ablation.
Annika Y Myers1, Adrian Lin2, Abigail N Padilla1
1Children's Hospital Los Angeles, Los Angeles, California, USA.
Journal of Surgical Oncology
|January 22, 2026
Summary
Pediatric osteoid osteoma (OO) treatments show high recurrence rates. Recurrence after surgery for this benign bone tumor was not linked to the surgical method, patient age, or sex.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Bone Tumors
Background:
- Osteoid Osteoma (OO) is a painful, benign bone tumor.
- Surgical options include en bloc resection, curettage, and radiofrequency ablation (RFA).
Purpose of the Study:
- To measure recurrence rates of pediatric osteoid osteoma by treatment type.
- To identify clinical factors associated with recurrence.
Main Methods:
- Retrospective review of 24 pediatric patients diagnosed with OO.
- Analysis of recurrence rates based on surgical technique (excision/curettage vs. RFA).
- Examination of correlations between recurrence and age, sex, and surgical intervention.
Main Results:
- 50% of patients experienced symptomatic tumor recurrence.
- Recurrence rates were similar between excision/curettage and RFA groups.
- No significant correlation found between recurrence and surgical intervention, age at surgery, or patient sex.
Conclusions:
- Pediatric osteoid osteoma management is associated with high recurrence rates.
- Recurrence is independent of surgical intervention, patient age, or sex.
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