Aneurysmal bone cyst of the foot: A series of 10 cases.
Aneurysmal bone cyst
Intralesional curettage
Polidocanol injection
Polidocanol instillation
Journal
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
26
01
2021
revised:
17
02
2021
accepted:
01
03
2021
pubmed:
16
3
2021
medline:
22
2
2022
entrez:
15
3
2021
Statut:
ppublish
Résumé
Aneurysmal bone cyst (ABC) is a benign, locally aggressive tumor that occurs in childhood and early adulthood. It usually affects the metaphysis of long bones but can also occur in the foot. This single-center study is a retrospective review of ten patients with primary ABCs of the foot which underwent an intralesional curettage or a polidocanol instillation. After intralesional curettage a local recurrence was observed in 3/5 cases. The instillation of polidocanol showed a significant reduction of the initial cyst volume (p=0.0267). In the instillation subgroup a primary complete healing was achieved in three cases. Due to a persisting disease two cases were converted to intralesional curettage without local recurrence in the follow-up. Percutaneous instillation of polidocanol is a minimally invasive treatment option for ABCs of the foot and especially for small bones. Nevertheless, several sequential instillations and a conversion to intralesional curettage can be necessary.
Sections du résumé
BACKGROUND
BACKGROUND
Aneurysmal bone cyst (ABC) is a benign, locally aggressive tumor that occurs in childhood and early adulthood. It usually affects the metaphysis of long bones but can also occur in the foot.
METHODS
METHODS
This single-center study is a retrospective review of ten patients with primary ABCs of the foot which underwent an intralesional curettage or a polidocanol instillation.
RESULTS
RESULTS
After intralesional curettage a local recurrence was observed in 3/5 cases. The instillation of polidocanol showed a significant reduction of the initial cyst volume (p=0.0267). In the instillation subgroup a primary complete healing was achieved in three cases. Due to a persisting disease two cases were converted to intralesional curettage without local recurrence in the follow-up.
CONCLUSIONS
CONCLUSIONS
Percutaneous instillation of polidocanol is a minimally invasive treatment option for ABCs of the foot and especially for small bones. Nevertheless, several sequential instillations and a conversion to intralesional curettage can be necessary.
Identifiants
pubmed: 33715952
pii: S1268-7731(21)00039-4
doi: 10.1016/j.fas.2021.03.002
pii:
doi:
Substances chimiques
Polidocanol
0AWH8BFG9A
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
276-280Informations de copyright
Copyright © 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.