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Conservative treatment for osteoid osteoma of the odontoid process of the axis: a case report.

Qiao J, Zhu F, Zhu Z, Liu Z, Qian B, Qiu Y - World J Surg Oncol (2014)

Bottom Line: With the treatment, the patient's pain was alleviated gradually and the range of motion of the cervical spine also recovered to normal.At the two-year phone follow-up, the patient was free of symptoms.For this kind of benign tumor, conservative treatment plus close follow-up is applicable whereas surgery bears significant risks and a heavy economic burden.

View Article: PubMed Central - PubMed

Affiliation: Spine Surgery, Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing 210008, China. scoliosis2002@sina.com.

ABSTRACT

Background: Osteoid osteoma is a primary benign bone lesion, which constitutes about 10% of all primary benign bone tumors and 3% of all primary bone tumors. The spine is involved in 10% of the cases, and the lumbar spine is the most commonly affected whereas the tumor is rarely seen in the cervical spine. With regard to the osteoid osteoma being located at the odontoid process of the axis, limited cases have been reported in the literature.

Case presentation: An osteoid osteoma of the odontoid process of the axis was diagnosed by computed tomography in an 18-year-old male patient with a 3-month history of pain. The patient's parents refused surgery for fear of surgical risks and high expense. Considering the benign nature of osteoid osteoma, we prescribed celecoxib 200 mg per day to the patient. With the treatment, the patient's pain was alleviated gradually and the range of motion of the cervical spine also recovered to normal. At the two-year phone follow-up, the patient was free of symptoms.

Conclusions: For this kind of benign tumor, conservative treatment plus close follow-up is applicable whereas surgery bears significant risks and a heavy economic burden.

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Related in: MedlinePlus

Transversal computed tomography (CT) images showing the nidus with partial ossification of matrix and sclerotic margin, and sagittal CT images of the nidus.
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Fig2: Transversal computed tomography (CT) images showing the nidus with partial ossification of matrix and sclerotic margin, and sagittal CT images of the nidus.

Mentions: An 18-year-old male patient had a history of neck pain of 3 months’ duration, which was more severe at night. A physical examination revealed a remarkably reduced rotation to the right and mild kyphosis. A lateral cervical spine radiograph showed kyphosis of the cervical spine (Figure 1). A computed tomography (CT) scan revealed a lytic area involving the odontoid process of the axis with the partial ossification of the matrix and a sclerotic margin (Figure 2). By CT three-dimensional (3-D) reconstruction, the nidus was found at the conjunction of the odontoid process of the axis and the body of the axis (Figure 3).Figure 1


Conservative treatment for osteoid osteoma of the odontoid process of the axis: a case report.

Qiao J, Zhu F, Zhu Z, Liu Z, Qian B, Qiu Y - World J Surg Oncol (2014)

Transversal computed tomography (CT) images showing the nidus with partial ossification of matrix and sclerotic margin, and sagittal CT images of the nidus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4197231&req=5

Fig2: Transversal computed tomography (CT) images showing the nidus with partial ossification of matrix and sclerotic margin, and sagittal CT images of the nidus.
Mentions: An 18-year-old male patient had a history of neck pain of 3 months’ duration, which was more severe at night. A physical examination revealed a remarkably reduced rotation to the right and mild kyphosis. A lateral cervical spine radiograph showed kyphosis of the cervical spine (Figure 1). A computed tomography (CT) scan revealed a lytic area involving the odontoid process of the axis with the partial ossification of the matrix and a sclerotic margin (Figure 2). By CT three-dimensional (3-D) reconstruction, the nidus was found at the conjunction of the odontoid process of the axis and the body of the axis (Figure 3).Figure 1

Bottom Line: With the treatment, the patient's pain was alleviated gradually and the range of motion of the cervical spine also recovered to normal.At the two-year phone follow-up, the patient was free of symptoms.For this kind of benign tumor, conservative treatment plus close follow-up is applicable whereas surgery bears significant risks and a heavy economic burden.

View Article: PubMed Central - PubMed

Affiliation: Spine Surgery, Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing 210008, China. scoliosis2002@sina.com.

ABSTRACT

Background: Osteoid osteoma is a primary benign bone lesion, which constitutes about 10% of all primary benign bone tumors and 3% of all primary bone tumors. The spine is involved in 10% of the cases, and the lumbar spine is the most commonly affected whereas the tumor is rarely seen in the cervical spine. With regard to the osteoid osteoma being located at the odontoid process of the axis, limited cases have been reported in the literature.

Case presentation: An osteoid osteoma of the odontoid process of the axis was diagnosed by computed tomography in an 18-year-old male patient with a 3-month history of pain. The patient's parents refused surgery for fear of surgical risks and high expense. Considering the benign nature of osteoid osteoma, we prescribed celecoxib 200 mg per day to the patient. With the treatment, the patient's pain was alleviated gradually and the range of motion of the cervical spine also recovered to normal. At the two-year phone follow-up, the patient was free of symptoms.

Conclusions: For this kind of benign tumor, conservative treatment plus close follow-up is applicable whereas surgery bears significant risks and a heavy economic burden.

Show MeSH
Related in: MedlinePlus