TY - JOUR
T1 - Chondromyxoid fibroma of the distal fibula treated by percutaneous radiofrequency ablation
AU - Berenstein-Weyel, Tamar
AU - Lebel, Ehud
AU - Katz, Daniela
AU - Applbaum, Yaakov
AU - Peyser, Amos
N1 - Publisher Copyright:
© The Author(s) 2017.
PY - 2017/5
Y1 - 2017/5
N2 - Background: Percutaneous radiofrequency ablation (RFA) has been shown to be an effective treatment for soft tissue lesions and also benign bone tumors, especially osteoid osteoma. There are limited data regarding this technique in other bone tumors, specifically larger and more aggressive ones. Purposes: To describe the use of RFA as a definitive treatment and an alternative to traditional open surgery for the treatment of chondromyxoid fibroma (CMF), a benign but locally aggressive bone tumor. Case presentation: An 11.5-year-old girl was diagnosed with a 4-cm lytic bone lesion of the distal fibula. Evaluation, including biopsy, revealed CMF. It was managed by fluoroscopy-guided RFA only. Six-year follow-up demonstrated complete healing without damage to the adjacent distal fibular growth plate. Discussion and conclusions: RFA induces local heat in the ablation field and causes tissue necrosis. The depth of heat penetration and the size of heated sphere are accurately controlled by modern types of ablation probes and accurate positioning. The current report demonstrates the ability to use this percutaneous technique for larger and more aggressive bone tumors than has been indicated previously.
AB - Background: Percutaneous radiofrequency ablation (RFA) has been shown to be an effective treatment for soft tissue lesions and also benign bone tumors, especially osteoid osteoma. There are limited data regarding this technique in other bone tumors, specifically larger and more aggressive ones. Purposes: To describe the use of RFA as a definitive treatment and an alternative to traditional open surgery for the treatment of chondromyxoid fibroma (CMF), a benign but locally aggressive bone tumor. Case presentation: An 11.5-year-old girl was diagnosed with a 4-cm lytic bone lesion of the distal fibula. Evaluation, including biopsy, revealed CMF. It was managed by fluoroscopy-guided RFA only. Six-year follow-up demonstrated complete healing without damage to the adjacent distal fibular growth plate. Discussion and conclusions: RFA induces local heat in the ablation field and causes tissue necrosis. The depth of heat penetration and the size of heated sphere are accurately controlled by modern types of ablation probes and accurate positioning. The current report demonstrates the ability to use this percutaneous technique for larger and more aggressive bone tumors than has been indicated previously.
KW - Benign aggressive tumor
KW - Chondromyxoid fibroma
KW - Excision
KW - Radiofrequency ablation
UR - http://www.scopus.com/inward/record.url?scp=85043504079&partnerID=8YFLogxK
U2 - 10.1177/2309499017720830
DO - 10.1177/2309499017720830
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C2 - 28731366
AN - SCOPUS:85043504079
SN - 1022-5536
VL - 25
JO - Journal of Orthopaedic Surgery
JF - Journal of Orthopaedic Surgery
IS - 2
ER -