Treatment of aneurysmal bone cysts by percutaneous CT-guided injection of calcitonin and steroid
OBJECTIVES: To determine the efficacy and safety of percutaneous calcitonin and steroid injection in the treatment of aneurysmal bone cysts (ABCs).
MATERIALS AND METHODS: Our study was IRB-approved and HIPAA-compliant. We reviewed pre- and post-procedural imaging studies and medical records of all CT-guided percutaneous injections of ABCs with calcitonin and steroid performed at our institution between 2003 and 2015.
RESULTS: Treatment success based on imaging was categorized as substantial (51-100 %), partial (1-50 %), or none (0 %) by comparing radiographs of the lesion before and after treatment. Our study group comprised 9 patients (7 female, 2 male; mean age 19 ± 5 (range 12-25) years). ABCs were located in the pubis (n = 3), femur (n = 2), and humerus/scapula/ilium/sacrum (n = 1 for each). One patient did not have any clinical or imaging follow-up. For the other 8 patients, clinical and imaging follow-up ranged from 1 to 93 months (mean 16 ± 29 months). One patient had two injections, and 1 patient had three injections. Six out of eight patients (75 %) had complete symptomatic relief and 2 patients (25 %) had partial symptomatic relief after initial injection. Imaging follow-up revealed substantial imaging response in 4 out of 8 patients (50 %). There was a partial imaging response in 2 patients (25 %) and no imaging response in 2 out of 8 patients (25 %), and all 4 of these patients had local recurrence. There were no complications.
CONCLUSION: Percutaneous CT-guided injection of ABCs with calcitonin and steroid is a safe and effective treatment. Lack of imaging response may necessitate more aggressive treatment to minimize local recurrence.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
|---|---|
| Enthalten in: |
Skeletal radiology - 46(2017), 1 vom: 01. Jan., Seite 35-40 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chang, Connie Y [VerfasserIn] |
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| Themen: |
9007-12-9 |
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| Anmerkungen: |
Date Completed 13.06.2018 Date Revised 13.11.2018 published: Print-Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
|
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| PPN (Katalog-ID): |
NLM265326273 |
|---|
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| 100 | 1 | |a Chang, Connie Y |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Treatment of aneurysmal bone cysts by percutaneous CT-guided injection of calcitonin and steroid |
| 264 | 1 | |c 2017 | |
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| 500 | |a Date Completed 13.06.2018 | ||
| 500 | |a Date Revised 13.11.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: To determine the efficacy and safety of percutaneous calcitonin and steroid injection in the treatment of aneurysmal bone cysts (ABCs) | ||
| 520 | |a MATERIALS AND METHODS: Our study was IRB-approved and HIPAA-compliant. We reviewed pre- and post-procedural imaging studies and medical records of all CT-guided percutaneous injections of ABCs with calcitonin and steroid performed at our institution between 2003 and 2015 | ||
| 520 | |a RESULTS: Treatment success based on imaging was categorized as substantial (51-100 %), partial (1-50 %), or none (0 %) by comparing radiographs of the lesion before and after treatment. Our study group comprised 9 patients (7 female, 2 male; mean age 19 ± 5 (range 12-25) years). ABCs were located in the pubis (n = 3), femur (n = 2), and humerus/scapula/ilium/sacrum (n = 1 for each). One patient did not have any clinical or imaging follow-up. For the other 8 patients, clinical and imaging follow-up ranged from 1 to 93 months (mean 16 ± 29 months). One patient had two injections, and 1 patient had three injections. Six out of eight patients (75 %) had complete symptomatic relief and 2 patients (25 %) had partial symptomatic relief after initial injection. Imaging follow-up revealed substantial imaging response in 4 out of 8 patients (50 %). There was a partial imaging response in 2 patients (25 %) and no imaging response in 2 out of 8 patients (25 %), and all 4 of these patients had local recurrence. There were no complications | ||
| 520 | |a CONCLUSION: Percutaneous CT-guided injection of ABCs with calcitonin and steroid is a safe and effective treatment. Lack of imaging response may necessitate more aggressive treatment to minimize local recurrence | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ABC | |
| 650 | 4 | |a Aneurysmal bone cyst | |
| 650 | 4 | |a CT | |
| 650 | 4 | |a Calcitonin | |
| 650 | 4 | |a Percutaneous | |
| 650 | 4 | |a Sclerotherapy | |
| 650 | 4 | |a Steroid | |
| 650 | 7 | |a Bone Density Conservation Agents |2 NLM | |
| 650 | 7 | |a Steroids |2 NLM | |
| 650 | 7 | |a Calcitonin |2 NLM | |
| 650 | 7 | |a 9007-12-9 |2 NLM | |
| 700 | 1 | |a Kattapuram, Susan V |e verfasserin |4 aut | |
| 700 | 1 | |a Huang, Ambrose J |e verfasserin |4 aut | |
| 700 | 1 | |a Simeone, F Joseph |e verfasserin |4 aut | |
| 700 | 1 | |a Torriani, Martin |e verfasserin |4 aut | |
| 700 | 1 | |a Bredella, Miriam A |e verfasserin |4 aut | |
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