Tumor treated by endoscopy

Clin Orthop Surg. 2014 Mar;6(1):72-9. doi: 10.4055/cios.2014.6.1.72. Epub 2014 Feb 14.

Abstract

Background: This study was conducted to examine the clinical usefulness and efficacy of endoscopic curettage on benign bone tumor.

Methods: Thirty-two patients (20 men and 12 women) with benign bone tumor were included in the study. The patients were aged between five and 76 years; the mean follow-up period was 27.05 months (range, 9.6 to 39.9 months). The primary sites include simple bone cyst (9 cases), fibrous dysplasia (6 cases), enchondroma (5 cases), non-ossifying fibroma (4 cases), bone infarct (3 cases), aneurysmal bone cyst (1 case), chondroblastoma (1 case), osteoblastoma (1 case), intraosseous lipoma (1 case), and Brodie abscess (1 case). A plain radiography was performed to assess the radiological recovery. Radiological outcomes, including local recurrence and bone union, were evaluated as excellent, good, poor, and recurred.

Results: In our series, there were 27 cases (84.4%) of good or better outcomes, six cases (18.8%) of complications (4 local recurrence, 1 wound infection, and 1 pathologic fracture).

Conclusions: Our results showed that endoscopic curettage and bone graft had a lower rate of recurrence and a higher cure rate in cases of benign bone tumor. It can, therefore, be concluded that endoscopic curettage and bone graft might be good treatment modalities for benign bone tumors.

Keywords: Benign bone tumor; Endoscopic curettage.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / surgery*
  • Bone Transplantation / methods
  • Child
  • Child, Preschool
  • Cohort Studies
  • Curettage / methods
  • Endoscopy / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Treatment Outcome
  • Young Adult