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Pediatric Reports
Volume 6
Issue 1
10.4081/pr.2014.5311
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Case Report

Early Complete Remission of Osteoid Osteoma with Conservative Medical Management

by
Masahiro Yokouchi
*,
Satoshi Nagano
,
Hirofumi Shimada
,
Shunsuke Nakamura
,
Takao Setoguchi
,
Ichiro Kawamura
,
Yasuhiro Ishidou
and
Setsuro Komiya
Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2014, 6(1), 5311; https://doi.org/10.4081/pr.2014.5311
Submission received: 16 January 2014 / Revised: 16 January 2014 / Accepted: 6 February 2014 / Published: 4 March 2014

Abstract

Osteoid osteoma is a benign bone tumor and causes persistent pain that is usually treated by surgery or ablation therapy. Conservative management with non-steroidal anti-inflammatory drugs (NSAIDs) is also used to avoid the morbidity associated with surgery or ablation therapy; however, it usually takes several years for the condition to resolve using conservative treatment. Our patient, a 10-year-old boy, presented with a 3-month history of a painful lesion in his leg. Plain radiography, bone scanning, computed tomography and magnetic resonance images showed the presence of a lesion with radiological features consistent with an osteoid osteoma of the cortex in the tibial diaphysis. The patient was treated with a usual dose of ibuprofen for 3 weeks. Within 3 weeks, his symptoms were almost completely resolved; he no longer needed NSAIDs and returned to normal life. Repeat imaging studies showed complete disappearance of the nidus within 2.5 years after the resolution of symptoms.
Keywords: osteoid osteoma; conservative therapy; NSAIDs; radiological resolution osteoid osteoma; conservative therapy; NSAIDs; radiological resolution

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MDPI and ACS Style

Yokouchi, M.; Nagano, S.; Shimada, H.; Nakamura, S.; Setoguchi, T.; Kawamura, I.; Ishidou, Y.; Komiya, S. Early Complete Remission of Osteoid Osteoma with Conservative Medical Management. Pediatr. Rep. 2014, 6, 5311. https://doi.org/10.4081/pr.2014.5311

AMA Style

Yokouchi M, Nagano S, Shimada H, Nakamura S, Setoguchi T, Kawamura I, Ishidou Y, Komiya S. Early Complete Remission of Osteoid Osteoma with Conservative Medical Management. Pediatric Reports. 2014; 6(1):5311. https://doi.org/10.4081/pr.2014.5311

Chicago/Turabian Style

Yokouchi, Masahiro, Satoshi Nagano, Hirofumi Shimada, Shunsuke Nakamura, Takao Setoguchi, Ichiro Kawamura, Yasuhiro Ishidou, and Setsuro Komiya. 2014. "Early Complete Remission of Osteoid Osteoma with Conservative Medical Management" Pediatric Reports 6, no. 1: 5311. https://doi.org/10.4081/pr.2014.5311

APA Style

Yokouchi, M., Nagano, S., Shimada, H., Nakamura, S., Setoguchi, T., Kawamura, I., Ishidou, Y., & Komiya, S. (2014). Early Complete Remission of Osteoid Osteoma with Conservative Medical Management. Pediatric Reports, 6(1), 5311. https://doi.org/10.4081/pr.2014.5311

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