Tumour like lesions and their management: a retrospective study

Authors

  • Kuriakku Puthur Dominic Department of Orthopedics, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India
  • Davis Dijoe Department of Orthopedics, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India
  • Libin Thomas Manathara Department of Orthopedics, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20175665

Keywords:

Tumour like lesions, Cytogenetics, Pathological fracture

Abstract

Background: Tumour like lesions of the bone is a frequently used term but has not yet been clearly defined. There are no definite guidelines available for their management. The present study was aimed to evaluate the tumour like lesions and their management.

Methods: Cases of tumour like lesions managed in the Cancer Institute during the last two decades were systematically analyzed. By and large non aggressive and non-operative treatment was given in all conditions.

Results: One hundred and twenty seven cases of tumour like lesions managed. As they are not tumours, basics of tumour surgery need not be applied to them. Outcome of conservative management of tumour like lesions was very encouraging on long term follow-up.

Conclusions: Most of the cases with lesser interventions produced better results. They need to be treated only if they are symptomatic or likely to produce a pathological fracture. Even in such situations, one need not take a radical approach.

 

Author Biography

Davis Dijoe, Department of Orthopedics, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India

Assistant Professor,

Department of Orthopedics   

Amala Institute of Medical Sciences

References

Mohan H. Text book of Pathology. 7th edition. 2015: 828.

Szendröi M, Sim FH. Color Atlas of Clinical Orthopedics. 2009: 209-229.

Enneking WF. Musculoskeletal Tumor Surgery. Vol. 1. New York, Churchill Livingstone: 1983; 87-89.

Motamedi K, Seeger LL. Benign Bone Tumors Radiol Clin N Am. 2011;49:1115–34.

Kim SH, Smith SE, Mulligan ME. Hematopoietic Tumors and Metastases Involving Bone Radiol. Clin N Am. 2011;49:1163–83.

Unni KK, Carrie Y. Inwards Dahlin's Bone Tumors. 2010: 305-347.

Christopher F, Bridge JA, Hogendoorn PCW, Fredrik M. WHO classification of soft tissue and bone. 4th edn. 2013: 240-301

Schajowicz F. Histological typing of bone tumours. World Health Organization; International histological classification of tumours. Second edition. 1993: 36-42.

Wold LE, Unni KK. Atlas of Orthopedic Pathology. Third edition. 2008: 460-462.

Puri A, Agarwal M, Current concepts in bone and soft tissue tumors; 2007: 93-106.

Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B, Safaya R. Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi. Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long-term follow-up. J Bone Joint Surg Br. 2006;88:1212-6.

Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Related Res. 2010;468:1649-59.

Balach T, Stacy GS, Peabody TD. The clinical evaluation of bone tumors. Radiol Clin N Am. 2011;4:1085.

Bhardwaj JR, Deb P. Boyd’s Text Book of Pathology.10th Edition. 2013: 1676.

Jonathan C. Etiology of Simple Bone Cyst. J Bone Joint Surg. 1970;52:1493–97.

Resnick D, Kransdorf MJ. Bone and Joint Imaging. Third Edition. 2005: 2408-2593.

Chang CH, Stanton RP, Glutting J. Unicameral bone cysts treated by injection of bone marrow or methylprednisolone. Bone Joint Jl. 2002;84:407-12.

Scaglietti O, Marchetti PG, Bartolozzi P. The effects of methylprednisolone acetate in the treatment of bone cysts. Results of three years follow-up. Bone Joint J. 1979;61:200-4.

Vergel De Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Anurysmal bone cyst clinicopathological study of 238 cases. Cancer. 1992;69:2921-31.

McQueen M, Chalmers GDJ. Spontaneous healing of aneurismal bone cyst report of two cases. JBJS. 1985;310:2.

Donati D, Frisoni T, Dozza B, Ugo HD, Giannini AS. Advance in the treatment of aneurysmal bone cyst of the sacrum. Skeletal Radiol. 2011;40:1461–6.

Dicaprio M, Ennekingc W. Current concept review of Fibrous Dyplasia pathophysiology evolution aand treatment. JBJS. 2005;87:1848-63.

Meredith DS, Healey JH. Twenty-Year Follow-up of Monostotic Fibrous Dysplasia of the Second Cervical Vertebra A Case Report and Review of the Literature Investigation performed at Memorial Sloan-Kettering Cancer Center, New York, NY. Bone Joint Surg Am. 2011;93:1-7.

Robert K. Heck Jr., Patrick C. Toy. Benign bone tumours and non neoplastic conditions simulating bone tumours. Campbell’s Operative Orthopaedics 12th edition. Elsiever Mosby.

Panda P, Gulia A. Osteofibrous Dysplasia – an update. J Bone Soft Tissue Tumors. 2016;2:23-5.

Bonetumor.org. Eosinophilic granuloma. Available at: http://www.bonetumor.org/tumors-unknown-type/eosinophilic-granuloma. Accessed on 3 July 2017.

Gasbarrini A, Cappuccio M, Donthineni R, Bandiera S, Boriani S. Management of benign tumors of the mobile spine. Orthop Clin North Am. 2009;40:9-19,

Han I. Management of Eosinophilic Granuloma Occurring in the Appendicular Skeleton in Children Clin Orthop Surg. 2009;1:63–7.

Mirels H. Metastatic disease in long bones: a proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res. 1989;249:256–64.

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Published

2017-12-22

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Original Research Articles