Preoperative Embolization and Full Tumoral Resection of a Cervical Aggressive Epithelioid Osteoblastoma.
World Neurosurg. 2017 Oct;106:1051.e1-1051.e4
Authors: Schur S, Camlioglu E, Jung S, Powell T, Gutman G, Golan J
BACKGROUND: Epithelioid “aggressive” osteoblastoma (EOB) is a uncommon and extra aggressive subtype of osteoblastoma (OB) with a better recurrence fee, larger threat of malignant transformation, bigger measurement, and larger intraoperative blood loss. The current case report illustrates that preoperative angioembolization of an EOB will be safely carried out with low intraoperative blood loss.
CASE DESCRIPTION: A 21-year-old male affected person introduced to our establishment with a Four-month historical past of neck discomfort, radicular ache within the proximal proper arm, and gentle weak point of the appropriate biceps and triceps muscular tissues. Imaging was suggestive of EOB, and computed tomography-guided biopsy confirmed the analysis. The affected person underwent same-day preoperative angioembolization of the key feeding vessels and subsequent full tumor resection. Through the process, he skilled minimal blood loss and didn’t require blood transfusion.
CONCLUSIONS: EOB is a extremely vascular major bony lesion. To attenuate intraoperative blood loss, preoperative angioembolization must be thought-about within the therapy of cervical backbone EOB.
PMID: 28710051 [PubMed – indexed for MEDLINE]