Opinion about RFA of this lesion

[Access Devices]

From: Manash Saha

Sent: Friday, April 27, 2012 8:47 PM

To: Access Devices

Subject: Opinion about RFA of this lesion

Hi Friends,    I am Manash Saha here from Kolkata. This 11 yr girl referred to me as a possible osteoid osteoma of ant. cortex of lt lower femur for RFA. She is having severe pain and requiring 200mg 8hrly now. Mild local tenderness present. MRI done outside diagnosed as OO with significant focal oedema.   However I was suspicious about the lesion as nidus looked sclerotic, So got a CT Scan done , images of which are attached. A long irregular sclerotic nidus is there with peripheral radiolucency. I am not sure about it and how it will respond. I would like to have your opinion what you think this is and should I proceed with RFA. What may be the outcome?   Second, should we do it directly through quadriceps tendon as it is lying just below it.      No fever or other constitutional symptoms. Blood investigations including ESR is normal.      Bye     Manash Saha

[ajay upadhyay]

Dear  saha This  seems to be  acute on chronic osteomylitis with sequestrum(sclerotic part) in center Last  week i also ref back to orthopaedic the same type of case ref to me as OO Please review MRI images again.  Dr Ajay Upadhyay --- On Mon, 30/4/12, Access Devices <access...@gmail.com> wrote:

-- You received this message because you are subscribed to the Google Groups "RITA user group - India" group. To post to this group, send email to ritauserg...@googlegroups.com. To unsubscribe from this group, send email to ritausergroupin...@googlegroups.com. For more options, visit this group at http://groups.google.com/group/ritausergroupindia?hl=en.

[Govindaraj Jayaraj]

Dear Manash,

Just as Dr Ajay said, this is Osteomyelitis in its insidious form: subacute /acute on chronic OM variety.

No OO will be as long as was shown in your pt.

I have also discussed with the clinician and cancelled a few cases with similar findings.

All the best.

Regards

jayarajg

Dr.Jayaraj Govindaraj

[Bhavin Jankharia]

You should do a dynamic contrast MRI or a bone scan to check the arterial phase vascularity. If it shows the typical appearance of an osteoid osteoma, then that is what it is. I have ablated an upto 2 cm long lesion and the younger the patient, the longer it can get.

Bhavin

--
You received this message because you are subscribed to the Google Groups "RITA user group - India" group.
To post to this group, send email to ritauserg...@googlegroups.com.
To unsubscribe from this group, send email to ritausergroupin...@googlegroups.com.
For more options, visit this group at http://groups.google.com/group/ritausergroupindia?hl=en.

<0008A0FC.jpg><00073A57.jpg><000589A9.jpg><000787EA.jpg><00044189.jpg>