A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma

XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA

Research output: Contribution to journalArticle

Abstract

Osteoid Osteoma (OO) is a benign tumor that can affect any age, but it occurs mostly in adolescents. Only few cases are reported in early infancy but very rare in advanced age. From our series of OO of the spine, we selected a rare case that combines many unusual features that makes diagnosis very difficult. A case of a painful thoracic syndrome in an old female patient due to an OO localized in the inferior edge of the left pedicle of T11 with engagement of the foramen was reported. The age of the patient, the absence of any typical clinical and diagnostic signs, such as nocturnal pain or side effects to NSAIDs administration, are unusual at presentation of OO. She presented instead, a type of pain to the chest that was stabbing, fulminating and radiating. The interest of the case is due to the association of a variety of clinical aspects that stimulate discussion as well as to the role of the modern investigative diagnostic process.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalJournal of Biological Regulators and Homeostatic Agents
Volume33
Issue number2 Suppl. 1
Publication statusPublished - Apr 2019

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Osteoid Osteoma
Chest Pain
Non-Steroidal Anti-Inflammatory Agents
Spine
Thorax
Pain
Neoplasms

Keywords

  • CT
  • MRI
  • osteoid osteoma
  • pain
  • prostaglandins
  • thoracic pain
  • thoracic spine

Cite this

XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA (2019). A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma. Journal of Biological Regulators and Homeostatic Agents, 33(2 Suppl. 1), 141-145.

A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma. / XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA.

In: Journal of Biological Regulators and Homeostatic Agents, Vol. 33, No. 2 Suppl. 1, 04.2019, p. 141-145.

Research output: Contribution to journalArticle

XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA 2019, 'A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma', Journal of Biological Regulators and Homeostatic Agents, vol. 33, no. 2 Suppl. 1, pp. 141-145.
XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA. A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma. Journal of Biological Regulators and Homeostatic Agents. 2019 Apr;33(2 Suppl. 1):141-145.
XIX CONGRESSO NAZIONALE S.I.C.O.O.P. SOCIETA' ITALIANA CHIRURGHI ORTOPEDICI DELL'OSPEDALITA' PRIVATA ACCREDITATA. / A thoracic pain of difficult diagnosis. Unusual localization of osteoid osteoma. In: Journal of Biological Regulators and Homeostatic Agents. 2019 ; Vol. 33, No. 2 Suppl. 1. pp. 141-145.
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AB - Osteoid Osteoma (OO) is a benign tumor that can affect any age, but it occurs mostly in adolescents. Only few cases are reported in early infancy but very rare in advanced age. From our series of OO of the spine, we selected a rare case that combines many unusual features that makes diagnosis very difficult. A case of a painful thoracic syndrome in an old female patient due to an OO localized in the inferior edge of the left pedicle of T11 with engagement of the foramen was reported. The age of the patient, the absence of any typical clinical and diagnostic signs, such as nocturnal pain or side effects to NSAIDs administration, are unusual at presentation of OO. She presented instead, a type of pain to the chest that was stabbing, fulminating and radiating. The interest of the case is due to the association of a variety of clinical aspects that stimulate discussion as well as to the role of the modern investigative diagnostic process.

KW - CT

KW - MRI

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KW - prostaglandins

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