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Archives de pédiatrie
Volume 19, n° 11
pages 1177-1181 (novembre 2012)
Doi : 10.1016/j.arcped.2012.08.019
Received : 10 October 2011 ;  accepted : 21 August 2012
L’ostéome ostéoïde de l’enfant : à propos de 5 cas traités par électrocoagulation
Osteoid osteoma in children: 5 cases treated with electrocoagulation
 

O. Gilliaux a, J.-F. de Wispelaere b, H. Charlier c, E. Bodart a,
a Service de pédiatrie, université catholique de Louvain, CHU Mont-Godinne, 1, avenue G.-Therasse, 5530 Yvoir, Belgique 
b Service de radiologie, université catholique de Louvain, CHU Mont-Godinne, 1, avenue G.-Therasse, 5530 Yvoir, Belgique 
c Service d’orthopédie, université catholique de Louvain, CHU Mont-Godinne, 1, avenue G.-Therasse, 5530 Yvoir, Belgique 

Auteur correspondant.
Résumé

L’ostéome ostéoïde est une tumeur osseuse bénigne dont le diagnostic est souvent tardif, malgré une symptomatologie typique : d’importantes douleurs localisées principalement aux membres inférieurs se majorant au cours de la nuit. Le diagnostic fait, le traitement par l’acide acétylsalicylique a fait la preuve de son efficacité antalgique et la tumeur involue la plupart du temps spontanément. Si la douleur n’est pas suffisamment contrôlée par l’acide acétylsalicylique, l’enfant peut être traité de manière chirurgicale ou par électrocoagulation percutanée sous contrôle tomodensitométrique avec un taux de succès comparable. Nous rapportons 5 cas d’enfants traités par électrocoagulation percutanée et comparons ceux-ci aux séries de la littérature.

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Summary

Osteoid osteoma is a benign bone tumor. Its diagnosis is often delayed despite typical symptoms: severe pain mainly situated on the lower limbs and characteristically worse at night. Once diagnosed, an antalgic treatment by aspirin is well known to be very effective in relieving pain. Osteoid osteoma will resolve spontaneously. If symptoms persist despite the use of aspirin, surgery can be performed to remove the tumor. Percutaneous electrocoagulation can be performed instead of surgical resection as a less invasive procedure. The success rate of surgery and percutaneous electrocoagulation is comparable. We reviewed the cases of 5 patients who were hospitalized in our institution for percutaneous electrocoagulation of an osteoid osteoma. We compared them to the literature.

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