Abstract

OLIVEIRA, Vânia et al. Exérese de osteocondroma: Cirurgia sempre fácil ou sempre difícil?. Rev. Port. Ortop. Traum. [online]. 2012, vol.20, n.3, pp.311-316. ISSN 1646-2122.

Aim: Osteochondroma is a benign tumor whose growth stops with physis closure. The imaging study is diagnostic and osteochondromas are considered "usualy leave me alone lesions”. Authors present 10 osteochondromas, all of them presenting surgical challenges due to their location. Patients and Methods: From January 2005 to December 2011 ten osteochondromas were selected to surgical treatment for their size and related symptoms. The following parameters were evaluated: indication for surgery, volume, anatomical location, technical difficulty, pathologic outcome, complications and recurrence rate. Results: In all cases the location and size indicated surgical excision and the need to preserve adjacent structures and neurovascular bundles increased surgical difficulty. The average follow-up was 3.3 years. There were no complications or recurrences. Conclusion: In clinical practice osteochondromas excision considered surgically easy and technically low demanding have no indication for surgical treatment and, therefore, should be leave-me-alone-lesions. The presented cases show that osteochondroma anatomical location, extent or adjacent structures conflict indicate surgical treatment and these are always technically high demanding and difficult.

Keywords : Benign tumor; osteochondroma; surgical excision; leave me alone lesions.

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