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Osteoma care - Coggle Diagram
Osteoma care
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Pathological anatomy
Its appearance, as indicated by JAFFE, is granular with a rough consistency and a reddish-brown color, which clearly contrasts with the neighboring tissue that is paler. Its size is from 0.5 to 1 cm. in diameter, and the radiographic image that a nidus of this type gives is radiolucent.
It is a slow-growing tumor, formed by mature bone tissue with trabeculae. It occurs in people of all ages, between 10 and 79 years old, without difference
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Clinical picture
In symptomatic cases, their main characteristic is pain that is accentuated at night and that responds specifically to the administration of aspirin. Some support the theory that it is inflammatory, however others categorically affirm that it is a neoplasm.
Diagnosis
Solitary enostoses: isolated area of compact bone with asymptomatic evolution. They are usually common especially in the neck of the femur. With the primitively chronic forms of osteomyelitis, mainly Brodie's abscess and Garré's sclerosing osteomyelitis
Treatment
Surgical excision of the en bloc lesion, carried out under radiographic control, is the ideal method of treatment that leads to a rapid and complete disappearance of symptoms. Excision of all reactive bone is not necessary, being resection of the nidus sufficient.
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