ASO Author Reflections: The Effect of Local Adjuvants on Cortical Bone Following Intralesional Curettage of Bone Tumors

Authors

APOSTOLOPOULOS Vasileios BOHAC Petr MARCIAN Petr STANICZKOVÁ ZAMBO Iva PAZOUREK Lukáš MAHDAL Michal NERADIL Jakub NAVRAT Tomas TOMÁŠ Tomáš

Year of publication 2024
Type Article in Periodical
Magazine / Source Annals of Surgical Oncology
MU Faculty or unit

Faculty of Medicine

Citation
web https://link.springer.com/article/10.1245/s10434-024-15473-9
Doi http://dx.doi.org/10.1245/s10434-024-15473-9
Keywords Intralesional Curettage; Bone Tumors; Local Adjuvants
Description The irregular shape of the tumor cavity in certain types of tumors poses a significant challenge in completely removing both microscopic and macroscopic tumor residues. Consequently, higher rates of local recurrence following tumor curettage have been recorded. To lower those rates, curettage should be supplemented with other local adjuvants. The objective of local adjuvant therapy is to eradicate any remaining viable tumor cells, ensuring complete removal while preserving the integrity of nearby healthy bone and surrounding soft tissue. Various treatment combinations are employed upon curettage for both benign and locally aggressive bone tumors. Despite the array of available treatment modalities, notable complication rates persisted, with postoperative fractures emerging as the most prevalent complication during follow-up periods. Thus far, no studies have comprehensively evaluated the effect of topical adjuvants on cortical bone after intralesional bone curettage by measuring density and hardness.

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