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KMID : 0613320020080010020
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Journal of the Korean Bone and Joint Tumor Soceity
2002 Volume.8 No. 1 p.20 ~ p.26
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The effect of steroid for fibrous dysplasia of the humerus combined with multiple cystic lesion
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Hahn Soo-Bong
Shin Kyoo-Ho
Won Jung-Hoon
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Abstract
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Fibrous dysplasia is a benign pathologic condition in which the normal cancellous bone is replaced by the fibro-osseous tissue. It is found mostly in the femur, tibia, skull, rib, and humerus. Clinically it may develops pain, progressive deformity, and pathologic fracture. Curettage with bone graft has been the most popular treatment method thesedays. A 17-year-old female who had fibrous dysplasia of the humerus combined with multiple cystic lesion was treated by intralesional steroid injection into the lesion total 2 times. The follow-up plain X-ray which was taken 11 months after steroid injection reveals decrease in size and increase in bone density and cortex thickness. The follow-up MRI reveals significant decrease in size and signal intensity. The signal intensity was decreased to that of normal bone marrow in T2 weighted image. She complains no pain and lives symptom free in last follow-up at 2 years and 8 months after steroid injection.
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KEYWORD
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Steroid, Humerus, Fibrous dysplasia, Cystic lesion, Steroid
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