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Radiofrequency Ablation of Solitary Eosinophilic Granuloma of Bone

Rodney R. Corby1, Gregory S. Stacy1, Terrance D. Peabody2 and Larry B. Dixon1

1 Department of Radiology, The University of Chicago Medical Center, MC 2026, 5841 S Maryland Ave., Chicago, IL 60637.
2 Department of Orthopaedic Surgery and Rehabilitation Medicine, The University of Chicago Medical Center, Chicago, IL.


Figure 1
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Fig. 1A 7-year-old girl with eosinophilic granuloma of proximal femur. Anteroposterior radiograph of femur shows proximal diaphyseal radiolucent lesion with surrounding thick periosteal reaction.

 

Figure 2
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Fig. 1B 7-year-old girl with eosinophilic granuloma of proximal femur. Axial CT image through target lesion shows electrosurgical device with tines unroofed centrally within lesion.

 

Figure 3
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Fig. 1C 7-year-old girl with eosinophilic granuloma of proximal femur. Anteroposterior radiograph of femur 12 months after intervention shows healing of lesion without complication.

 

Figure 4
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Fig. 2A 14-year-old girl with eosinophilic granuloma of left supraacetabular ileum. Anteroposterior radiograph of left pelvis shows radiolucent lesion of supraacetabular ileum with mild surrounding sclerosis.

 

Figure 5
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Fig. 2B 14-year-old girl with eosinophilic granuloma of left supraacetabular ileum. Axial CT image through target lesion shows electrosurgical device with tines unroofed centrally within lesion. Anterolateral to target lesion is surgical defect from prior failed open biopsy and curettage.

 

Figure 6
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Fig. 2C 14-year-old girl with eosinophilic granuloma of left supraacetabular ileum. Anteroposterior radiograph of left pelvis 11 months after intervention shows slight decrease in size and increased peripheral sclerosis consistent with partial healing.

 

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