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. 2004 Nov 18;28(6):374–378. doi: 10.1007/s00264-004-0586-6

Intraosseous lipoma: retrospective analysis of 29 patients

Roman Radl 1,✉, Andreas Leithner 1, Felix Machacek 2, Erdal Cetin 3, Wolfgang Koehler 1, Bodo Koppany 4, Martin Dominkus 3, Reinhard Windhager 1
PMCID: PMC3456904  PMID: 15551133

Abstract

We reviewed 29 patients with intraosseous lipoma treated between 1985 and 2002. Mean patient age was 48 (20–75) years. According to Milgram’s classification, ten cases were classified as stage I, 14 as stage II, and three as stage III. All patients were initially treated by curettage. In 11 cases an additional phenolization was performed. The average follow-up was 32 (6–208) months. At the last follow-up, none had any clinical or radiological signs of recurrence. The adequate treatment of a symptomatic intraosseous lipoma is curettage and bone grafting. In the current study, phenolization showed no added benefit. An asymptomatic intraosseous lipoma without impending pathological fracture can be treated conservatively.

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