Percutaneous Sclerotherapy

What is Percutaneous Sclerotherapy?

  • Sclerotherapy is a procedure which is in inducing sclerosis and healing by injection substances which cause intense irritation or reaction.

Where is Sclerotherapy Indicated?

  • Indicated in Primary Aneurysmal Bone Cyst
  • Ideal Lesion is one which has intact cortices (No breach or fracture)

How is Sclerotherapy Performed?

  • Day care basis
  • Under local anesthesia and/or general anesthesia
  • Small Scar (Similar to Core Needle Biopsy)
  • First step Is to biopsy the area under image guidance and confirm the diagnosis (bloody aspiration in case of Primary ABC)
  • Next step is when a curette is used to scrape the wall of cavity under image guidance (making sure not to breach the wall) and aspirating its contents.
  • The sample is sent for further histopathological correlation.
  • The above step may be repeated depending on the crypts/septate and size of lesion.
  • Next, 3% Polidocanol is injected (maximum of 4cc) into cavity in all directions.
  • Adequate digital compression is given and followed by application of compression bandage.

What precautions to be taken post Sclerotherapy?

  • Avoid strenuous activities.
  • In case of lower limb, a degree of protection from bearing full weight may be advised.

How long does it take for results in Curopsy?

  • It takes an average of 3 -6 months for discernible results on Sclerotherapy.

Does sclerotherapy need be repeated?

  • Yes, complete healing is seen on an average of 2-3 injections.
  • The interval between injections is between 2-3 months.

What is success rate of Sclerotherapy?

  • The rate of success has been show between 84 to 92 %.
  • In such, cases the lesion is treated with extended curettage as feasible.

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  • Apollo Cancer Center
    Apollo Hospitals, Bengaluru

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