Which treatment method is typically employed for extensive fibrous dysplasia lesions?

For extensive fibrous dysplasia lesions, limited excision surgery is the most appropriate treatment method. This approach is chosen because fibrous dysplasia is a benign condition characterized by abnormal fibrous tissue replacing normal bone, which may lead to deformities and functional impairments.

Limited excision allows for removal of symptomatic or problematic areas without risking the complications associated with more extensive surgery that could involve significant bone loss or damage to surrounding structures. It aims to alleviate symptoms and improve function while minimizing morbidity.

Other methods like complete excision may not be viable since the wide-ranging nature of fibrous dysplasia makes complete removal very challenging and could lead to more complications than benefits. Radiation therapy does not typically yield favorable results for fibrous dysplasia and is generally reserved for other types of lesions or conditions. Finally, monitoring alone may be appropriate for less extensive cases or asymptomatic patients, but for extensive lesions causing problems, intervention is warranted to manage symptoms effectively.