A3: Bone Cyst (Also Referred to as Simple Bone Cyst, Unicameral Bone Cyst, Solitary Bone Cyst)

Author(s):  
Maciej Kasprzyk ◽  
Michał Łuczak ◽  
Anna Wawrzyniak ◽  
Leszek Romanowski

Introduction Simple bone cyst is benign fluid-filled lesion localized mainly in long bones. It is usually diagnosed in the first two decades, the most common in proximal humerus. Unicameral bone cyst is o›en asymptomatic but can cause pathological fracture. Aim of the study The aim of our study was to evaluate clinical, diagnostic and treatment factors concerning patients with simple bone cyst. Material and methods The retrospective analysis was performed on 22 patients treated in Department of Traumatology, Orthopaedics and Hand Surgery in Poznań between 2001 and 2017. We have analyzed epidemiological factors: age and sex; symptoms; clinical examination: range of motion, presence of pain; X-ray: localisation, cyst index of Kaelin and MacEwan and presence of pathological fractures; treatment: methods, number of hospitalizations and effectiveness. Results Mean age of patients was 10.8. From 22 patients 11 were females. Generally bone cyst was diagnosed because of pathological fracture – 18 patients (85.7%). Other reasons of X-ray diagnostic were: pain – 2 patients (9.1%), deformity – 1 patient (4.5%), incidentally – 2 patients (9.1%). The bone cyst was localized in humerus – 21 patients (95.5%), radius – 1 patient (4.5%). Treatment methods were various: 7 patients (31.8%) – Depomedrol injections, 4 patients (18.1%) – marrow injections, 4 patients (18.1%) – marrow and Depomedrol injections, 5 patients (22.7%) – injections with additional bone gra›s, 3 patients (13.6%) – only bone gra›s. Conclusions Simple bone cyst occurs generally in young people (under twenty). The most common problem is a pathological fracture. Treatment is long and multistage.


2020 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background Unicameral bone cyst (UBC) is a benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM) and the combination of ESIN and ABM in the treatment of simple bone cyst of children. Methods 83 children with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT or MRI scans. For the suspicious ones, pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for the postoperative evaluation of the three methods. Results All the cases accomplished the follow-up. The effective rate of ABM+ESIN group was significantly higher than that of the ABM group (P<0.05), and the cure rates of ESIN group and ABM+ESIN group were higher than that of ABM group (P<0.05, respectively). The cure time in ESIN group was lower than that of the other two groups (P<0.05, respectively). The times for admission were 2.0±0.0 in ESIN group, 5.7±1.9 in ABM group and 4.7±2.4 in ABM+ESIN group (P<0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children bone cyst has the highest effective and curative rates. For individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest hospitalizations.


2012 ◽  
Vol 2 (3) ◽  
pp. 59 ◽  
Author(s):  
Charan Babu HS ◽  
Bhagawan Das Rai ◽  
Manju A. Nair ◽  
Madhusudan S. Astekar

Simple bone cysts (SBC) are pseudocysts occurring less commonly in the maxillofacial region. The uncertain and unclear etiopathogenesis led to numerous synonyms to refer this particular cyst. These cysts are devoid of an epithelial lining and are usually empty or contain blood or straw-colored fluid. In jaws initially it mimics a periapical cyst and later can lead to cortical bone expansion warranting for radical approach, which is seldom required. SBC is predominantly diagnosed in first two decades of life. Here we report a case of solitary bone cyst mimicking a periapical cyst of a mandibular molar in a 37-year-old patient.


2014 ◽  
Vol 3 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Yavuz Findik ◽  
Timuçin Baykul ◽  
Mert Bülte

ABSTRACT The term ‘solitary bone cyst’ defines several lesions such as simple bone cyst, hemorrhagic cyst, traumatic bone cyst, and idiopathic bone cavity. Solitary bone cysts are not true cysts, they lack an epithelial lining and their etiology is uncertain. Solitary bone cysts are common lesions affecting long bones and less frequently, the jaws, especially the mandible. Lesions usually presents a typical radiographic appearance. The goal of this paper is to report a case of a solitary bone cyst in a 19-yearold female mimicking multiloculer benign neoplasm and review the literature. The lesion was treated by surgical curettage. No additional treatment, such as a surgical reconstruction or bone graft was needed. How to cite this article Fındık Y, Baykul T, Bülte M. Huge Solitary Bone Cyst located in Posterior Mandible. Int J Experiment Dent Sci 2014;3(1):53-56.


Author(s):  
Nirav G. Soni ◽  
Jaimeen P. Jesalpura

<p class="abstract">The simple bone cyst (SBC) also called unicameral bone cyst is a tumor-like lesion of unknown cause, attributed to a local disturbance of the bone growth. Although the pathogenesis is still unknown, the lesion appears to be reactive or developmental . Traumatic etiology of simple bone cysts remains an enigma up to now. We present a case of 44 year old woman who came with c/o pain in right shoulder due to fall from vehicle 5 months back with X-ray and MRI both suggestive of cystic lesion over greater tuberosity humeral head . Patient was treated with arthroscopic curettage and bone grafting. In the last decade, however, there has been an exponential growth in the use of minimally invasive surgical techniques. This is particularly seen in the shoulder, where multiple arthroscopic and procedures have been described in the treatment of intra- and extra-articular pathologies.</p>


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ke-Xue Zhang ◽  
Wei Chai ◽  
Jia-Jia Zhao ◽  
Jun-Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background The unicameral bone cyst (UBC) is a kind of benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM), and the combination of ESIN and ABM in the treatment of bone cyst in children. Methods Eighty-three cases with simple bone cyst were analyzed retrospectively. Twenty-eight cases were treated with ABM. Twenty-eight cases were treated with ESIN. Twenty-seven cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT, or MRI scans. For the suspicious ones, the pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for postoperative evaluation of three methods. Results All cases accomplished the follow-up. The effective rate of the ABM + ESIN group was significantly higher than that of the ABM group (P < 0.05), and the cure rates of the ESIN group and the ABM + ESIN group were higher than that of the ABM group (P < 0.05, respectively). The cure time in the ESIN group was lower than that of the other two groups (P < 0.05, respectively). The times for admission were 2.0 ± 0.0 in the ESIN group, 5.7 ± 1.9 in the ABM group, and 4.7 ± 2.4 in the ABM + ESIN group (P < 0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children’s bone cyst has the highest effective rate and curative rate. For the individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest time of hospitalization.


2021 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background The unicameral bone cyst (UBC) is a kind of benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM), and the combination of ESIN and ABM in the treatment of bone cyst in children. Methods 83 cases with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT, or MRI scans. For the suspicious ones, the pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for postoperative evaluation of three methods. Results All cases accomplished the follow-up. The effective rate of the ABM+ESIN group was significantly higher than that of the ABM group (P<0.05), and the cure rates of the ESIN group and the ABM+ESIN group were higher than that of the ABM group (P<0.05, respectively). The cure time in the ESIN group was lower than that of the other two groups (P<0.05, respectively). The times for admission were 2.0±0.0 in the ESIN group, 5.7±1.9 in the ABM group, and 4.7±2.4 in the ABM+ESIN group (P<0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children’s bone cyst has the highest effective rate and curative rate. For the individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest time of hospitalization.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ítalo de Lima Farias ◽  
Elma Mariana Verçosa de Melo Silva ◽  
Tiburtino José de Lima Neto ◽  
Paulo Rogério Ferreti Bonan ◽  
Sirius Dan Inaoka ◽  
...  

Introdução: O cisto ósseo simples é uma lesão benigna intra-óssea considerada um pseudocisto, de etiologia incerta, crescimento lento, radiograficamente radiolúcida e de tratamento simples. Porém, pode fazer diagnóstico diferencial com outras lesões mais agressivas, e a ausência ou tênue presença de uma cápsula cística prejudica seu diagnóstico histopatológico. Objetivo: discutir os detalhes dos achados clínicos, radiográficos, histopatológicos e cirúrgicos para o cisto ósseo simples, bem como, o acompanhamento e o desfecho de um caso em corpo mandibular. Material e Método: Estudo descritivo de relato de caso. Resultados: foi realizada exploração cirúrgica e ostectomia periférica em lesão mandibular radiolúcida, observando-se no trans-cirúrgico discreta presença de material intralesional enviado para análise histopatológica. Conclusão: apesar do tratamento ser simples, o diagnóstico do cisto ósseo simples continua sendo um desafio, onde a exploração cirúrgica é o método mais preciso de diagnóstico e tratamento, mas a avaliação histopatológica é indispensável para exclusão de outras patologias.Descritores: Cistos Ósseos; Mandíbula; Diagnóstico.ReferênciasWorld Health Organization (WHO). Classification of tumours – Pathology and Genetics of Head and Neck Tumours. 3rd edition. Lyon: IARC Press; 2005.Main DM. Epithelial jaw cysts: 10 years of the WHO Classification. J Oral Pathol. 1985;14(1):1-7.Rushton MA. Solitary bone cysts in the mandible. Br Dent J. 1946;81(2):37-49.Seehra J, Horner K, Sloan P. The unusual cyst: solitary bone cyst of the jaws. Dent Update. 2009;36(8):502-8.Chell M, Idle M, Green J. Case report: an unusual finding of a solitary bone cyst in a patient with a fractured mandible. Dent Update. 2015; 42(10):977-78.Wong-Romo G, Carrillo-Terán E, Ángeles-Varela E. Solitary mandibular bone cyst. Case report and literature review. Rev Odont Mex. 2016;20(2):e112-19.Andrade EL, Cerqueira LS, Rebouças DS, Ferreira TG, Marchionni AMT. Cisto ósseo simples: relato de caso. Rev cir traumatol buco-maxilo-fac. 2016;16(2):36-9.Horne RP, Meara DJ, Granite EL. Idiopathic bone cavities of the mandible: an update on recurrence rates and case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(2):e71-3.Resnick CM, Dentino KM, Garza R, Padwa BL. A management strategy for idiopathic bone cavities of the jaws. J Oral Maxillofac Surg. 2016;74(6):1153-58.Rivero ERC, Daltoé FP, Mello FW, de Souza CECP, Grando LJ. Aspiration and cytological evaluation of idiopathic bone cavities of the jaw. Tissue Cell. 2017;49(3):435-39.MacDonald-Jankowski DS. Traumatic bone cysts in the jaws of a Hong Kong Chinese population. Clin Radiol.1995;(50):787-91.Chrcanovic BR, Gomez RS. Idiopathic bone cavity of the jaws: an updated analysis of the cases reported in the literature. Int J Oral Maxillofac Surg. 2019;48(7):886-94.Harnet JC, Lombardi T, Klewansky P, Rieger J, Tempe MH, Clavert JM. Solitary bone cyst of the jaws: a review of the etiopathogenic hypotheses. J Oral Maxillofac Surg. 2008; 66(11):2345-48.Silveira HA, Cardoso CL, Pexe M, Araujo RZ, Condezo AB, Curi MM. Simple bone cyst in a 7-year-old child. RGO Rev Gauch Odontol. 2017;65(1):83-6.Ankha MEA, Nascimento R, Raldi F, Moraes M, Ribeiro Z, Santos L. Traumatic bone cyst and congenital muscular torticollis: association or a chance? Rev Esp Cir Oral Maxilofac. 2017;39(1):28-49.Ishimoto S, Tanaka S, Maatsishita Y, Kogo M. Mandibular simple bone cyst in a patient with first and second branchial arch syndrome. J Oral Maxillofac Surg Med Pathol. 2017;29(6):538-41.Saia G, Fusetti S, Emanuelli E, Ferronato G, Procopio O. Intraoral endoscopic enucleation of a solitary bone cyst of the mandibular condyle. Int J Oral Maxillofac Surg. 2012;41(3):317-20Bai XF, Hu ZP, Xu Z, Wushou A. Solitary bone cyst of the zygomatic bone. J Oral Maxillofac Surg Med Pathol. 2015;27(2):213-15.Suei Y, Taguchi A, Tanimoto K. Simple bone cyst of the jaws: Evaluation of treatment outcome by review of 132 cases. J Oral Maxillofac Surg. 2007;65(5):918-23.Mathew R, Omami G, Gianoli D, Lurie A. Unusual cone-beam computerized tomography presentation of traumatic (simple) bone cyst: case report and radiographic analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(3):410-13.


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