scholarly journals Aneurysmal Bone Cyst—An Unusual Presentation of Wrist Pain

2018 ◽  
Vol 08 (01) ◽  
pp. 076-079
Author(s):  
Rajeev Shukla ◽  
Nikhil Jain

Introduction Aneurysmal bone cyst (ABC) is a cystic benign expansile lytic bone lesion, resembling multiple intraosseous blood-filled spaces. It is most commonly seen in the first two decades of life. Most frequent sites of involvement are metaphysis of proximal and distal femur, proximal tibia, and posterior elements of spine. It is seen more frequently in females. ABC of distal ulna is rarely reported in the literature. Case Presentation We are reporting a case of ABC of a rare location—distal ulna—in a young male, which was successfully treated with extended curettage, and the cavity was filled with bone graft, with K-wire stabilization.

Author(s):  
D. Yogadeepan ◽  
Srinivasan Rajappa ◽  
Raghavendran .

<p class="abstract">Aneurysmal bone cysts (ABCs) are benign osteolytic vascular neoplasm characterised by several sponge like blood filled or serum filled non endothelialized spaces of various diameter. ABCs can present a diagnostic challenge, as they share several histological and radiographic characteristics with other aggressive lesions like giant cell tumors and malignant telangiectatic osteosarcomas. In this article, we present a case of 34-year gentleman with left distal femur aneurysmal bone cyst treated by extended curettage augmented with bone substitute and internal fixation. In ABC management, curettage is the treatment of choice inspite of high recurrence rate. This is because of early return to functional activities and less morbidity. En bloc excision results in a lower recurrence rate but more extensive reconstructive surgery is needed which is associated with higher morbidity</p>


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Rayan Elkattah ◽  
Brooke Foulk

Albeit rare, the majority of identified bone lesions in pregnancy spare the pelvis. Once encountered with a pelvic bone lesion in pregnancy, the obstetrician may face a challenging situation as it is difficult to determine and predict the effects that labor and parturition impart on the pelvic bones. Bone changes and pelvic bone fractures have been well documented during childbirth. The data regarding clinical outcomes and management of pregnancies complicated by pelvic ABCs is scant. Highly suspected to represent an aneurysmal bone cyst, the clinical evaluation of a pelvic lesion in the ilium of a pregnant individual is presented, and modes of delivery in such a scenario are discussed.


1993 ◽  
Vol 83 (10) ◽  
pp. 595-597 ◽  
Author(s):  
RG Schmidt ◽  
YM Kabbani ◽  
DP Mayer

Key findings that aid in the diagnosis of an aneurysmal bone cyst are: 1) typically the patients are young individuals less than 20 years old; 2) an expansile bone lesion is bordered by a thin, low signal intensity rim mass; 3) the lesion is inhomogenously increased in signal on T2-weighted images; and 4) multiple fluid-fluid levels are seen with the mass on T2-weighted magnetic resonance imaging scans.


2015 ◽  
Vol 68 (3-4) ◽  
pp. 127-132 ◽  
Author(s):  
Vesna Janevska ◽  
Liljana Spasevska ◽  
Milan Samardziski ◽  
Violeta Nikodinovska ◽  
Julija Zhivadinovik ◽  
...  

Introduction. Aneurysmal bone cyst is a benign bone lesion composed of blood filled cystic cavities lined by fibrous septa. Its malignant transformation of is a rare event. Case report. We report a case of a lesion in the second metatarsal bone in a 29-year-old male, presented as a slight swelling of the right foot. After the curettage had been done, the diagnosis of aneurysmal bone cyst was made but the recurrence occurred 4 years later. The biopsy of the recurrent tumor showed compact neoplastic tissue consistent with diagnosis of giant cell tumor with malignancy. The malignant component was recognized as a high grade sarcoma with osteoid production. A tumor mass with the whole II metatarsal bone was extirpated and a resected part of fibula was transplanted. A year later, another recurrence occurred, an amputation was performed and a teleangiectatic osteosarcoma with ingvinal lymph nodes metastases was diagnosed. No other tumor mass was confirmed, either clinically or by imaging techniques at the time of his third operation. He died 4 months later with multiple pulmonary metastases. Conclusion. We emphasize the importance of team work in order to achieve the accurate diagnosis, highlighting careful radiological examinations, good sampling and awareness of unusual cases in bone tumor pathology.


Author(s):  
Bhaskar Borgohain ◽  
Kashif A. Ahmed ◽  
Tashi G. Khonglah

<p>Aneurysmal bone cysts account for only 1% of all bone tumours and of these only a handful of reported cases occur in the foot. They can mimic other bone tumours on imaging studies, thus making histological diagnosis mandatory. Aneurysmal bone cyst of a metatarsal is very rare especially in children and only few cases have been reported in the literature. We report the novel management option for a rare case of an Aneurysmal bone cyst localized to the second metatarsal in a 5 years old boy who presented with limping, local pain, and minimal swelling in his left foot. Tissue diagnosis was confirmed on the basis of needle biopsy. Surgery was in the form of extended curettage using an endoscope with a high-speed burr and cautery. The remnant cavity was filled up with artificial bone graft. Histopathology analysis of the resected tissue was consistent with Aneurysmal bone cyst. There was complete healing at final follow-up at 2 years. Endoscopy assisted extended curettage appears to be an ideal treatment option as it provides a perfect visualisation of the interior of the entire cyst and use of cautery and burr more accurately under direct vision which potentially leaves only a minimal scope for recurrence. Use of artificial bone grafts instead of conventional autogenous bone grafts to reduce graft site morbidity in children and stimulate local foreign body reaction for enhancing residual tumour cell kill if any and also to promote bony sclerosis for healing.</p>


2020 ◽  
Vol 44 (3) ◽  
pp. 159-163
Author(s):  
Irina Bagić ◽  
Dario Mužević ◽  
Gordan Reljac ◽  
Vjenceslav Vrtarić ◽  
Marko Kovačević

Aneurysmal bone cyst (ABC) is a non-neoplastic locally destructive primary bone lesion mostly occurring within the first two decades of life with female predominance. Cervical spine ABCs are a very rare clinical entity with particularly demanding surgical resection limited by the involvement of nearby neurovascular structures and a risk for cervical spine instability. We present a case of a 17-year-old patient with a symptomatic ABC of the cervical spine who underwent surgical removal of the osseous lesion with good postoperative outcome. There are different therapeutic strategies for ABC management, but complete surgical removal of the cyst remains one of the most important predictors of favorable outcome, although it can be often limited, especially in the cervical region. Previously described lesions have a very high recurrence rate and therefore different additional methods, such as radiotherapy, embolization and sclerosation have been used in addition to surgical resection. Further studies are necessary for development of evidence-based treatment regimens for cervical spine ABCs in pediatric population.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Theodoros Beslikas ◽  
Anastasios Chytas ◽  
Andreas Christodoulou ◽  
Ioannis Gigis ◽  
Ioannis Christoforidis

Aneurysmal bone cysts (ABCs) are rare benign bone tumours. Scapula is a very rare location, and the relative literature is sparse. The purpose of this study is to present a case of a giant aggressive scapular aneurysmal bone cyst in a child. A 7-year-old boy presented to our hospital with pain and a palpated mass on the right scapula. Imaging studies (radiographs computed tomography scintigraphy) were indicative of aneurysmal bone cyst. We performed curettage and bone grafting after the diagnosis was set by pathological examination through a posterior shoulder approach. Five years later, the patient has only residual signs of the lesion on radiographic control without signs of recurrence.


2020 ◽  
Vol 55 (5) ◽  
pp. 280-288
Author(s):  
David Shaoen Sim ◽  
Jayanthi Karunanithi ◽  
Sathiyamoorthy Selvarajan ◽  
Reuben Chee Cheong Soh

<b><i>Introduction:</i></b> Osteoblastoma is a primary benign tumour which commonly presents in the younger population during the second decade of life. However, more aggressive osteoblastomas may present with features of aneurysmal bone cyst, and these can occur at uncommon locations. <b><i>Case Presentation:</i></b> We report the case of a 12-year-old child having an osteoblastoma on the left side of T11 with secondary aneurysmal bone cyst presenting with neurological deficits and myelopathic symptoms. Surgical debulking of the lesion with decompression laminectomy and posterior instrumentation of the spine was performed. The child is currently recovering well with improvement of neurological deficits. <b><i>Discussion/Conclusion:</i></b> Osteoblastoma with aneurysmal bone cyst of the thoracic spine is a rare condition with few reports in the literature, and surgical intervention with complete excision has been demonstrated here with recovery of neurological function.


2021 ◽  
Vol 18 (1) ◽  
pp. 25-28
Author(s):  
Forhad H Chowdhury ◽  
Mohammad Abdullah Yusuf ◽  
Mohammod Raziul Haque

Aneurysmal bone cyst (ABC) is a benign progressive expansile bone lesion that usually involves often located in vertebrae, long tubular bones and flat bones. A small percentage of aneurysmal bone cysts arise from the skull base. Skull base involvement is very rare. Here, we describe a 22-year young man presented with diplopia, right sided facial paresis and right sided sensori-neural hearing loss. CT scan and MRI showed a right petrous apex skull base mass that was confirmed as ABC in histopathology after surgical removal. Journal of Science Foundation, January 2020;18(1):25-28


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